Pro Plus EPO Bronze by Healthfirst New York
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Plan Information
- Plan Name
- Pro Plus EPO Bronze
- Insurance Company
- Healthfirst New York
In Network Benefits
- Office Co-pay
- 20% after deductible
- Specialist Co-pay
- 20% after deductible
- Hospital Co-pay
- 20% after deductible
- Emergency Room
- 20% after deductible
- Referrals Needed
- No
- Rx: Generic/Brand/High Brand
- $25/$50/50%(max $500) after deductible
- In-Network Co-Insurance
- 20%
- Max Out of Pocket (single/family)
- $7,000/$14,000
Out Of Network Benefits
- Deductible (single/family)
- N/A
- Co-Insurance
- N/A
- Out of Pocket Max (single/family)
- N/A
Other Benefits
- Vision/Dental
- Vision and Dental
- Renewal Date
- Annual
- HSA Eligible
- No
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