POS 8000 Silver NS OON Dep25 by HealthNow - BlueShield of Northeastern NY
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Plan Information
- Plan Name
- POS 8000 Silver NS OON Dep25
- Insurance Company
- HealthNow - BlueShield of Northeastern NY
In Network Benefits
- Office Co-pay
- $0 after deductible
- Specialist Co-pay
- $0 after deductible
- Hospital Co-pay
- $0 after deductible
- Emergency Room
- $0 after deductible
- Referrals Needed
- Yes
- Rx: Generic/Brand/High Brand
- $10/$35/$70
- In-Network Deductible (single/family)
- $3,000/$6,000
- In-Network Co-Insurance
- 0%
- Max Out of Pocket (single/family)
- $6,550/$13,100
Out Of Network Benefits
- Co-Insurance
- 50%
- Out of Pocket Max (single/family)
- $10,000/$20,000
Other Benefits
- Vision/Dental
- Adult Dental Excluded
- Renewal Date
- 01/01/2018
- HSA Eligible
- No
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