Page 55 - Appendices to Donald Pender's Evaluation
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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 $698 In-network
CONTACT INFORMATION
Plan address 1100 W Town and Country Rd Suite 1300
Orange, CA 92868
Bene ts & Costs
DOCTOR SERVICES
View Provider Network Directory
Primary doctor visit $0 copay
Specialist visit $0 copay Limits apply
