See something you like? Follow the links at the Plan Names for more details.
PPO |
| Plans |
|
| HNE PPO Complete |
In-Plan
|
Out-of-Plan |
| Up-front deductible |
N/A |
$1,000 per individual
$2,000 per family
per calendar year |
| Doctor’s Office |
$0 Preventive Services
$20 |
20% after deductible |
Emergency
(waived if admitted directly from ER) |
$100 per visit |
$100 per visit |
High Cost Diagnostics:
Diagnostic Imaging:
CT Scans, MRI, PET Scans
Sleep Studies
Genetic Testing: BRCA & Colaris |
$75 |
20% after deductible |
$75 |
20% after deductible |
$75
|
20% after deductible |
| Outpatient Surgical |
$250 |
20% after deductible |
| Hospital Stay |
$500 |
20% after deductible |
| Out-of-Pocket Maximum |
$1,000 per individual
$2,000 per family
|
$3,000 per individual
$6,000 per family
|
| Out-of-Pocket Maximum Includes: |
Services with a copayment of $250 or greater |
Deductible and 20% coinsurance |
| Prescription Drugs |
|
| HNE offers a PHCS version of this plan. PHCS is a national PPO network of over 450,000 providers and 4,000 facilities to choose from. |
