November 21, 2009 Your source for health insurance quotes and plans.

Patriot Health Health Insurance in MISSISSIPPI – Health Plan Options

Patriot Health — PPO 2500

A comparison of the PPO 2500 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Non-specialist Office Visit: $30 Copay deductible waived, Specialist Visit: $40 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-specialist Office Visit: $30 Copay deductible waived, Specialist Visit: $40 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $2,500, Family: $5,000 Individual: $5,000, Family: $10,000

Patriot Health — PPO 5000

A comparison of the PPO 5000 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Non-specialist Office Visit: $40 Copay deductible waived, Specialist Visit: $50 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-specialist Office Visit: $40 Copay deductible waived, Specialist Visit: $50 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $5,000, Family: $10,000 Individual: $10,000, Family: $20,000

Patriot Health — PPO Value 1500

A comparison of the PPO Value 1500 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% after deductible 50% after deductible
Office Visit Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Copay Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Deductible Individual: $1,500, Family: $3,000 Individual: $3,000, Family: $6,000

Patriot Health — PPO Value 2500

A comparison of the PPO Value 2500 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% after deductible 50% after deductible
Office Visit Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Copay Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Deductible Individual: $2,500, Family: $5,000 Individual: $5,000, Family: $10,000

Patriot Health — PPO High Deductible 3000 (HSA Compatible)

A comparison of the PPO High Deductible 3000 (HSA Compatible) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% after deductible 50% after deductible
Office Visit Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000

Patriot Health — PPO High Deductible 5000 (HSA Compatible)

A comparison of the PPO High Deductible 5000 (HSA Compatible) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% after deductible 50% after deductible
Office Visit Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $5,000, Family: $10,000 Individual: $10,000, Family: $20,000

Patriot Health — Preventative and Hospital Care 1250

A comparison of the Preventative and Hospital Care 1250 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Not Covered Not Covered
Copay Not Covered Not Covered
Deductible Individual: $1,250 Family: $2,500 Individual: $2,500, Family: $5,000

Patriot Health — Preventative and Hospital Care 3000 (HSA Compatible)

A comparison of the Preventative and Hospital Care 3000 (HSA Compatible) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Not Covered Not Covered
Copay Not Covered Not Covered
Deductible Individual: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000

Patriot Health — First Dollar PPO 35

A comparison of the First Dollar PPO 35 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 65% 50% after deductible
Office Visit Non-Specialist Office Visit: $35 copay, deductible waived. Specialist: $45 copay, deductible waived. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Copay Non-Specialist Office Visit: $35 copay, deductible waived. Specialist: $45 copay, deductible waived. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Deductible Individual: $0, Family: $0 Individual: $7,000, Family: $14,000

Patriot Health — PPO 2500 with Dental

A comparison of the PPO 2500 with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Non-specialist Office Visit: $30 Copay deductible waived, Specialist Visit: $40 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-specialist Office Visit: $30 Copay deductible waived, Specialist Visit: $40 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $2,500, Family: $5,000 Individual: $5,000, Family: $10,000

Patriot Health — PPO 5000 with Dental

A comparison of the PPO 5000 with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Non-specialist Office Visit: $40 Copay deductible waived, Specialist Visit: $50 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-specialist Office Visit: $40 Copay deductible waived, Specialist Visit: $50 Copay deductible waived Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $5,000, Family: $10,000 Individual: $10,000, Family: $20,000

Patriot Health — PPO Value 1500 with Dental

A comparison of the PPO Value 1500 with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% after deductible 50% after deductible
Office Visit Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Copay Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Deductible Individual: $1,500, Family: $3,000 Individual: $3,000, Family: $6,000

Patriot Health — PPO Value 2500 with Dental

A comparison of the PPO Value 2500 with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% after deductible 50% after deductible
Office Visit Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Copay Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Deductible Individual: $2,500, Family: $5,000 Individual: $5,000, Family: $10,000

Patriot Health — PPO High Deductible 3000 (HSA Compatible) with Dental

A comparison of the PPO High Deductible 3000 (HSA Compatible) with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% after deductible 50% after deductible
Office Visit Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000

Patriot Health — PPO High Deductible 5000 (HSA Compatible) with Dental

A comparison of the PPO High Deductible 5000 (HSA Compatible) with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% after deductible 50% after deductible
Office Visit Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-Specialist Office Visit: 100% after deductible, Specialist Visit: 100% after deductible Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $5,000, Family: $10,000 Individual: $10,000, Family: $20,000

