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General Information: Index | Built-in Features | Exclusions & Limitations | Locate Providers | Electronic Application
Benefit Schedules: MaxPlan | CoreMed | OneDeductible HSA
Arizona Health Insurance > Assurant Health/Time Insurance Company > MaxPlan Benefits
Quote & Apply - Electronic Application
| Plan Design Unless otherwise noted, all deductibles, maximums and benefit amounts are applied per person and are reset each January 1. | ||
| Select an underlined deductible and you'll receive a 24-month rate guarantee—with the option to extend it to 36 months! | Standard choices | $0 Deductible Package |
| Deductible1 Amount you pay toward covered expenses before the plan pays benefits |
$500, $1,000, $1,500, $2,500, $3,500, $5,000 or $10,000, $15,000 or $25,000 | $0 |
| Benefit Percentage Percentage of covered expenses the plan pays after the deductible |
100%, 80%, 70% or 50% | 50% |
| Coinsurance Percentage of covered expenses you pay after the deductible |
0%, 20%, 30% or 50% | 50% |
| Coinsurance Out-Of-Pocket Maximum2 After this maximum is met, the plan pays 100% of covered expenses |
$0 to $7,500 depending on coinsurance | $10,000 |
| Office Visit Copay With this benefit, you pay your copay and the plan pays 100% of the remaining cost of an eligible network office visit including examination, consultation, evaluation, development of a treatment plan, immunizations and allergy shots. |
$35 copay Optional benefit |
$45 copay Built-in benefit |
| Copay applies to each of four network office visits per person. Additional visits are covered subject to the deductible and coinsurance | ||
| Lifetime Benefit Maximum The total maximum amount the plan pays |
$3 million or $8 million | |
| Outpatient Benefits: Subject to the selected deductible and coinsurance unless otherwise noted. | ||
| Prescription Drugs — Generic | $15 copay (no deductible or coinsurance) | |
| Prescription Drugs — Brand name | $500 deductible / $25 copay + 50% coinsurance (Family deductible maximum is $1,000 and is met collectively by two or more persons) |
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| Preventive Services | Benefits for preventive services, as for all covered services, are subject to deductible and coinsurance unless otherwise noted. | |
| Mammograms, Pap tests and PSA screening | Covered—with no special limits | |
| Other covered preventive services | Up to $1,000 in benefits • If selecting the Office Visit Copay, click here and view "Office Visit Copay" |
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| Office Visits | Covered • If selecting the Office Visit Copay, click here and view "Office Visit Copay" |
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| Diagnostic Imaging and Laboratory Services | Covered | |
| Outpatient Hospital, Surgical Center or Urgent Care Facility | Covered | |
| Professional Ground and Air Ambulance | Covered | |
| Emergency Room | Covered • $75 emergency room fee—waived if admitted to the hospital |
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| Health Care Practitioner Services | Covered | |
| Outpatient Physical Medicine | Up to $3,000 in benefits | |
| Home Health Care | Up to 160 hours | |
| Inpatient Benefits Benefits: Subject to the selected deductible and coinsurance unless otherwise noted. | ||
| Inpatient Hospital | Covered | |
| Inpatient Rehabilitation Facility | Up to 90 days | |
| Subacute Rehabilitation and Skilled Nursing Facilities | Up to 90 days | |
| Transplants | Covered | |
| Behavioral Health and Substance Abuse | Inpatient and outpatient benefits are paid at 50% up to $2,500 • Coinsurance does not apply to the out-of-pocket maximum |
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1 Family deductible maximum is two times the deductible and is met collectively by two or more persons.
2 Family coinsurance out-of-pocket maximum is two times the coinsurance out-of-pocket maximum and is met collectively by two or more persons.
The amount of benefits depends upon the plan components selected, and the premium varies with the amount of benefits.
Non-network provisions may apply.
Ready to enroll? Get a quote and Quote & Apply.
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