Health Insurance Exchange-Benefit Plans

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Across
  1. 1. Pharmacy deductible
  2. 6. Tiers 1-3 ______________ Pharmacy
  3. 8. Copay for a specialist o.v. tier 1
  4. 9. PCP Office Visit-Tier 2 CHC POS Network
  5. 11. Tier 2 mental health office visit
Down
  1. 1. Tier 3 ER copay
  2. 2. Surgery in PCP office-Tier 3
  3. 3. Individual and Family deductible out of network
  4. 4. Tier 1 Limited Network HPN—Coinsurance
  5. 5. ER visit copay Tier 1 HPN
  6. 7. Home Health Care/Hospice Tier 2
  7. 8. Individual OPM Tier 2
  8. 9. Preventive Care/Screening/Immunos Tier 1 or Tier 2
  9. 10. Tier 3
  10. 11. Tier 1 A mail order copay