Patriot Health — Preventative and Hospital Care 1250 with Dental

A comparison of the Preventative and Hospital Care 1250 with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Not Covered Not Covered
Copay Not Covered Not Covered
Deductible Individual: $1,250 Family: $2,500 Individual: $2,500, Family: $5,000

Patriot Health — Preventative and Hospital Care 3000 (HSA Compatible) with Dental

A comparison of the Preventative and Hospital Care 3000 (HSA Compatible) with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible 50% after deductible
Office Visit Not Covered Not Covered
Copay Not Covered Not Covered
Deductible Individual: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000

Patriot Health — First Dollar PPO 35 with Dental

A comparison of the First Dollar PPO 35 with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 65% 50% after deductible
Office Visit Non-Specialist Office Visit: $35 copay, deductible waived. Specialist: $45 copay, deductible waived. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Copay Non-Specialist Office Visit: $35 copay, deductible waived. Specialist: $45 copay, deductible waived. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Deductible Individual: $0, Family: $0 Individual: $7,000, Family: $14,000

Patriot Health — Copay Saver

A comparison of the Copay Saver offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit History and exam: $35 copay (maximum 2 visits per person per year) History and exam: $35 copay (maximum 2 visits per person per year)
Copay $35 $35
Deductible $1,500 (Maximum 2 per family, per calendar year) $1,500 (Maximum 2 per family, per calendar year)

Patriot Health — Copay Saver

A comparison of the Copay Saver offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit History and exam: $35 copay (maximum 2 visits per person per year) History and exam: $35 copay (maximum 2 visits per person per year)
Copay $35 $35
Deductible $2,500 (Maximum 2 per family, per calendar year) $2,500 (Maximum 2 per family, per calendar year)

Patriot Health — Copay Saver

A comparison of the Copay Saver offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit History and exam: $35 copay (maximum 2 visits per person per year) History and exam: $35 copay (maximum 2 visits per person per year)
Copay $35 $35
Deductible $5,000 (Maximum 2 per family, per calendar year) $5,000 (Maximum 2 per family, per calendar year)

Patriot Health — Copay Saver

A comparison of the Copay Saver offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit History and exam: $35 copay (maximum 2 visits per person per year) History and exam: $35 copay (maximum 2 visits per person per year)
Copay $35 $35
Deductible $7,500 $7,500

Patriot Health — Copay Saver

A comparison of the Copay Saver offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit History and exam: $35 copay (maximum 2 visits per person per year) History and exam: $35 copay (maximum 2 visits per person per year)
Copay $35 $35
Deductible $10,000 $10,000

Patriot Health — Single HSA 100

A comparison of the Single HSA 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $1,250 $1,250

Patriot Health — Single HSA 100

A comparison of the Single HSA 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $2,500 $2,500

Patriot Health — Single HSA 100

A comparison of the Single HSA 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $3,000 $3,000

Patriot Health — Single HSA 100

A comparison of the Single HSA 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $3,500 $3,500

Patriot Health — Single HSA 100

A comparison of the Single HSA 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $5,000 $5,000

Patriot Health — Plan 100

A comparison of the Plan 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $1,500 (maximum 2 per family, per calendar year) $1,500 (maximum 2 per family, per calendar year)

Patriot Health — Plan 100

A comparison of the Plan 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $2,500 (maximum 2 per family, per calendar year) $2,500 (maximum 2 per family, per calendar year)

Patriot Health — Plan 100

A comparison of the Plan 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $5,000 (maximum 2 per family, per calendar year) $5,000 (maximum 2 per family, per calendar year)

Patriot Health — Plan 100

A comparison of the Plan 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $7,500 $7,500

Patriot Health — Plan 100

A comparison of the Plan 100 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit 100% after deductible 100% after deductible
Copay N/A N/A
Deductible $10,000 $10,000

Patriot Health — Plan 80

A comparison of the Plan 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit 80% after deductible 80% after deductible
Copay N/A N/A
Deductible $1,500 (maximum 2 per family, per calendar year) $1,500 (maximum 2 per family, per calendar year)

