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Portrait share 80

Copays for doctor's office visits, plus Rx coverage

  • Annual medical deductible options (per covered member): $1,000 | $2,500
  • For family coverage, once two family members meet their individual deductibles, the family deductible will be met for all other family members
  • Unlimited illness/injury in-network doctor's office visits, and urgent care visits for a copay per visit
  • Preventive care services covered at 100%, when you use an in-network provider
  • Inpatient and outpatient hospital services paid at 80% after deductible for most covered medical expenses
  • Includes prescription coverage

Autograph Share 80 Plus Rx/Copay

Copays for up to six doctor's office visits, plus Rx coverage

  • Annual medical deductible options (per covered member): $5,000 | $6,000
  • For family coverage, once two family members meet their individual deductibles, the family deductible will be met for all other family members
  • Up to six illness/injury in-network doctor's office visits, and urgent care for a copay per visit
  • Preventive care services covered at 100%, when you use an in-network provider
  • Inpatient and outpatient hospital services are paid at 80% after deductible for most covered medical expenses
  • Includes prescription coverage

Note: The benefits listed above are for covered expenses for in-network providers only. Other out-of-pocket costs may apply, such as access fees or copayments. Services provided by out-of-network providers are processed at a lower level or may not be covered. Other deductibles may apply, including but not limited to prescription drug, mental health, and condition-specific deductibles. For details about out-of-network coverage, limitations, and exclusions, view the plans' Summary of Benefits.

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