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Download Printable PDF version of these Charts
HMO Plan Comparison (4th 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 |
 |
Behavioral/Mental Health Adm |
$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 |
$537.20 |
$454.94 |
$467.15 |
$331.87* |
| EE with Spouse |
$1,074.40 |
$1,013.19 |
$934.30 |
$663.74* |
| EE with Child(ren) |
$966.97 |
$841.69 |
$868.87 |
$667.39* |
| Family |
$1,611.60 |
$1,354.35 |
$1,429.42 |
$1,021.49* |
Atlantis can save you over 30% compared to the most competitively priced plans in New York.
POS Plan Comparison (4th 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 |
$1,000/$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 |
$75 Co-pay |
$100 Co-pay |
$50 Co-pay |
| Private Nursing |
Not Covered |
Not Covered |
Not Covered |
Not Covered |
 |
Behavioral/Mental Health Adm |
$500 Co-pay 30 Days/Cal Yr. |
$500 Co-pay Per Admission 30 Days/Cal Yr. |
$500 Co-pay 30 Days Max/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 |
$626.25 |
$542.83 |
$548.16 |
$366.20* |
| EE with Spouse |
$1,252.51 |
$1,208.93 |
$1,205.89 |
$732.40* |
| EE with Child(ren) |
$1,189.89 |
$1,004.29 |
$1,044.28 |
$736.43* |
| Family |
$1,941.39 |
$1,616.00 |
$1,620.79 |
$1,127.16* |
Download Printable PDF version of these Charts
To get rates please go to http://www.healthconnectsystems.com.

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