Patriot Health — Plan 80

A comparison of the Plan 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit 80% after deductible 80% after deductible
Copay N/A N/A
Deductible $2,500 (maximum 2 per family, per calendar year) $2,500 (maximum 2 per family, per calendar year)

Patriot Health — Plan 80

A comparison of the Plan 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit 80% after deductible 80% after deductible
Copay N/A N/A
Deductible $5,000 (maximum 2 per family, per calendar year) $5,000 (maximum 2 per family, per calendar year)

Patriot Health — Plan 80

A comparison of the Plan 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit 80% after deductible 80% after deductible
Copay N/A N/A
Deductible $7,500 $7,500

Patriot Health — Plan 80

A comparison of the Plan 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit 80% after deductible 80% after deductible
Copay N/A N/A
Deductible $10,000 $10,000

Patriot Health — Saver 80

A comparison of the Saver 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit Office Visit - History and Exam: Not covered Office Visit - History and Exam: Not covered
Copay N/A N/A
Deductible $500 (maximum 2 per family, per calendar year) $500 (maximum 2 per family, per calendar year)

Patriot Health — Saver 80

A comparison of the Saver 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit Office Visit - History and Exam: Not covered Office Visit - History and Exam: Not covered
Copay N/A N/A
Deductible $1,000 (maximum 2 per family, per calendar year) $1,000 (maximum 2 per family, per calendar year)

Patriot Health — Saver 80

A comparison of the Saver 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit Office Visit - History and Exam: Not covered Office Visit - History and Exam: Not covered
Copay N/A N/A
Deductible $1,500 (maximum 2 per family, per calendar year) $1,500 (maximum 2 per family, per calendar year)

Patriot Health — Saver 80

A comparison of the Saver 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit Office Visit - History and Exam: Not covered Office Visit - History and Exam: Not covered
Copay N/A N/A
Deductible $2,500 (maximum 2 per family, per calendar year) $2,500 (maximum 2 per family, per calendar year)

Patriot Health — Saver 80

A comparison of the Saver 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit Office Visit - History and Exam: Not covered Office Visit - History and Exam: Not covered
Copay N/A N/A
Deductible $5,000 (maximum 2 per family, per calendar year) $5,000 (maximum 2 per family, per calendar year)

Patriot Health — Saver 80

A comparison of the Saver 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit Office Visit - History and Exam: Not covered Office Visit - History and Exam: Not covered
Copay N/A N/A
Deductible $7,500 (maximum 2 per family, per calendar year) $7,500 (maximum 2 per family, per calendar year)

Patriot Health — Saver 80

A comparison of the Saver 80 offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit Office Visit - History and Exam: Not covered Office Visit - History and Exam: Not covered
Copay N/A N/A
Deductible $10,000 (maximum 2 per family, per calendar year) $10,000 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $500 (maximum 2 per family, per calendar year) $500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $500 (maximum 2 per family, per calendar year) $500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $500 (maximum 2 per family, per calendar year) $500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $1,000 (maximum 2 per family, per calendar year) $1,000 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $1,000 (maximum 2 per family, per calendar year) $1,000 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $1,000 (maximum 2 per family, per calendar year) $1,000 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $1,500 (maximum 2 per family, per calendar year) $1,500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $1,500 (maximum 2 per family, per calendar year) $1,500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $1,500 (maximum 2 per family, per calendar year) $1,500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $2,500 (maximum 2 per family, per calendar year) $2,500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $2,500 (maximum 2 per family, per calendar year) $2,500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $2,500 (maximum 2 per family, per calendar year) $2,500 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $3,500 $3,500

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $3,500 $3,500

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $3,500 $3,500

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $5,000 (maximum 2 per family, per calendar year) $5,000 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $5,000 (maximum 2 per family, per calendar year) $5,000 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $5,000 (maximum 2 per family, per calendar year) $5,000 (maximum 2 per family, per calendar year)

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $7,500 $7,500

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $7,500 $7,500

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $7,500 $7,500

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 100%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $10,000 $10,000

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 80%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $10,000 $10,000

Patriot Health — Copay Select

A comparison of the Copay Select offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 70%
Office Visit $35 copay -not subject to deductible ($25 copay available) $35 copay -not subject to deductible ($25 copay available)
Copay $35 $35
Deductible $10,000 $10,000

Patriot Health — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $1,500 $3,000

