Great American Health Insurance in TEXAS – Health Plan Options
Great American — PPO Select Value Care - Plan I
A comparison of the PPO Select Value Care - Plan I 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 | 50% | 50% |
| Office Visit | 50% of Allowable Amount | 50% of Allowable Amount |
| Copay | N/A | N/A |
| Deductible | N/A | N/A |
Great American — PPO Select Value Care - Plan II
A comparison of the PPO Select Value Care - Plan II 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 | 50% | 50% |
| Office Visit | 50% of Allowable Amount | 50% of Allowable Amount |
| Copay | N/A | N/A |
| Deductible | N/A | N/A |
Great American — PPO Select Value Care - Plan III
A comparison of the PPO Select Value Care - Plan III 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 | 50% | 50% |
| Office Visit | 50% of Allowable Amount | 50% of Allowable Amount |
| Copay | N/A | N/A |
| Deductible | N/A | N/A |
Great American — Foundation Hospital Care
A comparison of the Foundation Hospital Care 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 | BCBSTX pays 80%, insured pays 20% | BCBSTX pays 60%, insured pays 40% |
| Office Visit | Not Covered | Not Covered |
| Copay | N/A | N/A |
| Deductible | Individual: $5,000, Family: $15,000 | Individual: $10,000, Family: $30,000 |
Great American — Select Blue Advantage - Plan I
A comparison of the Select Blue Advantage - Plan I 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $250 Individual/$750 Family | $500 Individual/$1,500 Family |
Great American — Select Blue Advantage - Plan II
A comparison of the Select Blue Advantage - Plan II 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $500 Individual/$1,500 Family | $1,000 Individual/$3,000 Family |
Great American — Select Blue Advantage - Plan III
A comparison of the Select Blue Advantage - Plan III 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $1,000 Individual/$3,000 Family | $2,000 Individual/$6,000 Family |
Great American — Select Blue Advantage - Plan IV
A comparison of the Select Blue Advantage - Plan IV 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $1,500 Individual/$4,500 Family | $3,000 Individual/$9,000 Family |
Great American — Select Blue Advantage - Plan V
A comparison of the Select Blue Advantage - Plan V 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $2,500 Individual/$7,500 Family | $5,000 Individual/$15,000 Family |
Great American — Select Blue Advantage - Plan VI
A comparison of the Select Blue Advantage - Plan VI 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $3,500 Individual/$10,500 Family | $7,000 Individual/$21,000 Family |
Great American — Select Blue Advantage - Plan VII
A comparison of the Select Blue Advantage - Plan VII 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $5,000 Individual/$15,000 Family | $10,000 Individual/$30,000 Family |
Great American — Select Blue Advantage - Plan VIII
A comparison of the Select Blue Advantage - Plan VIII 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 | 85% of the Allowable Amount for Eligible Expenses | 75% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 office visit copay includes same day lab and x-ray, up to annual max of $750 | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $10,000 Individual/$30,000 Family | $20,000 Individual/$60,000 Family |
Great American — PPO Select Choice - Plan I
A comparison of the PPO Select Choice - Plan I 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $250 Individual/$750 Family | $500 Individual/$1,500 Family |
Great American — PPO Select Choice - Plan II
A comparison of the PPO Select Choice - Plan II 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $500 Individual/$1,500 Family | $1,000 Individual/$3,000 Family |
Great American — PPO Select Choice - Plan III
A comparison of the PPO Select Choice - Plan III 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $1,000 Individual/$3,000 Family | $2,000 Individual/$6,000 Family |
Great American — PPO Select Choice - Plan IV
A comparison of the PPO Select Choice - Plan IV 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $1,500 Individual/$4,500 Family | $3,000 Individual/$9,000 Family |
Great American — PPO Select Choice - Plan V
A comparison of the PPO Select Choice - Plan V 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $2,500 Individual/$7,500 Family | $5,000 Individual/$15,000 Family |
Great American — PPO Select Choice - Plan VI
A comparison of the PPO Select Choice - Plan VI 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $3,500 Individual/$10,500 Family | $7,000 Individual/$21,000 Family |
Great American — PPO Select Choice - Plan VII
