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Asuris HSA Healthplan
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| Deductible: | $2,500 or $3,500 single $5,000 or $7,000 family |
 PrescriptionsDentalVision No
ReferralsMaternityPreventive
CareAlternative
CareMental Health |
| Annual OOP Max: | $5,000 single, $10,000 family | |
| Coinsurance Max: | varies with deductible | |
| Lifetime Max: | $2,000,000 per member | |
| Copay: | none | |
| Coinsurance: | 80% Preferred, 60% Participating |
|
| Providers: | Preferred Network |
Basic Features
| Cost Sharing | |
|---|---|
Deductible |
|
Annual OOP Max |
|
Coinsurance Max |
varies with deductible
|
Lifetime Max |
$2,000,000 per member
|
Copay |
none
|
Coinsurance |
|
| Everyday Needs | |
Prescriptions |
Not covered |
Preventive Care |
|
Vision |
Not covered |
Office Visits |
Deductible and coinsurance apply |
X-Ray Services |
Deductible and coinsurance apply |
Lab Services |
Deductible and coinsurance apply |
| Special Needs | |
Alternative Care |
|
Maternity |
Not covered |
Mental Health Care |
|
| Other Considerations | |
Networks |
Preferred Network |
Benefit Summary
Rates
As part of our annual adjustment for rising medical costs, rates will increase August 1 for our Individual members, no matter when coverage began. Please call our Individual Marketing Specialists at 1-866-704-2708 with questions and read our message on rates (PDF).
Rates: Asuris HSA Healthplan
Deductibles: $2,500/$3,500 single; $5,000/$7,000 family
Optional Benefits
Dental Plan
Add our Individual DentalOne plan to round out your client's coverage. It offers:
- no deductible
- low copay for each visit
- no annual maximum for coverage
Exclusions and Limitations
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