Patriot Health — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $1,500 $3,000

Patriot Health — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $2,500 $5,000

Patriot Health — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $2,500 $5,000

Patriot Health — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $3,500 $7,000

Patriot Health — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $3,500 $7,000

Patriot Health — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $5,000 $10,000

Patriot Health — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $5,000 $10,000

Patriot Health — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $2,000 $4,000

Patriot Health — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $2,000 $4,000

Patriot Health — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $3,000 $6,000

Patriot Health — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $3,000 $6,000

Patriot Health — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $4,000 $8,000

Patriot Health — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $4,000 $8,000

Patriot Health — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $5,200 $10,400

Patriot Health — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 70%
Office Visit 100% after deductible 70% after deductible
Copay N/A N/A
Deductible $5,200 $10,400

Patriot Health — Monogram

A comparison of the Monogram offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 75%
Office Visit 100% after deductible 75% after deductible
Copay N/A N/A
Deductible $7,500 (Two family members must meet their deductible). $15,000 (Two family members must meet their deductible).

Patriot Health — Monogram with Dental

A comparison of the Monogram with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% 75%
Office Visit 100% after deductible 75% after deductible
Copay N/A N/A
Deductible $7,500 (Two family members must meet their deductible). $15,000 (Two family members must meet their deductible).

Patriot Health — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible)

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% 60%
Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $1,000 (Two members must meet their deductible). $2,000 (Two members must meet their deductible).

    Patriot Health — Portrait Share 80 Plus Rx Unlimited

    A comparison of the Portrait Share 80 Plus Rx Unlimited offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $1,000 (Two members must meet their deductible). $2,000 (Two members must meet their deductible).

    Patriot Health — Portrait Share 80 Plus Rx Unlimited and Dental

    A comparison of the Portrait Share 80 Plus Rx Unlimited and Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $1,000 (Two members must meet their deductible). $2,000 (Two members must meet their deductible).

    Patriot Health — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental

    A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $1,000 (Two members must meet their deductible). $2,000 (Two members must meet their deductible).

    Patriot Health — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible)

    A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $2,500 (Two members must meet their deductible). $5,000 (Two members must meet their deductible).

    Patriot Health — Portrait Share 80 Plus Rx Unlimited

    A comparison of the Portrait Share 80 Plus Rx Unlimited offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $2,500 (Two members must meet their deductible). $5,000 (Two members must meet their deductible).

    Patriot Health — Portrait Share 80 Plus Rx Unlimited and Dental

    A comparison of the Portrait Share 80 Plus Rx Unlimited and Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $2,500 (Two members must meet their deductible). $5,000 (Two members must meet their deductible).

    Patriot Health — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental

    A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • 60% after deductible
    Copay
  • Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
  • N/A
    Deductible $2,500 (Two members must meet their deductible). $5,000 (Two members must meet their deductible).

    Patriot Health — Autograph Share 80 Plus Rx

    A comparison of the Autograph Share 80 Plus Rx offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible see brochure see brochure

    Patriot Health — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

    A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible see brochure see brochure

    Patriot Health — Autograph Share 80 Plus Rx with Dental

    A comparison of the Autograph Share 80 Plus Rx with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible see brochure see brochure

    Patriot Health — Autograph Share 80 Plus Rx

    A comparison of the Autograph Share 80 Plus Rx offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible $5,000 $10,000

    Patriot Health — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

    A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible $5,000 $10,000

    Patriot Health — Autograph Share 80 Plus Rx with Dental

    A comparison of the Autograph Share 80 Plus Rx with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible $5,000 $10,000

    Patriot Health — Autograph Share 80 Plus Rx

    A comparison of the Autograph Share 80 Plus Rx offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible $6,000 $12,000

    Patriot Health — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

    A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible $6,000 $12,000

    Patriot Health — Autograph Share 80 Plus Rx with Dental

    A comparison of the Autograph Share 80 Plus Rx with Dental offered by Patriot Health is detailed out below for both Network and Non-Network coverage.

      Network Non-Network
    View Full Plan Details
    Network See Provider See Provider
    Coinsurance 80% 60%
    Office Visit
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • 60% after deductible
    Copay
  • Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible.
  • Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.
  • N/A
    Deductible $6,000 $12,000

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