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Short Term Health Plans? Call 1-800-712-4366

1st Med STM (20/7500) Short Term Plan in Florida

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Speak with a Healthcare Professional 1-800-712-4366

  • Gender:
  • Age: 22
  • Location:
  • From $123 Monthly

Cost & Coverage

  • Plan Type: Indemnity
  • Office Visit for Primary Doctor $50 copay (Visits limited by plan duration see Plan Brochure for details.)
  • Office Visit for Specialist $50 copay (Visits limited by plan duration see Plan Brochure for details.)
  • Coinsurance 50% after deductible
  • Annual Deductible Individual: $5,000.00
    Family: $5,000.00
  • Separate Prescription Drugs Deductible None
  • Prescription Drugs Generic: Covered after plan deductible when prescribed on an inpatient basis for a covered Injury or Sickness. Outpatient not covered; discount only
    Brand Name: Covered after plan deductible when prescribed on an inpatient basis for a covered Injury or Sickness. Outpatient not covered; discount only
    Non-formulary: Covered after plan deductible when prescribed on an inpatient basis for a covered Injury or Sickness. Outpatient not covered; discount only
  • Annual Out-of-Pocket Limit Individual: $5,000.00
    Family: $5,000.00
  • Does Out-of-Pocket Limit include deductible? No
  • Lifetime Maximum $750,000.00
  • Out-of-Network Coverage Yes
  • Out of Country Coverage No

Physicians

  • Primary Care Physician (PCP) Required No
  • Specialist Referrals Required No

Preventive Care Coverage

  • Periodic Health Exam No
  • Periodic OB-GYN Exam Yes
  • OB-GYN Exam Conditions Covered, see the Plan Brochure for details.
  • Well Baby Care No

Prescription Drug Coverage

  • Generic Prescription Drugs Inpatient drugs – covered subject to ded & coinsurance. Outpatient drugs not covered. Prescription drug copay & discount card included in product at no add’l cost.
  • Brand Prescription Drugs Inpatient drugs – covered subject to ded & coinsurance. Outpatient drugs not covered. Prescription drug copay & discount card included in product at no add’l cost.
  • Non-Formulary Prescription Drugs Coverage Inpatient drugs – covered subject to ded & coinsurance. Outpatient drugs not covered. Prescription drug copay & discount card included in product at no add’l cost.
  • Separate Prescription Drugs Deductible Inpatient lifetime maximum $2,000,000. Outpatient annual maximum, no limit.

Hospital Services Coverage

  • Emergency Room 20% Coinsurance after Deductible
  • Outpatient Lab/X-Ray 20% Coinsurance after Deductible
  • Outpatient Surgery: 20% Coinsurance after Deductible
  • Hospitalization 20% Coinsurance after Deductible

Maternity Coverage

  • Pre & Postnatal Office Visit Not Covered
  • Labor & Delivery Hospital Stay Only complications of pregnancy are covered as any other illness. Subject to deductible and coinsurance

Additional Coverage

  • Chiropractic CoverageNot Covered
  • Mental Health Coverage Not Covered

Health Network Group
1199 S. Federal Highway, STE 403,
Boca Raton, FL 33432
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