Health Net of Arizona 1000 70 HMO Plan Information
Plan Name: 1000 70 HMO
Prescription Drugs: Yes
Deductible: $1,000 single/ $2,000 family
Coinsurance: 70%/30%
Out-of-Pocket Limit: $3,500 single/ $7,000 family
Lifetime Maximum: Unlimited
Emergency Room: $150 copayment per visit (copayment waived if admitted,inpatient hospital benefit will then apply)
Periodic Health Exam: $25 per primary care physician visit/ $50 per specialist physician visit
Lab/X-ray: No charge / $100 per visit for hospital lab
Maternity - Prenatal/Postnatal: Yes
Outpatient Surgery: 30% (subject to deductible)
Physical Therapy: Inpatient: 30% (subject to deductible) / Outpatient: $20 per visit
Skilled Nursing: 30% (subject to deductible)
Home Health Care: No charge
Mental Health Office Visits: $25 copayment per individual /$12.50 copayment per gr oup visit
Chiropractic: $50 copayment per visit
Inpatient Hospital: 30% (subject to deductible)
Mental Health: Inpatient: Not covered
Maternity: Yes
Chemical Dependency: Inpatient: 30% (subject to deductible)/ Outpatient: No charge
Other Health Net of Arizona health insurance plans:
