Network PlatinumPlus (PPO) arrow Back to Available Plans
Medical coverage priced within your budget.
If you're looking for comprehensive coverage at an affordable price, this plan may be a good fit for you.
- $0 deductible
- $15 for doctor and urgent care visits
- Network Health's lowest out-of-pocket maximum
Want to Add Drug Coverage?
Look at Network PlatinumPlus Pharmacy
Medical Coverage for PlatinumPlus
Here’s a quick glance at in-network benefits for medical coverage.
- See the 2016 Summary of Benefits for a list of benefits compared with our other plans and Original Medicare.
- See the 2016 Evidence of Coverage for all details about this plan.
|Premium||$76 per month|
|Out-of-Pocket Maximum||$3,400 per year combined (in and out-of-network)|
|In-Network Hospital Stays||$150 per day for days 1-20; You pay nothing for days 21 and beyond.|
|Primary Care Office Visit||$15 per visit|
|Emergency Room||$75 per visit|
|Urgent Care||$15 per visit|
|Outpatient Services||20% coinsurance per visit|
|Annual Welless Visit with Lab Tests||$0 copayment|
|Preventive Services||Plan covers all Medicare-covered preventive services at $0|
|Platinum Fitness||Up to $432 per year toward a full gym membership for health club providers available in our network.|
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