Great American Health Insurance in SOUTH CAROLINA – Health Plan Options
Great American — Open Access 1000
A comparison of the Open Access 1000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | CIGNA pays 60% after deductible is fulfilled | |
| Office Visit | Primary Care Physician - $25 copay (deductible waived), Specialist - $50 copay (deductible waived) | CIGNA pays 60% after deductible is fulfilled |
| Copay | Primary Care Physician - $25, Specialist - $50 | CIGNA pays 60% after deductible is fulfilled |
| Deductible | Individual: $1,000, Family: $3,000 | Individual: $2,000, Family: $6,000 |
Great American — Open Access 2000
A comparison of the Open Access 2000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | CIGNA pays 80% of eligible charges | CIGNA pays 60% of eligible charges |
| Office Visit | Primary Care Physician - $25 copay (deductible waived), Specialist - $50 copay (deductible waived) | CIGNA pays 60% (once the annual deductible amount is fulfilled by the member) |
| Copay | Primary Care Physician - $25, Specialist - $50 | CIGNA pays 60% |
| Deductible | Individual: $2,000, Family: $4,000 | Individual: $4,000, Family: $8,000 |
Great American — Open Access 3000
A comparison of the Open Access 3000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | CIGNA pays 80% of eligible charges | CIGNA pays 60% of eligible charges |
| Office Visit | Primary Care Physician: $40 copay, deductible waived, Specialist: $60 copay, deductible waived | Primary Care Physician: CIGNA pays 60% after deductible is fulfilled, Specialist: CIGNA pays 60% after deductible is fulfilled |
| Copay | Primary Care Physician: $40 copay, deductible waived, Specialist: $60 copay, deductible waived | Primary Care Physician: CIGNA pays 60% after deductible is fulfilled, Specialist: CIGNA pays 60% after deductible is fulfilled |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Great American — Open Access 5000
A comparison of the Open Access 5000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | CIGNA pays 80% of eligible charges | CIGNA pays 60% of eligible charges |
| Office Visit | Primary Care Physician - $30 copay (deductible waived), Specialist - $60 copay (deductible waived) | CIGNA pays 60% (once the annual deductible amount is fulfilled by the member) |
| Copay | Primary Care Physician - $30, Specialist - $60 | CIGNA pays 60% |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — Health Savings 2500
A comparison of the Health Savings 2500 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | CIGNA pays 100% of eligible charges | CIGNA pays 70% of eligible charges |
| Office Visit | Primary Care Physician: CIGNA pays 100% after deductible is fulfilled, Specialist: CIGNA pays 100% after deductible is fulfilled | Primary Care Physician: CIGNA pays 70% after deductible is fulfilled, Specialist: CIGNA pays 70% after deductible is fulfilled |
| Copay | N/A | N/A |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Great American — Health Savings 3500
A comparison of the Health Savings 3500 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | CIGNA pays 100% of eligible charges | CIGNA pays 70% of eligible charges |
| Office Visit | Primary Care Physician: CIGNA pays 100% after deductible is fulfilled, Specialist: CIGNA pays 100% after deductible is fulfilled | Primary Care Physician: CIGNA pays 70% after deductible is fulfilled, Specialist: CIGNA pays 70% after deductible is fulfilled |
| Copay | N/A | N/A |
| Deductible | Individual: $3,500, Family: $7,000 | Individual: $7,000, Family: $14,000 |
Great American — Health Savings 5000
A comparison of the Health Savings 5000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | CIGNA pays 100% after deductible is fulfilled | CIGNA pays 70% after deductible is fulfilled |
| Office Visit | Primary Care Physician - CIGNA pays 100% after deductible is fulfilled, Specialist – CIGNA pays 100% after deductible is fulfilled | CIGNA pays 70% after deductible is fulfilled |
| Copay | N/A | N/A |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 100
A comparison of the Community Flex 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 100% coinsurance | In-Network: 100% coinsurance |
| Office Visit | In-Network: Deductible, then 100% | In-Network: Deductible, then 100% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $10,000, Family: $20,000 | In-Network:Individual: $10,000, Family: $20,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 100
A comparison of the Community Flex 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 100% coinsurance | In-Network: 100% coinsurance |
| Office Visit | In-Network: Deductible, then 100% | In-Network: Deductible, then 100% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $10,000, Family: $20,000 | In-Network:Individual: $10,000, Family: $20,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 100
A comparison of the Community Flex 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 100% coinsurance | In-Network: 100% coinsurance |
| Office Visit | In-Network: Deductible, then 100% | In-Network: Deductible, then 100% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $10,000, Family: $20,000 | In-Network:Individual: $10,000, Family: $20,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 100 with Gold Benefits Option
A comparison of the Community Flex 100 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 100% coinsurance | In-Network: 100% coinsurance |
| Office Visit | In-Network: Deductible, then 100% | In-Network: Deductible, then 100% |
| Copay | In-Network: $40 for Office Visit/$80 for Urgent Care | In-Network: $40 for Office Visit/$80 for Urgent Care |
| Deductible | In-Network:Individual: $7,500, Family: $15,000 | In-Network:Individual: $7,500, Family: $15,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
