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Our Trustmark Medstar Individual Medical Plans are designed for individuals and families who want help managing their routine medical expenses plus outstanding coverage for major health care expenses. |
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Plan
|
Indemnity | Dr & Hospital PPO | Dr & Hospital PPO with Dr visit co-pay |
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Type
|
Indemnity | Full PPO | Full PPO |
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Deductible
Options
(maximum 2 per family, per year) |
$250 $500 |
$250 $500 $1000 $1500 $2500 $5000 $7500 $10000 |
$250 $500 $1000 $1500 $2500 $5000 $7500 $10000 |
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Coinsurance
Options
|
80/20 to $5,000,
then 100% 80/20 to $10,000 then 100% 50/50 to $3,000, then 100% 50/50 to $5,000, then 100% |
80/20 to $5,000,
then 100% 80/20 to $10,000 then 100% 50/50 to $3,000, then 100% 50/50 to $5,000, then 100% |
80/20 to $5,000,
then 100% 80/20 to $10,000 then 100% 50/50 to $3,000, then 100% 50/50 to $5,000, then 100% |
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Doctor
Office Visit Fees Including X-Ray and Lab
(performed in the Doctors office on the same day of service) |
None | None | In-Network $20 Copay, then 100% |
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Outpatient Rx
|
$10 generic $30
brand name Separate $0 deductible Separate $200 deductible Separate $400 deductible |
$10 generic $30
brand name Separate $0 deductible Separate $200 deductible Separate $400 deductible |
$10 generic $30
brand name Separate $0 deductible Separate $200 deductible Separate $400 deductible |
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Preventive
Care, Including Routine Physicals and Lab Fees
|
Deductible and Coinsurance | Deductible and Coinsurance | In-Network $20 Copay, then 100% |
|
Mammography,
Pap Smear, and PSA Testing
|
$500 Included per person per year | $500 Included per person per year | $500 Included per person per year |
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Inpatient
Hospital and Surgical Fees Included on the Hospital Bill
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Deductible and Coinsurance | Deductible and Coinsurance | Deductible and Coinsurance |
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Outpatient
Surgery and Other Covered Inpatient and Outpatient Fees
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Deductible and Coinsurance | Deductible and Coinsurance | Deductible and Coinsurance |
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Emergency
Room Fees
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Deductible and Coinsurance | Deductible and Coinsurance | Deductible and Coinsurance |
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Initial
Rate Guarantee
|
12 months | 12 months | 12 months |
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Lifetime
Maximum Benefit
(per covered person) |
$2 million | $5 million | $5 million |
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Optional
Benefits
|
Maternity Supplemental Accident Dental |
Maternity Supplemental Accident Dental |
Maternity Supplemental Accident Dental |
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Above outline is for informational purposes only, please review policy for exact plan specifications.
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