Everest Insurance Health Plans

Plan Name:

Plan 1

Plan 2

Plan 3

  Plan Brochure Plan Brochure Plan Brochure
Deductible Options: $1,000-$7,500 $1,000-$10,000 $1,000-$10,000
Co-Insurance Options: 70%, 80%, or 100% 50%, 70%, 80%, or 100% 50%, 70%, 80%, or 100%
Out of Pocket Max Options: $2,000-$4,000 $2,000-$4,000 $2,000-$5,000
Lifetime Maximum Options: $250,000-$1Million $250,000-$1.5Million $250,000-$1.5Million
Doctor Office Visits: $30 Copay, maximum 3 $50 Copay, unlimited $40 Copay, unlimited
Specialists Visits: $30 Copay, maximum 3 $50 Copay, unlimited $40 Copay, unlimited
Urgent Care Visits: $30 Copay, maximum 3 $50 Copay, unlimited $40 Copay, unlimited
Prescriptions: Discount Card Discount Card Discount Card
X-Ray, Labs, Imaging: Deductible then Co-Insurance* Deductible then Co-Insurance* Deductible then Co-Insurance*
E.R. and Hospitalization: Deductible then Co-Insurance* Deductible then Co-Insurance* Deductible then Co-Insurance*
Application Fee: $50.00 $50.00 $50.00
Additional Comments:

*

 

*View page 3 on Brochure – Limited benefits and/or Additional deductibles may apply to certain services. *View page 3 on Brochure – Limited benefits and/or Additional deductibles may apply to certain services. *View page 3 on Brochure – Limited benefits and/or Additional deductibles may apply to certain services.