Salud con Health Net® |
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Affordable, comprehensive and straightforward; the key characteristics of the plans from Salud con Health Net® that will simplify the complicated world of health care coverage so you can feel healthy, secure and comfortable. Because life isn’t always simple or predictable, but finding good health insurance for you and your family should be. Even when life throws you a curve ball, you can obtain medical treatment with confidence while protecting your family, your home and other assets.
| EXAMPLE OF PLAN RATES | ||
| Age | Rate | |
| Subscriber | 1 – 18 | $92 |
| Subscriber / Spouse | 25 – 29 | $204 |
| EXAMPLES OF BENEFITS AND COVERAGE | |||
| Benefit | CALIFORNIA In-Network you pay |
CALIFORNIA Out-of-Network you pay |
MEXICO SIMNSA Network only you pay |
|
Physician visit
|
$15 (deductible waived) | 50% | $5 |
|
Specialist visit
|
$40 (deductible waived) | 50% | $5 |
|
Hospitalization services
(inpatient, semi’private hospital room or intensive care unit with ancillary services) |
25% | 50% up to $600/day maximum allowance | 10% |
|
Emergency room visit
|
25% | 50% | 10% + $25 deductible if not admitted inpatient |
|
Prescription drugs
(filled at participating pharmacy, up to 30-day supply, not covered at non’participating pharmacies) |
$5 Level I (generics only) $150 brand deductible $35 Level II (brand) $35 Level III (non-formulary) |
Not covered | $5 |
|
Annual out-of-pocket maximum
|
$5,000 single (2 per family) |
$10,000 single (2 per family) |
$1,000 single / $2,000 family |
|
Annual deductibles
|
$2,500 single (2 per family) |
$5,000 single (2 per family) |
N/A |
|
Lifetime benefit maximum
|
$6,000,000 | 0 | 0 |
