Avalon Healthcare Health Insurance in FLORIDA – Health Plan Options

Avalon Healthcare — IFOCUS Plan A-1 A, RxA

A comparison of the IFOCUS Plan A-1 A, RxA offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $1,000, Family: $2,000	Individual: $2,000, Family: $4,000

Avalon Healthcare — IFOCUS Plan A-6 A, RxA20

A comparison of the IFOCUS Plan A-6 A, RxA20 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,000, Family: $4,000	Individual: $4,000, Family: $8,000

Avalon Healthcare — IFOCUS PLAN A-6 A

A comparison of the IFOCUS PLAN A-6 A offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,000, Family: $4,000	Individual: $4,000, Family: $8,000

Avalon Healthcare — IFOCUS Plan A-6 D, RxA

A comparison of the IFOCUS Plan A-6 D, RxA offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,000, Family: $4,000	Individual: $4,000, Family: $8,000

Avalon Healthcare — IFOCUS Plan D-1 A, RxA15

A comparison of the IFOCUS Plan D-1 A, RxA15 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Avalon Healthcare — IFOCUS PLAN D-1 A

A comparison of the IFOCUS PLAN D-1 A offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Subject to Copay	Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Avalon Healthcare — IFOCUS Plan D-1 D, RxA15

A comparison of the IFOCUS Plan D-1 D, RxA15 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Avalon Healthcare — IFOCUS Plan D-1 E, RxA30

A comparison of the IFOCUS Plan D-1 E, RxA30 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Avalon Healthcare — IFOCUS Plan D-2 A, RxA20

A comparison of the IFOCUS Plan D-2 A, RxA20 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $25 Copay, then covered at 100% Specialist: $50 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Avalon Healthcare — IFOCUS PLAN D-3 B

A comparison of the IFOCUS PLAN D-3 B offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Subject to Copay	Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $3,500, Family: $7,000	Individual: $7,000, Family: $14,000

Avalon Healthcare — IFOCUS Plan D-3 E

A comparison of the IFOCUS Plan D-3 E offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $3,500, Family: $7,000	Individual: $7,000, Family: $14,000

Avalon Healthcare — IFOCUS PLAN D-5 B

A comparison of the IFOCUS PLAN D-5 B offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Subject to Copay	Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — IFOCUS Plan D-5 E, RxA30

A comparison of the IFOCUS Plan D-5 E, RxA30 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — IFOCUS Plan D-5 E

A comparison of the IFOCUS Plan D-5 E offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — IFOCUS Plan D-6 B, RxA30

A comparison of the IFOCUS Plan D-6 B, RxA30 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — IFOCUS Plan D-6 B

A comparison of the IFOCUS Plan D-6 B offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — IFOCUS Plan D-9 B

A comparison of the IFOCUS Plan D-9 B offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — IFOCUS Plan D-9 E, RxA30

A comparison of the IFOCUS Plan D-9 E, RxA30 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — IFOCUS Plan D-9 E

A comparison of the IFOCUS Plan D-9 E offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Copay	PCP: $35 Copay, then covered at 100% Specialist: $60 Copay, then covered at 100%	PCP: Deductible & Coinsurance Specialist: Deductible & Coinsurance
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Avalon Healthcare — HSI Plan A-4, RxJ

A comparison of the HSI Plan A-4, RxJ offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Deductible & Coinsurance	Deductible & Coinsurance
Copay	Deductible & Coinsurance	Deductible & Coinsurance
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Avalon Healthcare — HSI Plan A-8

A comparison of the HSI Plan A-8 offered by Avalon Healthcare is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Deductible & Coinsurance	Deductible & Coinsurance
Copay	Deductible & Coinsurance	Deductible & Coinsurance
Deductible	Individual: $3,000, Family: $6,000	Individual: $1,500, Family: $3,000

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