Individual ISA (member shared responsibility amount)
You choose: $1,000, $2,500, $5,000 or $10,000
Preventative Care
You pay $0
Telemedicine (Available 24 hours a day)
You pay $0
Primary Care Visit Consult Fee
$50
Annual Physical*
You pay $0
Specialist Care Visit Consult Fee
$125 Visit Fee
Urgent Care Visit Consult Fee
$100
Lab Testing (at PCP or Urgent Care)
60% after ISA
X-Rays Read Fee
60% after ISA
Emergency Room
$500 visit fee
High cost and infrequent services
(e.g. Hospital Stay or Out-Patient Surgery)
(e.g. Hospital Stay or Out-Patient Surgery)
60% after ISA
2 month waiting Period
2 month waiting Period
Drug Discount Program
Included EnvisionRX
Lifetime Maximum Limit
$1,000,000