Find information about specific benefits, ranging from preventive care to surgery or diagnostic lab services.
Benefits shown are for services received from an in-network provider.
| CompMED with prescription drug | |||
|---|---|---|---|
| Annual deductible |
$100 per person |
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| Annual Out-of-pocket Maximum | $3,000 per person $9,000 maximum per family |
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| Find a doctor Choose from more than 5,000 doctors and specialists close to where you live or work. |
Find a doctor1 | ||
| Plan Benefits | You Pay | ||
| Office visits | $14 | ||
| Annual preventive health evaluation | $0 | ||
| Hospital room and board | 20%* | ||
| Surgical procedures (outpatient surgery) | 20% | ||
| Diagnostic tests | 20% | ||
| Emergency room | $100 | ||
| Ambulance | 20% | ||
| Plan materials | |||
Every plan includes: |
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Annual physical exam |
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*A service dollar maximum may apply. You may owe amounts in addition to your copayment. Refer to your Guide to Benefits for details.
The out-of-pocket maximum is the most you'll have to pay per calendar year for covered health care services. Once you reach this amount, your plan pays 100 percent of the allowed amount for covered services excluding taxes.
There's a maximum for each person on the plan and a maximum for everyone on the plan.
A deductible is the fixed dollar amount you must pay each calendar year for certain services and products before your health plan pays.