Required Information Policy Number 054351278 Insured Jane Hellman Brandeis Premium Due Quarterly 1 414 98 Amount Payabl 1 (57.96 KiB) Viewed 140 times
Required Information Policy Number 054351278 Insured Jane Hellman Brandeis Premium Due Quarterly 1 414 98 Amount Payabl 2 (31.58 KiB) Viewed 140 times
Required information Policy Number 054351278 Insured Jane Hellman Brandeis Premium Due Quarterly $1,414.98 AMOUNT PAYABLE Maximum Benefit Limit, per covered person $2,000,000 Stated Deductible per covered person, per calendar year $2,500 EMERGENCY ROOM DEDUCTIBLE (for each visit for itiness to an emergency room when not directly admitted to the hospital) $50 Note: Alter satisfaction of the emergency room deductible, covered expenses are subject to any applicable deductible amounts and coinsurance provisions. PREFERRED PROVIDER COINSURANCE PERCENTAGE, per calendar year For covered expenses in excess of the applicable stated deductible, payer pays 10096 A. What type of health plan is described: HMO PPO, or indemnity? PPO B. What is the annual premium?
A What type of health plan is described HMO, PPO, or indemnity? PPO B. What is the annual premium? $ C. What is the annual deductible? $ 2,500.00 D. What percentage of preferred provider charges does the patient owe after meeting the deductible each year? E If the insured incurs a $6.000 in-network medical bl after the annual deductible has been paid how much will the health plan pay?
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