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SUMMARY OF BENEFITS

WEBOut-of-Pocket Maximum Individual Family ; $6,000 per planyear $12,000 per planyear . OFFICE VISITS Primary Care Physician Office Visit 3 free visits, covered in full After 3 …

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URL: https://stage-zt.emblemhealth.com/content/dam/emblemhealth/pdfs/plans/individual-and-family-plans/plan-documents/2021/off-exchange/benefit-summary/2021_BS_EmblemHealth_Silver%20Value%20D.pdf

Summary of Benefits and Coverage: What this Plan Covers

WEBSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services EmblemHealth : EmblemHealth Gold Coverage for: Individual/Family Plan …

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SUMMARY OF BENEFITS

WEBOut-of-Pocket Maximum Individual Family $ $8,500 per plan year : 17,000 per plan year OFFICE VISITS Primary Care Physician Office Visit $30 copayment after deductible

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SUMMARY OF BENEFITS

WEB$1,200 per planyear : Out-of-Pocket Maximum Individual Family $ $4,000 per plan year ; 8,000 per planyear OFFICE VISITS Primary Care Physician Office Visit $25 copayment …

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SUMMARY OF BENEFITS

WEBSUMMARY OF BENEFITS Enhanced Care Prime Network Essential Plan 1 & 1 Plus [P1EPPA016] / [MB000003] [P1EPPA015] / [MB000001] AnnualDeductible Individual $0 …

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SUMMARY OF BENEFITS

WEB$ 11,800 per plan year . Out -of -Pocket Maximum Individual Family $ $ 5,900 per plan year . 11,800 per plan year OFFICE VISITS Primary Care Physician Office Visit 3 free visits, …

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SUMMARY OF BENEFITS

WEBSUMMARY OF BENEFITS Enhanced Care Prime Network Essential Plan 1 [P1EPPA016] / [MH000003] AnnualDeductible Individual $0 Family NotApplicable …

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Section XXVI Schedule of Benefits EmblemHealth Bronze D

WEB155-23-IOFFHIXBSchedule (04/20) Page 1 Section XXVI . Schedule of Benefits . EmblemHealth Bronze D. COST-SHARING

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SUMMARY OF BENEFITS

WEBOut-of-Pocket Maximum Individual Family $8,550 per plan year . $17,100 per plan year OFFICE VISITS Primary Care Physician Office Visit First 3 visits, $50 copayment not …

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SUMMARY OF BENEFITS

WEB$ 16,30 0 per plan year . Out -of -Pocket Maximum Individual Family : $ 8,150 per plan year . $ 16,300 per plan year OFFICE VISITS Primary Care Physician Office Visit 3 visits …

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Words Matter Vaccine Survey White Paper

WEBResearch White Paper Words Matter: Driving Vaccine Adoption Through Effective Communications February 2021

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SUMMARY OF BENEFITS

WEBSUMMARY OF BENEFITS Enhanced Care Prime Network Essential Plan 4 [P1EPPB010] [P1EPPB011] / [MH000010] [P1EPPB012] AnnualDeductible Individual $0 Family …

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