Bronze Leaf ST by Healthfirst New York
Scroll down to the Summary of Benefits PDF
Plan Information
- Plan Name
- Bronze Leaf ST
- Insurance Company
- Healthfirst New York
In Network Benefits
- Office Co-pay
- 50% after deductible
- Specialist Co-pay
- 50% after deductible
- Hospital Co-pay
- 50% after deductible
- Emergency Room
- 50% after deductible
- Referrals Needed
- No
- Rx: Generic/Brand/High Brand
- $10/$35/$70 after deductible
- In-Network Deductible (single/family)
- $4,000/$8,000
- In-Network Co-Insurance
- 0%
- Max Out of Pocket (single/family)
- $7,150/$14,300
Out Of Network Benefits
- Co-Insurance
- N/A
- Out of Pocket Max (single/family)
- N/A
Other Benefits
- Vision/Dental
- Pediatric Vision and Dental
- Renewal Date
- 01/01/2018
- HSA Eligible
- No
Check if you qualify for this Health Insurance plan:
Or give us a call, our expert agents will be happy to assist you. It's toll-free!