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| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 100 with Gold Benefits Option
A comparison of the Community Flex 100 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 100% coinsurance | In-Network: 100% coinsurance |
| Office Visit | In-Network: Deductible, then 100% | In-Network: Deductible, then 100% |
| Copay | In-Network: $40 for Office Visit/$80 for Urgent Care | In-Network: $40 for Office Visit/$80 for Urgent Care |
| Deductible | In-Network:Individual: $7,500, Family: $15,000 | In-Network:Individual: $7,500, Family: $15,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 100 with Gold Benefits Option
A comparison of the Community Flex 100 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 100% coinsurance | In-Network: 100% coinsurance |
| Office Visit | In-Network: Deductible, then 100% | In-Network: Deductible, then 100% |
| Copay | In-Network: $40 for Office Visit/$80 for Urgent Care | In-Network: $40 for Office Visit/$80 for Urgent Care |
| Deductible | In-Network:Individual: $7,500, Family: $15,000 | In-Network:Individual: $7,500, Family: $15,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 80
A comparison of the Community Flex 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual:$2,500, Family: $5,000 | In-Network:Individual:$2,500, Family: $5,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 60
A comparison of the Community Flex 60 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: Deductible, then 60% | In-Network: Deductible, then 60% |
| Copay | N/A | N/A |
| Deductible | In-Network:Individual: $500, Family: $1,000 | In-Network:Individual: $500, Family: $1,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 80 with Gold Benefits Option
A comparison of the Community Flex 80 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $1,000, Family: $2,000 | In-Network:Individual: $1,000, Family: $2,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — Community Flex 60 with Gold Benefits Option
A comparison of the Community Flex 60 with Gold Benefits Option offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | In-Network: 60% coinsurance | In-Network: 60% coinsurance |
| Office Visit | In-Network: $30 for Office Visit/$60 for Urgent Care | In-Network: $30 for Office Visit/$60 for Urgent Care |
| Copay | In-Network:$30 for Office Visit/$60 for Urgent Care | In-Network:$30 for Office Visit/$60 for Urgent Care |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
Great American — PPO 5000
A comparison of the PPO 5000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO Value 2500
A comparison of the PPO Value 2500 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible. Specialist and Non Specialist share visit max. (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible. Specialist and Non Specialist share visit max. (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible. Specialist and Non Specialist share visit max. (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible. Specialist and Non Specialist share visit max. (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Great American — PPO Value 5000
A comparison of the PPO Value 5000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Copay | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO Value 10000
A comparison of the PPO Value 10000 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Copay | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Deductible | Individual: $10,000, Family: $20,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO High Deductible 3000 (HSA Compatible)
A comparison of the PPO High Deductible 3000 (HSA Compatible) offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | see brochure | see brochure |
| Copay | Not Covered | Not Covered |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Great American — PPO High Deductible 5000 (HSA Compatible)
A comparison of the PPO High Deductible 5000 (HSA Compatible) offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — Preventive and Hospital Care 1250
A comparison of the Preventive and Hospital Care 1250 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Not covered | Not covered |
| Copay | Not covered | Not covered |
| Deductible | Individual: $1,250, Family: $2,500 | Individual: $2,500, Family: $5,000 |
Great American — PPO 7500 with Unlimited Primary Care Visits plus Dental
A comparison of the PPO 7500 with Unlimited Primary Care Visits plus Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible, up to out-of-pocket max. $0 once out-of-pocket max. is satisfied. | 50% after deductible, up to out-of-pocket max. $0 once out-of-pocket max. is satisfied. |
| Office Visit | Non-Specialist Office Visit: $30 copay deductible waived (unlimited visits), Specialist Visit: 80% after deductible (unlimited visits). | Non-Specialist Office Visit: 50% after deductible (unlimited visits), Specialist Visit: 50% after deductible (unlimited visits). |
| Copay | Non-Specialist Office Visit: $30 copay deductible waived (unlimited visits), Specialist Visit: 80% after deductible (unlimited visits). | Non-Specialist Office Visit: 50% after deductible (unlimited visits), Specialist Visit: 50% after deductible (unlimited visits). |
| Deductible | Individual: $7,500, Family: $15,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO 2500 with Medical $50K CYM
A comparison of the PPO 2500 with Medical $50K CYM offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible $0 once out-of-pocket max is satisfied. | 50% after deductible $0 once out-of-pocket max is satisfied. |
| Office Visit | Non-Specialist Office Visit: $25 copay (Unlimited visits), Specialist Office Visit: $50 copay (Unlimited visits) | Non-Specialist Office Visit: 50% after deductible (unlimited visits), Specialist: 50% after deductible (unlimited visits) |
