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Health Insurance
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,,,,,,,,,,,,,,,, ,,Deductible,,Maximum Out of pocket,,Office visit,,Hospital stay,,Surgery in Hospital,,Preventive care/ Well baby care,,Prescription drugs, AETNA PPO,,In network,out off network,In network,out off network,In network,out off network,In network,out off network,In network,out off network,In network,out off network,Use a Aetna/Blue Shield Pharmacy network to get a better., ,500 - gold,$500/$1000,$1000/$2000,$2000/$4000,$4000/$8000,100% after $25 copay,70% allowed amount after deductible,90% after deductible,70% allowed amount after deductible,90% after deductible,70% allowed amount after deductible,,,,, ,1000 - standard,$1000/$2000,$2000/$4000,$3000/$6000,$6000/$12000,100% after $35 copay,60% allowed amount after deductible,80% after deductible,60% allowed amount after deductible,80% after deductible,60% allowed amount after deductible,,,Generitc/brand name:100% after copay,Generitc/brand name:60% after copay, ,2000 - value,$2000/$4000,$4000/$8000,$6000/$12000,$12000/$24000,100% after $40 copay,60% allowed amount after deductible,80% after the plan deductible,60% allowed amount after deductible,80% after the plan deductible,60% allowed amount after deductible,,,Generitc/brand name:100% after copay,Generitc/brand name:60% after copay, ,,,,,,,,,,,,,,,, BLUE SHIELD,Platinum,$0,$500/$1000,$1500/$3000,$1500/$3000,100% after $10 copay,70% allowed amount after deductible,90% after deductible,70% allowed amount up to $1500/day. You pay charge excess of $1500,90% after deductible,70% allowed amount up to $1500/day. You pay charge excess of $1500,100% after $10 copay,70% allowed amount after deductible,Generitc/brand name:100% after copay $5/$20,Generitc/brand name:75% after copay, ,400,$400/$800,$800/$1600,$1600/$3200,$3200/$6400,100% after $25 copay,70% allowed amount after deductible,90% after deductible,70% allowed amount up to $1500/day. You pay charge excess of $1500,90% after deductible,70% allowed amount up to $1500/day. You pay charge excess of $1500,No charge (Deductible waived),70% allowed amount after deductible,Generitc/brand name:100% after copay,Generitc/brand name:75% after copay, ,700,$700/$1400,$1400/$2800,$2500/$5000,$3000/$6000,100% after $35 copay,60% allowed amount after deductible,80% after the plan deductible,60% allowed amount up to $1500/day. You pay charge excess of $1500,80% after the plan deductible,60% allowed amount up to $1500/day. You pay charge excess of $1500,No charge (Deductible waived),70% allowed amount after deductible,Generitc/brand name:100% after copay,Generitc/brand name:75% after copay, ,,,,,,Preventive,,Basic,,Major,,Orthodontia,,,, DENTAL,,,,,,,,,,,,,,,, AETNA,100,$100/$300,$150/$450,$1\,000 maximum per calendar year per person for in-network and out-of-network expenses combined,,100%,100%,70%,60%,50%,50%,not covered,not covered,,, ,25,$25/$75,$50/$150,$1\,500 maximum per calendar year per person for in-network and out-of-network expenses combined,,100%,100%,90%,80%,65%,50%,Separate benefits are provided,Separate benefits are provided,,, ,,,,,,,,,,,,,,,, DELTA,100,$100/$300,$150/$450,$1\,000 maximum per calendar year per person for in-network and out-of-network expenses combined,,100%,100%,70%,60%,50%,50%,not covered,not covered,,, ,25,$25/$75,$50/$150,$1\,500 maximum per calendar year per person for in-network and out-of-network expenses combined,,100%,100%,90%,80%,65%,50%,,,,, ,,,,,,,,,,,,,,,, MET LIFE,100,$100/$300,$150/$450,$1\,000 maximum per calendar year per person for in-network and out-of-network expenses combined,,100%,100%,70%,60%,50%,50%,,,,, ,25,$25/$75,$50/$150,$1\,500 maximum per calendar year per person for in-network and out-of-network expenses combined,,100%,100%,90%,80%,65%,50%,Separate benefits are provided,Separate benefits are provided,,, ,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,
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