Page 51 - Appendices for Barbara Pender
P. 51
DEDUCTIBLES
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Health deductible $0
Drug deductible $0.00
MAXIMUM YOU PAY FOR HEALTH SERVICES
Maximum you pay for health services $499 In-network
CONTACT INFORMATION
Plan address 3800 Kilroy Airport Way
Suite 100
Long Beach, CA 90806
Bene ts & Costs
DOCTOR SERVICES
View Provider Network Directory
Primary doctor visit $0 copay
Specialist visit $0 copay Limits apply