| Copay | Non-Specialist Office Visit: $25 copay (Unlimited visits), Specialist Office Visit: $50 copay (Unlimited visits) | Non-Specialist Office Visit: 50% after deductible (Unlimited visits), Specialist Office Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Great American — PPO 5000 with Dental
A comparison of the PPO 5000 with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-Specialist Office Visit: $40 copay deductible waived (unlimited visits), Specialist Visit: $50 copay deductible waived (unlimited visits). | 50% after deductible (unlimited visits) |
| Copay | Non-Specialist Office Visit: $40 copay deductible waived (unlimited visits), Specialist Visit: $50 copay deductible waived (unlimited visits). | 50% after deductible (unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO Value 2500 with Dental
A comparison of the PPO Value 2500 with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% after deductible | 50% after deductible |
| Office Visit | Visit 1-2: $30. | N/A |
| Copay | Visit 1-2: $30. | N/A |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Great American — PPO Value 5000 with Dental
A comparison of the PPO Value 5000 with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Copay | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO Value 10000 with Dental
A comparison of the PPO Value 10000 with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Copay | Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). | Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits). |
| Deductible | Individual: $10,000, Family: $20,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO High Deductible 3000 (HSA Compatible) with Dental
A comparison of the PPO High Deductible 3000 (HSA Compatible) with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Great American — PPO High Deductible 5000 (HSA Compatible) with Dental
A comparison of the PPO High Deductible 5000 (HSA Compatible) with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — Preventive and Hospital Care 1250 with Dental
A comparison of the Preventive and Hospital Care 1250 with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Not covered | Not covered |
| Copay | Not covered | Not covered |
| Deductible | Individual: $1,250, Family: $2,500 | Individual: $2,500, Family: $5,000 |
Great American — PPO 2500 with Medical $50K CYM with Dental
A comparison of the PPO 2500 with Medical $50K CYM with Dental offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible ($0 once out-of-pocket max. is satisfied) | 50% after deductible ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000 | $5,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | None | None |
| Deductible | $2,850 | see brochure |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | None | None |
| Deductible | $2,850 | see brochure |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,500 | $11,000 |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to copay, after 4 visits- subject to deductible and coinsurance | Subject to copay, after 4 visits- subject to deductible and coinsurance |
| Copay | 4 Visits- $15 Primary Care Physician/$60 Specialist | 4 Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $1,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,000 | $5,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | see brochure |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | see brochure |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $2,000 | $4,000 |
Great American — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance. | Subject to deductible and coinsurance. |
| Copay | None | None |
| Deductible | $5,500 | $11,000 |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 60% |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | ubject to deductible and coinsurance | ubject to deductible and coinsurance |
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 60% |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | ubject to deductible and coinsurance | ubject to deductible and coinsurance |
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 60% |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | ubject to deductible and coinsurance | ubject to deductible and coinsurance |
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $10,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 60% |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $5,000 | $5,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $4,000 | $2,000 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,000 | $4,000 |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,000 | $4,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $4,000 | $2,000 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,000 | $4,000 |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,000 | $4,000 |
Great American — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $5,500 | $11,000 |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 50% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Copay | Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply):
|
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American 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 deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $5,000 | $5,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 30% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,850 | $5,700 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,850 | $5,700 |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,000 | $4,000 |
Great American — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 30% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,850 | $5,700 |
