Complete Personnel Logistics: Health Insurance

January 20, 2022

Home

	HEALTH INSURANCE: COPPER

Print-friendly PDF of all plans (525k)

Major Medical Benefits	Network	Non-Network
Individual Family	$2,000 $4,000	$4,000 $8,000
Co-Insurance	80% / 20%	50% / 50%
Out-of-Pocket (including deductable) Individual Family	$4,000 $8,000	Unlimited Unlimited
Inpatient Hospital Care	80% / 20% after deductable	50% / 50% after deductable
Emergency Room Treatment (Limited to severe medical condition)	$150 co-pay	50% / 50% after deductable
Outpatient Hospital Care	80% / 20% after deductable	50% / 50% after deductable
Office Visits	80% / 20% after deductable	50% / 50% after deductable
Inpatient Maternity Care	80% / 20% after deductable	50% / 50% after deductable
Lab and X-Ray	80% / 20% after deductable	50% / 50% after deductable
Therapy Services (limited to 10 visits per year)	80% / 20% after deductable	50% / 50% after deductable
Life Insurance	$10,000 Term
Urgent Care	$55 co-pay
Lifetime Maximum	$1,000,000
Retail Prescription Drugs	Discount Prescription Card
Mail Order Prescription Drugs	Discount Prescription Card

Back to Health Insurance overview

This summary is intended to highlight your healthcare benefits and is not a contract of insurance. Please refer to your Summary Plan Description for a complete explanation of covered services, limitations, exclusions and a description of all terms and conditions of coverage.