PPO Share plans
PPO is a preferred provider organization. PPO plans have many benefits because health insurance companies have contract with doctors, hospitals and others due to which they can form a network. Based on the plan, you can get health care benefits outside the network also. Members generally pay yearly deductible before PPO pays some or all of your bills.
Smart sense
Smart sense is designed for those people who know the importance of health coverage but need flexibility when it comes to cost. This plan is suitable for both individuals and families. This plan is a smart choice for consumers who want low monthly rates, full medical benefits.
RIGHT PLAN PPO 40
Right Plan PPO 40 is suitable only for single adults. This plan is suitable for individuals who are looking for lower cost plan with no deductible and choose from prescription options. If you fall under any of these categories you are eligible for this plan; young, healthy adult, self employed single, early retiree.
Tonik Health plans
This plan includes immediate coverage for doctor visits, generic prescription drugs, emergency room care, dentist appointments, eye exam, glasses or contacts.
PPO share plans
. Instant visit to doctor's clinic at negotiated fee
. Maternity benefits
. Choose from three medical deductibles
. Other benefits include Prescription Drug benefits, emergency room services, preventive care
. All over California there is a network of nearly 50,000 doctors and 400 hospitals. So your family doctor may be the one connected to our network.
. Out of state coverage
Smart sense
Smart choice is suitable for people who want:
. Choose from a wide range of medical deductibles
. Maternity Benefits are not covered
. Benefit from first three doctor's office visits
. Negotiated fee on preventive care, emergency room services, and professional services
. Choose from Prescription Drug benefits
. Acupuncture services are not included
. There is a wide network of nearly 50,000 doctors and 400 hospitals as in PPO.
. Since we have negotiated lower fees with our doctors and hospitals, you can benefit by paying lower fees.
. Provides both in-network and out of network services
Right Plan PPO 40
. Three different Right plan options: no prescription drug option, generic prescription only drug option and full prescription drug option
. Maternity benefits not covered
. Pay $40 co pay for in-network doctor visits
. No annual deductibles
. Negotiated fee on professional services, preventive car, ambulance, acupuncture or acupressure.
. Each person has to get his/ her own policy
. You can take treatment from any of the 50,000 doctors and 400 hospitals in California
. Provides both in-network and out-of-network services
Lumenos health plans
Lumenos is a consumer-directed health plan. Lumenos plans include 100% coverage for any healthcare needs.
. Lumenos plans are consumer driven health plans for individual and families.
. This plan can lower your out-of-pocket health expenses.
. Lower premiums because maternity is not covered.
. 100% coverage for preventive care coverage (deductible waived)
Lumenos Health savings account (HSA) plan
HSA plan helps you to save tax-free money to pay off your healthcare. As you keep spending your HSA funds on medical expenses, you don't have to pay taxes on withdrawals. Unused funds can be carried over next year.
Lumenos Health Incentive Account (HIA) plan
Lumenos HIA Plan is designed in such a way that you can take control of your health as well as dollars you spend on your health care. In HIA you can earn funds for an account through healthy rewards. Money in this plan is used to help you part of your annual deductible. Unused amount can be passed on to next year.
Lumenos Health Incentive Account Plus (HIA Plus) plan
Unused HIA Plus plan can be rolled over to next year if you stay with the plan. If you visit any doctor in the network, you can pay less for your care.
Basic PPO 1000/2500 Plan
This plan is suitable for individuals and families. It offers basic benefits like hospitalization, emergency room services, and professional services.
. Choice of $1000 or $2500 medical deductible
. No maternity, acupuncture and prescription drug benefits
. Basic (catastrophic) coverage for hospitalization and emergency services.
. Out of state coverage
. Doctor's office visits are covered once you meet your out-of-pocket maximum.
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