Great American — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,850 | $5,700 |
Great American — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $2,000 | $4,000 |
Great American — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Deductible | $5,500 | $11,000 |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $7,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $7,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $7,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $7,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $7,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | None | None |
| Deductible | $5,000 | $5,000 |
Great American — The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | None | None |
| Deductible | $2,000 | see brochure |
Great American — The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | None | None |
| Deductible | $2,000 | see brochure |
Great American — The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million
A comparison of the The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | None | None |
| Deductible | $5,500 | $11,000 |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 50% after deductible | 70% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $2,500(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million
A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible | 60% after deductible |
| Office Visit | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist | Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist |
| Copay | Unlimited Visits- $15 Primary Care Physician/$60 Specialist | Unlimited Visits- $15 Primary Care Physician/$60 Specialist |
| Deductible | $5,000(Maximum of 3 per family) | $2,000 per person in addition to in-network deductible |
Great American — The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | None | None |
| Deductible | $5,000 | $5,000 |
Great American — The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million
A comparison of the The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible | 80% after deductible |
| Office Visit | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Copay | None | None |
| Deductible | $5,500 | $11,000 |
Great American — Copay Saver
A comparison of the Copay Saver offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $1,500 (maximum 2 per family, per calendar year) | $1,500 (maximum 2 per family, per calendar year) |
Great American — Copay Saver
A comparison of the Copay Saver offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Copay Saver
A comparison of the Copay Saver offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $5,000 (maximum 2 per family, per calendar year) | $5,000 (maximum 2 per family, per calendar year) |
Great American — Copay Saver
A comparison of the Copay Saver offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $7,500 (maximum 2 per family, per calendar year) | $7,500 (maximum 2 per family, per calendar year) |
Great American — Copay Saver
A comparison of the Copay Saver offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits (2 Additional Visits plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $10,000 (maximum 2 per family, per calendar year) | $10,000 (maximum 2 per family, per calendar year) |
Great American — Single HSA 100
A comparison of the Single HSA 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | see brochure | see brochure |
| Deductible | $1,250 (one per family, per calendar year) | $1,250 (one per family, per calendar year) |
Great American — Single HSA 100
A comparison of the Single HSA 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | see brochure | see brochure |
| Deductible | $2,500 (one per family, per calendar year) | $2,500 (one per family, per calendar year) |
Great American — Single HSA 100
A comparison of the Single HSA 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | see brochure | see brochure |
| Deductible | $3,000 (one per family, per calendar year) | $3,000 (one per family, per calendar year) |
Great American — Single HSA 100
A comparison of the Single HSA 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | see brochure | see brochure |
| Deductible | $3,500 (one per family, per calendar year) | $3,500 (one per family, per calendar year) |
Great American — Single HSA 100
A comparison of the Single HSA 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | see brochure | see brochure |
| Deductible | $5,000 (one per family, per calendar year) | $5,000 (one per family, per calendar year) |
Great American — Single HSA 70
A comparison of the Single HSA 70 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: You pay: 30% after deductible | Office Visit - History and Exam: You pay: 30% after deductible |
| Copay | see brochure | see brochure |
| Deductible | $1,250 (one per family, per calendar year) | $1,250 (one per family, per calendar year) |
Great American — Single HSA 70
A comparison of the Single HSA 70 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: You pay: 30% after deductible | Office Visit - History and Exam: You pay: 30% after deductible |
| Copay | see brochure | see brochure |
| Deductible | $2,500 (one per family, per calendar year) | $2,500 (one per family, per calendar year) |
Great American — Single HSA 70
A comparison of the Single HSA 70 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: You pay: 30% after deductible | Office Visit - History and Exam: You pay: 30% after deductible |
| Copay | see brochure | see brochure |
| Deductible | $3,000 (one per family, per calendar year) | $3,000 (one per family, per calendar year) |
Great American — Single HSA 70
A comparison of the Single HSA 70 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: You pay: 30% after deductible | Office Visit - History and Exam: You pay: 30% after deductible |
| Copay | see brochure | see brochure |
| Deductible | $3,500 (one per family, per calendar year) | $3,500 (one per family, per calendar year) |
Great American — Single HSA 70
A comparison of the Single HSA 70 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 70% | 70% |
| Office Visit | Office Visit - History and Exam: You pay: 30% after deductible | Office Visit - History and Exam: You pay: 30% after deductible |
| Copay | see brochure | see brochure |
| Deductible | $5,000 (one per family, per calendar year) | $5,000 (one per family, per calendar year) |
Great American — Plan 100
A comparison of the Plan 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Plan 100
A comparison of the Plan 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Plan 100
A comparison of the Plan 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Plan 100
A comparison of the Plan 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Plan 100
A comparison of the Plan 100 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% | 100% |
| Office Visit | Office Visit - History and Exam: No charge after deductible | Office Visit - History and Exam: No charge after deductible |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Plan 80
A comparison of the Plan 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Doctor Office Visit - Illness and Injury: 80% | Doctor Office Visit - Illness and Injury: 80% |
| Copay | N/A | N/A |
| Deductible | $3,500 (maximum 2 per family, per calendar year) | $3,500 (maximum 2 per family, per calendar year) |
Great American — Plan 80
A comparison of the Plan 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Doctor Office Visit - Illness and Injury: 80% | Doctor Office Visit - Illness and Injury: 80% |
| Copay | N/A | N/A |
| Deductible | $3,500 (maximum 2 per family, per calendar year) | $3,500 (maximum 2 per family, per calendar year) |
Great American — Plan 80
A comparison of the Plan 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Doctor Office Visit - Illness and Injury: 80% | Doctor Office Visit - Illness and Injury: 80% |
| Copay | N/A | N/A |
| Deductible | $3,500 (maximum 2 per family, per calendar year) | $3,500 (maximum 2 per family, per calendar year) |
Great American — Plan 80
A comparison of the Plan 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Doctor Office Visit - Illness and Injury: 80% | Doctor Office Visit - Illness and Injury: 80% |
| Copay | N/A | N/A |
| Deductible | $3,500 (maximum 2 per family, per calendar year) | $3,500 (maximum 2 per family, per calendar year) |
Great American — Plan 80
A comparison of the Plan 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Doctor Office Visit - Illness and Injury: 80% | Doctor Office Visit - Illness and Injury: 80% |
| Copay | N/A | N/A |
| Deductible | $3,500 (maximum 2 per family, per calendar year) | $3,500 (maximum 2 per family, per calendar year) |
Great American — Saver 80
A comparison of the Saver 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Not covered | Not covered |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Saver 80
A comparison of the Saver 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Not covered | Not covered |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Saver 80
A comparison of the Saver 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Not covered | Not covered |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Saver 80
A comparison of the Saver 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Not covered | Not covered |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Saver 80
A comparison of the Saver 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Not covered | Not covered |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Saver 80
A comparison of the Saver 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Not covered | Not covered |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Saver 80
A comparison of the Saver 80 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% | 80% |
| Office Visit | Not covered | Not covered |
| Copay | N/A | N/A |
| Deductible | $2,500 (maximum 2 per family, per calendar year) | $2,500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Copay Select
A comparison of the Copay Select offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | see brochure | see brochure |
| Office Visit | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) | Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available) |
| Copay | see brochure | see brochure |
| Deductible | $500 (maximum 2 per family, per calendar year) | $500 (maximum 2 per family, per calendar year) |
Great American — Generations HSA
A comparison of the Generations HSA offered by Great American is detailed 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 |
Individual:$1,500, Family: $3,000 |
Great American — Generations HSA
A comparison of the Generations HSA offered by Great American is detailed 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 |
Individual:$1,500, Family: $3,000 |
Great American — Generations HSA
A comparison of the Generations HSA offered by Great American is detailed 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 |
Individual:$1,500, Family: $3,000 |
Great American — Generations HSA
A comparison of the Generations HSA offered by Great American is detailed 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 |
Individual:$1,500, Family: $3,000 |
Great American — Generations HSA
A comparison of the Generations HSA offered by Great American is detailed 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 |
Individual:$1,500, Family: $3,000 |
Great American — Generations HSA
A comparison of the Generations HSA offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |