Page 65 - Appendices for Barbara Pender
P. 65

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                        $799 In-network



   CONTACT INFORMATION




       Plan address                                               6300 Canoga Avenue
                                                                  Woodland HIlls, CA 91367









   Bene ts & Costs



   DOCTOR SERVICES

   View Provider Network Directory




       Primary doctor visit                   $0 copay




       Specialist visit                       $0 copay                               Limits apply
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