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ANTEX Health Insurance in ILLINOIS – Health Plan Options

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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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	50%	30%
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