Individual MSRA (member shared responsibility amount)
You choose: $5,000 or $10,000
Preventative Care
n/a
Primary Care Visit
n/a
Specialty Care (In-Patient Only*)
No cost after MSRA
Urgent Care Visit
n/a
Lab Testing (In-Patient only)
No cost after MSRA
X-Rays (In-Patient only)
(includes MRI & CT Scans)
No cost after MSRA
Emergency Room 
(true Emergencies only)
$300 Co-Expense
High cost and infrequent services
(e.g. Hospital Stay or Out-Patient Surgery)
No cost after MSRA
up to per incident maximum
In-Patient Pharmacy**
No cost after MSRA
Maximum Out-of-Pocket
n/a
Per Incident Maximum Limit
(the most the plan pays per incident)
You choose: $150,000, $250,000, or $500,000
Lifetime Maximum Limit
(the most the plan pays per lifetime)
Double your per incident maximum limit
*An ACA Exempt HCSM Health Care Sharing Plan.
**Specialty Care is covered only during hospital stay of 24 hours or longer.
**A Drug Discount Program is also included for out of hospital drugs.
Pre-existing conditions that existed within 24 months prior to application date are excluded for 24 months.
Plan includes FREE 24-hour Telemedicine.
Some exclusions apply. Fees may vary by city.