AAA Vantage AAA012 Vantage Individual Marketplace Gold (Louisiana)

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Company AAA Vantage Health Plan
Plan Year 2014
State Louisiana
Metal Tier Gold
Plan Type POS
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Cost Sharing Benefits (In Network)

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.

Deductible (Individual) $1,000
Deductible (Family) $2,000
Coinsurance Data Not Available
Out of Pocket Maximum (Individual) $5,850
Out of Pocket Maximum (Family) $11,700

Doctors Visits

Primary Care Visit $15
Specialist Visit $55
In Patient Hospital Services $1000 Copay per Day
Emergency Room Services $200 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-ray and Diagnostic Imaging Data Not Available


Mental / Behavioral Health Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility Data Not Available
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx $3
Preferred Brand Rx $45
Non Preferred Brand Rx $95
Specialty Drugs 33%

Other Plans

Other plans that are available in the state.

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Comments And Questions

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