A comparison of the PPO Select Choice - Plan VII 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $5,000 Individual/$15,000 Family | $10,000 Individual/$30,000 Family |
Great American — PPO Select Choice - Plan VIII
A comparison of the PPO Select Choice - Plan VIII 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 | 80% of the Allowable Amount for Eligible Expenses | 70% of the Allowable Amount for Eligible Expenses |
| Office Visit | $25 copayment applies to office visit/consultation only | Physician office visits subject to deductible and coinsurance |
| Copay | $25 | None |
| Deductible | $10,000 Individual/$30,000 Family | $20,000 Individual/$60,000 Family |
Great American — PPO Select Saver - Plan I
A comparison of the PPO Select Saver - Plan I 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 | 75% of the AllowableAmount for Eligible Expenses | 60% of the Allowable Amount for Eligible Expenses |
| Office Visit | All physician office visits will be subject to deductible and coinsurance | All physician office visits will be subject to deductible and coinsurance |
| Copay | N/A | N/A |
| Deductible | $500 Individual/$1,500 Family | $1,000 Individual/$3,000 Family |
Great American — PPO Select Saver - Plan II
A comparison of the PPO Select Saver - Plan II 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 | 75% of the AllowableAmount for Eligible Expenses | 60% of the Allowable Amount for Eligible Expenses |
| Office Visit | All physician office visits will be subject to deductible and coinsurance | All physician office visits will be subject to deductible and coinsurance |
| Copay | N/A | N/A |
| Deductible | $1,000 Individual/$3,000 Family | $2,000 Individual/$6,000 Family |
Great American — PPO Select Saver - Plan III
A comparison of the PPO Select Saver - Plan III 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 | 75% of the AllowableAmount for Eligible Expenses | 60% of the Allowable Amount for Eligible Expenses |
| Office Visit | All physician office visits will be subject to deductible and coinsurance | All physician office visits will be subject to deductible and coinsurance |
| Copay | N/A | N/A |
| Deductible | $1,500 Individual/$4,500 Family | $3,000 Individual/$9,000 Family |
Great American — PPO Select Saver - Plan IV
A comparison of the PPO Select Saver - Plan IV 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 | 75% of the AllowableAmount for Eligible Expenses | 60% of the Allowable Amount for Eligible Expenses |
| Office Visit | All physician office visits will be subject to deductible and coinsurance | All physician office visits will be subject to deductible and coinsurance |
| Copay | N/A | N/A |
| Deductible | $2,500 Individual/$7,500 Family | $5,000 Individual/$15,000 Family |
Great American — PPO Select Saver - Plan V
A comparison of the PPO Select Saver - Plan V 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 | 75% of the AllowableAmount for Eligible Expenses | 60% of the Allowable Amount for Eligible Expenses |
| Office Visit | All physician office visits will be subject to deductible and coinsurance | All physician office visits will be subject to deductible and coinsurance |
| Copay | N/A | N/A |
| Deductible | $3,500 Individual/$10,500 Family | $7,000 Individual/$21,000 Family |
Great American — PPO Select Saver - Plan VI
A comparison of the PPO Select Saver - Plan VI 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 | 75% of the AllowableAmount for Eligible Expenses | 60% of the Allowable Amount for Eligible Expenses |
| Office Visit | All physician office visits will be subject to deductible and coinsurance | All physician office visits will be subject to deductible and coinsurance |
| Copay | N/A | N/A |
| Deductible | $5,000 Individual/$15,000 Family | $10,000 Individual/$30,000 Family |
Great American — PPO Select Saver - Plan VII
A comparison of the PPO Select Saver - Plan VII 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 | 75% of the AllowableAmount for Eligible Expenses | 60% of the Allowable Amount for Eligible Expenses |
| Office Visit | All physician office visits will be subject to deductible and coinsurance | All physician office visits will be subject to deductible and coinsurance |
| Copay | N/A | N/A |
| Deductible | $10,000 Individual/$30,000 Family | $20,000 Individual/$60,000 Family |
Great American — BlueEdge Individual HSA - Plan I
A comparison of the BlueEdge Individual HSA - Plan I 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 | 90% of Allowable Amount after Calendar Year Deductible | 70% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $1,150, Family: $2,300 | Individual: $2,300, