Golden Rule of Alaska Plan 80 Plan Information

Deductible
$1,500
$2,500
$3,500
$5,000


Coinsurance
80/20


Coinsurance Out-of-Pocket Maximum
$3,000 After Deductible


Doctor Office Visit
80% After Deductible


Lifetime Maximum
$3 Million per covered person ($5 Million option available)


Specialist
80% After Deductible


Outpatient Spine and Back
80% After Deductible


Mental Health
80% After Deductible


Adult Preventive Care
History and Exam: 80% After Deductible
X-Ray and Lab: 80% After Deductible


Hospitalization
80% After Deductible


Periodic OB-GYN/PSA Exam
Testing: 80% After Deductible


Child Preventive Care
Vaccine: 80% After Deductible


Prescription Drugs
80% After Deductible


Maternity
Optional Benefit


Outpatient X-Ray and Lab
80% After Deductible


Emergency Room Visit
Illness and Injury: 80% After Deductible, Additional $100 Copay if not admitted


Other Golden Rule of Alaska health insurance plans:

YES NO


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