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ANTEX Health Insurance in ARKANSAS – Health Plan Options

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $1,500	Individual:$1,500, Family: $3,000 $1,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $1,500	Individual:$1,500, Family: $3,000 $1,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,000	Individual:$1,500, Family: $3,000 $2,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,000	Individual:$1,500, Family: $3,000 $2,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,500	Individual:$1,500, Family: $3,000 $2,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,500	Individual:$1,500, Family: $3,000 $2,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $5,000	Individual:$1,500, Family: $3,000 $5,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $5,000	Individual:$1,500, Family: $3,000 $5,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $1,500	Individual:$1,500, Family: $3,000 $1,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $1,500	Individual:$1,500, Family: $3,000 $1,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,000	Individual:$1,500, Family: $3,000 $2,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,000	Individual:$1,500, Family: $3,000 $2,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,500	Individual:$1,500, Family: $3,000 $2,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,500	Individual:$1,500, Family: $3,000 $2,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $1,500	Individual:$1,500, Family: $3,000 $1,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $1,500	Individual:$1,500, Family: $3,000 $1,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,000	Individual:$1,500, Family: $3,000 $2,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,000	Individual:$1,500, Family: $3,000 $2,000

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,500	Individual:$1,500, Family: $3,000 $2,500

ANTEX — Generations HSA

A comparison of the Generations HSA offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$1,500, Family: $3,000 $2,500	Individual:$1,500, Family: $3,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $750	Individual: $25,000, Family: $75,000 $750

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $1,500	Individual: $25,000, Family: $75,000 $1,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,000	Individual: $25,000, Family: $75,000 $2,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $2,500	Individual: $25,000, Family: $75,000 $2,500

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $5,000	Individual: $25,000, Family: $75,000 $5,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $10,000	Individual: $25,000, Family: $75,000 $10,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $15,000	Individual: $25,000, Family: $75,000 $15,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $20,000	Individual: $25,000, Family: $75,000 $20,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Generations One

A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: $75,000 $25,000	Individual: $25,000, Family: $75,000 $25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$750	$750

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$1,500	$1,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,000	$2,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$2,500	$2,500

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$5,000	$5,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$10,000	$10,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$15,000	$15,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$20,000	$20,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — Catastrophic Hospital Plan

A comparison of the Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Available for Additional Premium	Available for Additional Premium
Copay	N/A	N/A
Deductible	$25,000	$25,000

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $1,500	$2,500 Individual/$5,000 Family $1,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $1,500	$2,500 Individual/$5,000 Family $1,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,000	$2,500 Individual/$5,000 Family $2,000

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,000	$2,500 Individual/$5,000 Family $2,000

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,500	$2,500 Individual/$5,000 Family $2,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,500	$2,500 Individual/$5,000 Family $2,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $1,500	$2,500 Individual/$5,000 Family $1,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $1,500	$2,500 Individual/$5,000 Family $1,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,000	$2,500 Individual/$5,000 Family $2,000

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,000	$2,500 Individual/$5,000 Family $2,000

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,500	$2,500 Individual/$5,000 Family $2,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,500	$2,500 Individual/$5,000 Family $2,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $1,500	$2,500 Individual/$5,000 Family $1,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $1,500	$2,500 Individual/$5,000 Family $1,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,000	$2,500 Individual/$5,000 Family $2,000

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,000	$2,500 Individual/$5,000 Family $2,000

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,500	$2,500 Individual/$5,000 Family $2,500

ANTEX — HSA Compatible Catastrophic Hospital Plan

A comparison of the HSA Compatible Catastrophic Hospital Plan offered by ANTEX is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Not Covered	Not Covered
Copay	N/A	N/A
Deductible	$2,500 Individual/$5,000 Family $2,500	$2,500 Individual/$5,000 Family $2,500