Benefits shown are for services received from an in-network provider.
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Preferred Provider Plan PPO with Prescription Drug, Vision and Complementary Care |
|---|
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Annual deductible |
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Annual Out-of-pocket Maximum $2,500 per person |
|
Annual Preventive Health Evaluation:
You pay 0% for these services:
Emergency Room: |
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Preferred Provider Plan PPO |
|
Health Plan Hawaii Plus HMO with Prescription Drug, Vision and Complementary Care |
|---|
|
Annual deductible |
|
Annual Out-of-pocket Maximum $1,500 per person |
|
Annual Preventive Health Evaluation:
You pay 0% for these services:
Emergency Room: |
|
Health Plan Hawaii Plus HMO |
with Prescription Drug, Vision and Complementary Care
$2,500 per person
$7,500 (max) per family
with Prescription Drug, Vision and Complementary Care