Enhanced Value Plan
We know customers sometimes find it difficult to balance
employee benefit needs with limited financial resources. That's why
we developed Enhanced Value Plans....plan designs that can meet
both of these goals.
- Dual deductible plans.
- Plans with or without copays are available.
- Physician Office Charges - For plans with a copay, certain
charges subject to deductible and coinsurance rather than 100%
after copay (outpatient surgery, equipment other than DME,
supplies, TMJ, dental services, anesthesia).
- PPO Physician Visit $ Limit - For plans with a copay, PPO
physician visit limited to $500 per visit at 100% after copay;
amounts in excess of $500 subject to deductible and in-network
coinsurance. For plans without a copay, PPO Physician Visit subject
to deductible and plan coinsurance.
- EVP Basic = separate deductibles for in and out of network and
are NOT included in out of pocket.
- EVP Plus = separate deductibles for in and out of network and
ARE included in the out-of-pocket.