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Basic Plan
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  • Product
    $89.80 per Month for Individual
    $110.20 per Month for Individual + Spouse
    $110.20 per Month for Individual + Children
    $110.20 per Month for Family
  • If you/your family are healthy and low users of healthcare, the Basic Plan may be the perfect low-cost plan for your needs. The Basic plan includes a Prescription Discount Card and 100% coverage for the following in-network services:

     

    The Basic Plan does not offer any Hospitalization or specialty coverage. 


Advantage Plan
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  • Product
    $154.85 per Month for Individual
    $224.73 per Month for Individual + Spouse
    $241.06 per Month for Individual + Children
    $317.65 per Month for Family
  • The Advantage Plan includes every benefit from the Basic Plan plus more.  The Advantage Plan covers 90% of your everyday care needs through a zero dollar deductible.  Additional benefits provided by the Advantage Plan include:

    • Low Copays for Physician Office visits ($20) Specialists and Urgent Care Facilities ($50) and up to 3X per year for each method of care

    • Lab work and diagnostic X-Rays are covered at a $50 co-pay up to 5X per year

    • CT Scans again for diagnostic reasons are covered with a $200 co-pay once per year  

    • A Prescription Plan that starts at $1 generics and coinsurance from 10% to 40% for higher level prescription drugs where you would pay 10% of the cost to 40% of the actual cost.

    Our PPO Network: Multiplan/PHCS has over 900,000 Healthcare Providers to choose from. The Advantage Plan does not have hospitalization coverage.


Premier Plan
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  • Product
    $241.83 per Month for Individual
    $390.81 per Month for Individual + Spouse
    $390.81 per Month for Individual + Children
    $458.16 per Month for Family
  • The Premier Plan includes every benefit from the Advantage Plan plus a hospitalization benefit. This benefit allows 50/50 coinsurance model up to $5,000. For example: If your hospital bill was $5,000 you would only pay $2,500, if your hospital bill was $3,000 you would pay only $1,500 (50%).  Anything over $5,000 in spending is no longer covered by the 50/50 coinsurance.

 • afci@enhancedcaremd.com

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