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Bronze HDEPO 421 by CDPHP

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Plan Information

Plan Name
Bronze HDEPO 421
Insurance Company
CDPHP

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
0% after deductible
In-Network Deductible (single/family)
$6,550/$13,100 (Aggregate)
In-Network Co-Insurance
0%
Max Out of Pocket (single/family)
$6,550/$13,100 (Embedded)

Out Of Network Benefits

Co-Insurance
N/A
Deductible
N/A
Out of Pocket Max (single/family)
N/A

Other Benefits

Vision/Dental
Vision Only
Renewal Date
Annual
HSA Eligible
No

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