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Examples of Services Covered |
Sample HMO Co-Payment |
Sample POS Co-Payment |
Atlantis Medical Group Co-Payment * |
| Blood Work |
$15 |
$20 |
No co-payment |
| Sonogram |
$15 |
$20 |
No co-payment |
| Physical Therapy |
$15 |
$20 |
No co-payment |
| EKG |
$15 |
$20 |
No co-payment |
| Minor Local Surgery |
Lesser of 20% or $200 |
Lesser of 20% or $200 |
No co-payment |
| Second Opinions |
$15 |
$20 |
No co-payment |
| IV/ IM Therapy |
$15 |
$20 |
No co-payment |
| Endoscopies |
$15 |
$20 |
No co-payment |
| Pre-Surgical Testing |
$15 |
$20 |
No co-payment |
| Office Visits |
$15 |
$20 |
No co-payment |
| X-Rays |
$15 |
$20 |
No co-payment |
| Echocardiogram |
$15 |
$20 |
No co-payment |
| Vascular Studies |
$15 |
$20 |
No co-payment |
| Holter Monitor |
$15 |
$20 |
No co-payment |
| Spirometer |
$15 |
$20 |
No co-payment |
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