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Clinical Review Criteria

Atlantis Rewards Program

Brokers

Atlantis Health Plan is focused and flexible enough to meet your client's needs. Our goal is to deliver, "Sensible Healthcare at a Sensible price" now and upon renewal.

We are dedicated in helping you better serve your clients by giving you the correct information in a timely manner. Our highly qualified people work with you to keep your current clients satisfied while helping you generate more business.


Download Printable PDF version of these Charts

HMO Plan Comparison (3rd Quarter 2008)
*Also available in two-tier

Empire BCBS Health Net Outlook (EPO) HIP Prime Atlantis Health Plan
Prescription Card $10/25/50 $10/30/50 $7/30/50 $7/30/50
Office Co-pay $20 Co-pay $20 Co-pay $30 Co-pay $20 Co-pay
DXL/Lab Fees No Charge No Charge $30 Co-pay $20 Co-pay
Specialist Co-pay $20 Co-pay $20 Co-pay $50 Co-pay $20 Co-pay
Lifetime Maximum Unlimited Unlimited Unlimited Unlimited
Hospital In-Patient $500 Per Admission $500 Co-pay $500 Co-pay $500 Per Admission
Emergency Room $35 Co-pay $100 Co-pay $100 Co-pay $50 Co-pay
Private Nursing Not Covered Not Covered Not Covered Not Covered
Surgical In-Patient No Charge No Charge $500 Co-pay $500 Co-pay
Mental Nervous
In-Patient
$500 Co-pay
30 Days/Cal Yr.
No Charge
30 Days/Cal Yr.
$500 Co-pay
30 Days/Cal Yr.
$500 Per Admission
30 Days/Cal Yr.
Substance Abuse In-Patient $500 Co-pay
7 Day Detox Lim.
No Charge
30 Days/Cal Yr.
Not Covered $500 Per Admission
7 Days/Cal Yr.
Single $522.72 $434.79 $468.54 $323.78*
EE with Spouse $1,045.44 $968.31 $937.08 $647.56*
EE with Child(ren) $940.90 $804.41 $871.44 $651.12*
Family $1,568.16 $1,294.35 $1,433.65 $996.60*

Atlantis can save you over 30% compared to the most competitively priced plans in New York.

POS Plan Comparison (3rd Quarter 2008)
*Also available in two-tier

Oxford Liberty Health Net Outlook GHI (PPO) Atlantis Health Plan
Prescription Card $10/25/50 $10/30/50 $0/25/40 $7/30/50
Deductible Ind/Fam $2,000/$5,000 $1,500/$2,000 $3,000/$9,000 $2,000/$4,000
Co-Insurance 70% 70% 70% 70%
Out of Pocket $1,500/$3,750 (excl ded) $4,000/$8,000 $3,000/$9,000 (excl ded) $5,000/$10,000
Office Co-Pay $20 Co-pay $25 Co-pay $25 Co-pay $20 Co-pay*
DXL/Lab Fees No Charge No Charge $25 Co-pay $20 Co-pay*
Specialist Co-pay $20 Co-pay $25 Co-pay $25 Co-pay $20 Co-pay*
Lifetime Maximum (In-Network) Unlimited Unlimited Unlimited Unlimited
Hospital In-Patient $500 Co-pay $500 Per Admission $500 Co-pay $500 Per Admission
Emergency Room $50 Co-pay $70 Co-pay $100 Co-pay $50 Co-pay
Private Nursing Not Covered Not Covered Not Covered Not Covered
Surgical In-Patient Included in
Hospital Co-pay
No Charge Included in
Hospital Co-pay
$500 Co-pay
Mental Nervous In-Patient $500 Hospital Co-pay
30 Days/Cal Yr.
$500 Co-pay Per Admission
30 Days/Cal Yr.
$500 Co-pay
30 Days/Cal Yr.
$500 Per Admission
30 Days/Cal Yr.
Substance Abuse In-Patient $500 Co-pay
30 Days/Cal Yr.
$500 Co-pay Per Admission
30 Days/Cal Yr.
$500 Co-pay
7 Days Max Cal. Yr.
Detox
$500 Per Admission
7 Days/Cal Yr.
Detox
Single $599.76 $519.22 $530.94 $355.74*
EE with Spouse $1,199.51 $1,156.35 $1,168.02 $711.48*
EE with Child(ren) $1,139.54 $960.62 $1,011.50 $715.39*
Family $1,859.24 $1,545.71 $1,569.91 $1,094.97*

Download Printable PDF version of these Charts

To get rates please go to http://www.healthconnectsystems.com.