I continued research on health care for the Pacific Islander community. I was still working on finding more articles specifically for Pacific Islander research, but I was coming up short. I spent pretty much the whole night researching the different health coverage that I THNK I can afford while being a full time student.
Monthly costs for: primary applicant
Update family members
Monthly Costs Vital ShieldSM 2900β
Medical Change plans $52.00
Dental (PPO) Change plan $36.10
Life† ($90,000) Change plan $13.15
Total Monthly Cost
Rates shown are for people in good health. Other rates may apply. $101.25
Summary of Benefits Vital ShieldSM 2900β
See details (PDF)
Medical Benefits
Plan Type PPO
Annual Deductible $2,900 per individual
Annual Out-of-Pocket Maximum (includes annual deductible)
$5,900 per individualƒ
Out-of Pocket Maximum for HSA Plans (includes annual deductible)
N/A
Preventive Care
Annual Physical Exam,
Well-Baby Care, Gynecological
Exam $40 (Not subject to deductible)**
Laboratory, X-Ray
100% until out-of-pocket maximum
Professional Services
Physician Office Visits $40 (First 2 visits per calendar year are not subject to deductible)**
Hospital Inpatient
(Non-Emergency) 40%
Maternity Services
(Resulting in Delivery) Not covered
Outpatient Services (Non-Emergency)
Surgery 40%
Treatment/Procedure 40%
Emergency Room Services
Emergency Room Visits $100 per visitπ + 40%
Ambulance 40%
ER Physician Visits/Consultations 40%
Formulary Prescription Benefits
$10 generic (Not subject to deductible) Brand name drugs not covered.
Dental Services
Dental Services N/A
Vision Services N/A
* Deductible 50/5000 NM
DED
The Deductible 50/5000 NM plan features a $5,000 deductible, low premiums, and a $50 copay for preventive care (not subject to deductible) and offices visits (subject to deductible). No maternity or prescription coverage. $70.00
Deductible 50/5000 NM
Benefits Summary
Annual Medical Deductible - Individual $5,000
Annual Medical Deductible - Family n/a
Annual Out-of-Pocket Maximum - Individual $7,500
Annual Out-of-Pocket Maximum - Family n/a
Professional Services
Primary and specialty care visits (includes routine and urgent care appointments) $50 per visit after deductible
Well-child visits from 0 to 23 months $30 per visit
Family planning visits $50 per visit
Eye exams $50 per visit
Hearing tests $50 per visit
Outpatient Services
Outpatient surgery 30% coinsurance after deductible
Most X-rays and lab tests $10 per encounter after deductible
Maternity Coverage
Maternity Coverage Not covered
Hospitalization Services
Room and board, surgery, anesthesia, X-rays, lab tests, and medications 30% coinsurance after deductible
Emergency Services
Emergency room visits $150 per visit after deductible (waived if admitted directly to the hospital)
Ambulance services $150 per trip after deductible
Prescription Drug Coverage
Generic drugs Not covered
Brand-name drugs Not covered
Mail-order program Not covered
View Plan Details
(PDF)
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