Health Net Health Net CommunityCare HMO Open Access Platinum $20/$40/$2000 AZ

Plan Information
Company Health Net of Arizona
State AZ
Metal Tier Platinum
Plan Type HMO

Cost Sharing Benefits

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $0 Data Not Available
Deductible (Family) $0 Data Not Available
Coinsurance 20% Data Not Available
Out of Pocket Maximum (Individual) $2,000 Data Not Available
Out of Pocket Maximum (Family) $4,000 Data Not Available
Services In Network Out of Network
Primary Care Visit $20 Data Not Available
Specialist Visit $40 Data Not Available
In Patient Hospital Services $500 Copay per Day Data Not Available
Emergency Room Services $150 $150 copay
Mental / Behavioral Health $20 copay Data Not Available
Imaging (CT/PET Scans, MRIs) $250 copay Data Not Available
Rehabilitative Speech Therapy $40 copay Data Not Available
Rehabilitative Occupational & Physical Therapy $40 copay Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services $0 Data Not Available
X-ray and Diagnostic Imaging $0 Data Not Available
Outpatient Facility 20% coinsurance Data Not Available
Outpatient Surgery 20% coinsurance Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $10
Preferred Brand Rx $20
Non Preferred Brand Rx $50
Specialty Drugs 20%

Other Plans

Other plans that are available in the state.

Plan Name
Health Net PPO Gold $25/$50/$1500
Health Net PPO Gold $25/$50/$2500
Health Net PPO Gold $25/$50/$500
Health Net PPO Platinum $15/$30/$1000
Health Net PPO Platinum $15/$30/$500
Health Net HSA PPO Silver 30%/30%/$1500
Health Net PPO Bronze 50%/50%/$5500
Health Net PPO Platinum $15/$30/$750
Health Net CommunityCare HMO Open Access Basic 0%/0%/$6350
Health Net CommunityCare HMO Open Access Gold $25/$50/$5000/$600
Health Net CommunityCare HMO Open Access Gold $30/$60/$6000/$500
Health Net CommunityCare HMO Open Access Gold $30/$60/$6000/$750
Health Net CommunityCare HMO Open Access Platinum $15/$30/$3000
Health Net CommunityCare HMO Open Access Platinum $20/$40/$2000
Health Net CommunityCare HMO Open Access Platinum $20/$40/$4000
Health Net CommunityCare HMO Open Access Silver $30/$50/$2000
Health Net CommunityCare HMO Open Access Silver $45/$65/$1500
Health Net CommunityCare HSA Open Access Bronze 40%/40%/$5000
Health Net CommunityCare HSA Open Access Bronze 40%/40%/$3500
Health Net CommunityCare HSA Open Access Silver 20%/20%/$2000
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