Health Net of Arizona 2600 80 50 PPO HSA Compatible Plan Information
Plan Name: 2600 80 50 PPO HSA Compatible
Prescription Drugs: Yes
Deductible: $2,600
Coinsurance: 80%/50%
Out-of-Pocket Limit: $5,100
Lifetime Maximum: $5,000,000
Emergency Room: 20% (subject to deductible)
Periodic Health Exam: 20% Deductible and coinsurance do not apply to first $300. Additional expenses subject to deductible and coinsurance
Lab/X-ray: 20% (subject to deductible)
Maternity - Prenatal/Postnatal: No
Outpatient Surgery: 20% (subject to deductible)
Physical Therapy: Inpatient: 20% (subject to deductible)/ Outpatient: $20 per visit
Skilled Nursing: 20% (subject to deductible)
Home Health Care: 20% (subject to deductible)
Mental Health Office Visits: 20% (subject to deductible)
Chiropractic: 20% (subject to deductible)
Inpatient Hospital: 20% (subject to deductible)
Mental Health: 20% (subject to deductible)
Maternity: No
Chemical Dependency: 20% (subject to deductible)
Other Health Net of Arizona health insurance plans:
