Plan 14 Ages 18-54 by National
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Plan Information
- Plan Name
- Plan 14 Ages 18-54
- Insurance Company
- National
In Network Benefits
- Office Co-pay
- $15 (AMG Center Only)
- Specialist Co-pay
- $40 (Referral from AMG Required)
- Hospital Co-pay
- 20% after deductible
- Emergency Room
- 20% after deductible
- Referrals Needed
- Yes
- Rx: Generic/Brand/High Brand
- Variable
- In-Network Deductible (single/family)
- $2,500
- In-Network Co-Insurance
- 20%
- Max Out of Pocket (single/family)
- $6,350 / $12,700
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
- N/A
- Renewal Date
- 04-1-2018
- HSA Eligible
- No
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