Benefits shown are for services received from an in-network provider.
Preferred Provider Plan PPO with Prescription Drug |
---|
Annual deductible |
Annual Out-of-pocket Maximum $2,500 per person |
Annual Preventive Health Evaluation: $0 Office Visits: $12 You pay 10% for these services:
$75 |
Preferred Provider Plan PPO |
CompMED with Prescription Drug |
---|
Annual deductible |
Annual Out-of-pocket Maximum $3,000 per person |
Annual Preventive Health Evaluation: $0 Office Visits: $17 You pay 20% for these services:
$0 Emergency Room: $100 |
CompMED Plan documents |
Health Plan Hawaii Plus HMO with Prescription Drug |
---|
Annual deductible |
Annual Out-of-pocket Maximum $2,500 per person |
Annual Preventive Health Evaluation: $0 Office Visits: $15 You pay $0 for these services:
$75 Hospital Room and Board: $75 copayment per day |
Health Plan Hawaii Plus HMO Plan documents |
with Prescription Drug
$2,500 per person
$7,500 (max) per family
Preferred Provider Plan PPO
with Prescription Drug
CompMED
with Prescription Drug
Health Plan Hawaii Plus HMO
Plan documents