Inpatient Hospital
$0/day, days 1-5

Doctor Visits
$0 Primary Care
$10-$35 Specialist

Prescription Drug Coverage
Many drugs for $0

Emergency Visits
$125

X-rays, CT Scans & MRIs
$0 X-rays
$25 CT & MRI

Urgent Care
$0

Podiatry
$0

PLUS, ADDED VALUE!

Dental Coverage
$4,000

Premium Dental Coverage
(Bigger network & more coverage)
$7,500 total coverage
$36 monthly premium

Healthy Food Benefit
Limited conditions only

Transportation
(Rides to health-related locations)
Unlimited rides

Vision Care
$300 allowance
for glasses or contacts
+ $0 eye exams

Hearing Aid Coverage
$600 per ear
hearing aid allowance
+ $0 hearing exams

Over-the-Counter (OTC)
$140 per quarter,
can also be used for food
at approved OTC retailers

Inpatient Hospital
$0

Doctor Visits
$0

Prescription Drug Coverage
$0

Emergency Visits
$0

X-rays, CT Scans & MRIs
$0

Urgent Care
$0

Chiropractic (Routine & Medicare covered)
$0

PLUS, ADDED VALUE!

Dental Coverage
$4,000

Premium Dental Coverage
(Bigger network & more coverage)
Not available

Healthy Food Benefit
$125 per month
food or utility payment

Transportation
(Rides to health-related locations)
Unlimited rides
+20 one way trips non-medical

Vision Care
$500 allowance
for glasses or contacts
+ $0 eye exams

Hearing Aid Coverage
$3,000 both ears
hearing aid allowance
+ $0 hearing exams

Over-the-Counter (OTC)
$300 per quarter