Radius Platinum NS OON by HealthNow - BlueShield of Northeastern NY
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Plan Information
- Plan Name
- Radius Platinum NS OON
- Insurance Company
- HealthNow - BlueShield of Northeastern NY
In Network Benefits
- Office Co-pay
- $25
- Specialist Co-pay
- $40
- Hospital Co-pay
- $750
- Emergency Room
- $200
- Referrals Needed
- No
- Rx: Generic/Brand/High Brand
- $4/$35/$70
- In-Network Deductible (single/family)
- $0/$0
- In-Network Co-Insurance
- $0
- Max Out of Pocket (single/family)
- $6,600/$13,200
Out Of Network Benefits
- Co-Insurance
- 20%
- Out of Pocket Max (single/family)
- $6,600/$13,200
Other Benefits
- Vision/Dental
- Adult Dental Excluded
- Renewal Date
- 01/01/2018
- HSA Eligible
- No
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