HealthPlan Express - Benefit Detail

Click here to see benefit tables for other Health Insurance Plans

Plan Benefit Summary

Company/Plan Name	AwareCare
Deductible
In-Network	$5000
Out-Network	$5000, plus difference between PPO charges & non-PPO charges.
Maximum Family Deductible	3 deductibles per family per year
Coinsurance
In-Network	100%
Out-Network	100%
Maximum Out-Of-Pocket Coinsurance
In-Network	$0 (excluding deductible)
Out-Network	$0 (excluding deductible) plus difference between PPO charges & non-PPO charges.
Maximum Benefit	$3,000,000 lifetime maximum per person
Physician Office Visit
In-Network	Deductible
Out-Network	Deductible
Outpatient Lab & X-Ray
In-Network	Deductible
Out-Network	Deductible
Outpatient Preventive Care	Deductible
In-Network	100% (Deductible does not apply)
Out-Network	100% (Deductible does not apply)
Prescription Drugs
Generic	Subject to Deductible
Brand Name(formulary)	Subject to Deductible
Brand Name(Non-formulary)	Subject to Deductible
Outpatient Surgery
In-Network	Deductible
Out-Network	Deductible & CoInsurance Apply
Emergency Room
In-Network	Deductible
Out-Network	Deductible
Maternity Prenatal/Post Natal
In-Network	Prenatal - 100% (deductible does not apply). Delivery & Post-natal care - For the first 18 months of coverage: Benefits are limited to $500 , which counts towards your deduct & coins. Beginning with 19th month of coverage, 100% after deduct.
Out-Network	Prenatal - 100% (deductible does not apply). Delivery & Post-natal care - For the first 18 months of coverage: Benefits are limited to $500 , which counts towards your deduct & coins. Beginning with 19th month of coverage, 100% after deduct.
Inpatient Benefits
Hospitalization
In-Network	Deductible
Out-Network	Deductible
Surgical
In-Network	Deductible
Out-Network	Deductible & CoInsurance Apply
Maternity
In-Network	Delivery & Post-natal care - Benefits are limited to $500 (goes toward your deduct for the 1st 18 months of coverage). Beginning the 19th month of coverage, 100% after deduct.
Out-Network	Delivery & Post-natal care - Benefits are limited to $500 (goes toward your deduct for the 1st 18 months of coverage). Beginning the 19th month of coverage, 100% after deduct.
Rate Guarantee	No rate guarantee available.
Optional Benefits
Supplemental Accident	Not An Available Option
24 Hour Coverage	Not An Available Option
Other	Not An Available Option

Affordable Health Insurance Quotes through HealthPlan Express

IMPORTANT NOTICES AND DISCLAIMERS

To be considered for reimbursement, insurers require that expenses must qualify as covered expenses. Expenses are also subject to reasonable and customary limits, unless you use a PPO/Network, as well as determinations of medical necessity.

This Benefit Comparison is intended as preliminary information only. The company provided (product specific) brochure contains important details concerning the benefits, limitations, exclusions and renewability of each plan. Be sure to download the brochure before applying. Refer to the policy as the binding authority for all terms and provisions of coverage. The rates provided are intended to be accurate but may change based on a number of factors including your medical history. The rates and terms of a policy may be changed by the insurance company with proper notification (and subject to any necessary regulatory approval). The rates shown are based on preferred underwriting criteria, if applicable.

Company Brochure

More details and variations in benefits for your state are in the company specific brochure and/or Outline of Coverage, which you can access by clicking the download brochure link above. Please do so before you apply. Alternatively, you may request this information be mailed to you.

Association Plans

Certain products available through some insurance companies require membership in an association which may be separate and distinct form the health plan/insurer. Details on membership and any fees are described in the company specific brochures.

Site Navigation

Specific Health Insurance Plan Quotes

Partners