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Atlantis Health Plan 10/27/08
History ,[object Object],[object Object]
Mission Statement ,[object Object],[object Object]
Atlantis Health Plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
The Best Plan for You: HMO or POS? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HMO In-Network Deductible $0 Co-Insurance $0 Co-Pay $20 Emergency Room $50  Worldwide Hospital $0  or  $500 POS In-Network Out-of-Network Deductible $0 $1,000  or  $2,000 Co-Insurance $0 30% up to  $2,000  or  $3,000 Co-Pay $10  or  $20 Deductible/ Co-Insurance Emergency Room $50 Worldwide $50  Worldwide Hospital $0  or  $500 Deductible/ Co-Insurance
Which HMO or POS Plan is Best for You? HERE ARE YOUR OPTIONS:  L-HMO 20 HMO 20E L-POS F20 POS A10E In Network In  Network In  Network Out of  Network In Network Out of  Network Deductible* Single/Family $0 $0 $0 $2,000/$4,000  $0 $1,000/$2,500  Co-Insurance* Single/Family 0% 0% 0% 30% up to  $3,000/6,000  0% 30% up to $2,000/$5,000  Max Out of Pocket* Single/Family N/A N/A N/A $5,000/$10,000  N/A $3,000/$7,500  Co-Pay Doctor & Lab $20 $20 $20  Deductible/ Co-insurance $10 Deductible/ Co-Insurance Outpatient Surgery/ Delivery of Child Lesser of  20% or $200 $0 Lesser of 20% or $200/ $0 Deductible/ Co-insurance $0 Deductible/ Co-insurance Emergency Room** $50 $50 $50 $50 $50 $50 Hospital Co-pay / Deductible $500  $0  $500  Deductible/ Co-Insurance $0 Deductible/ Co-Insurance Outpatient Physical Therapy (Max 20 visits/ diagnosis/yr) $20 (only following inpatient stay) $0 $20  (only following  inpatient stay) Deductible/ Co-insurance  $10 Deductible/ Co-insurance Outpatient Mental Health (max 20 visits/Calendar Yr) $20 $20 $20 Deductible/ Co-insurance  $10 Deductible/ Co-insurance Lifetime Maximum No Limit No Limit No Limit $1,000,000 No Limit $1,000,000 *  Deductibles, Co-Insurance, and Maximum Out-of-Pockets apply per Calendar Year ** Emergency Coverage is worldwide and the co-pay is waived if there is an inpatient admission
Prescription Drug Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HERE ARE  YOUR OPTIONS: RX  M  (Mandatory Generic) RX G RX A Generic Co-Pay $10 $7 $10 Preferred Brand Name Co-Pay $25 If there is no generic drug available within an entire class of drugs $30 $20 Non-Preferred Brand Name Co-Pay $25 If there is no generic drug available within an entire class of drugs $50 $30 Annual Deductible per  Person per Calendar Yr $0 Generic $250 Brand $0 $0 Annual Maximum per Person per Calendar Yr No Limit for Generic drugs; $2,000 limit for brand name drugs No Limit No Limit
CapDent Brochures
 
 
 
 
 
 

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Atlantis Presentation

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  • 10. Which HMO or POS Plan is Best for You? HERE ARE YOUR OPTIONS: L-HMO 20 HMO 20E L-POS F20 POS A10E In Network In Network In Network Out of Network In Network Out of Network Deductible* Single/Family $0 $0 $0 $2,000/$4,000 $0 $1,000/$2,500 Co-Insurance* Single/Family 0% 0% 0% 30% up to $3,000/6,000 0% 30% up to $2,000/$5,000 Max Out of Pocket* Single/Family N/A N/A N/A $5,000/$10,000 N/A $3,000/$7,500 Co-Pay Doctor & Lab $20 $20 $20 Deductible/ Co-insurance $10 Deductible/ Co-Insurance Outpatient Surgery/ Delivery of Child Lesser of 20% or $200 $0 Lesser of 20% or $200/ $0 Deductible/ Co-insurance $0 Deductible/ Co-insurance Emergency Room** $50 $50 $50 $50 $50 $50 Hospital Co-pay / Deductible $500 $0 $500 Deductible/ Co-Insurance $0 Deductible/ Co-Insurance Outpatient Physical Therapy (Max 20 visits/ diagnosis/yr) $20 (only following inpatient stay) $0 $20 (only following inpatient stay) Deductible/ Co-insurance $10 Deductible/ Co-insurance Outpatient Mental Health (max 20 visits/Calendar Yr) $20 $20 $20 Deductible/ Co-insurance $10 Deductible/ Co-insurance Lifetime Maximum No Limit No Limit No Limit $1,000,000 No Limit $1,000,000 * Deductibles, Co-Insurance, and Maximum Out-of-Pockets apply per Calendar Year ** Emergency Coverage is worldwide and the co-pay is waived if there is an inpatient admission
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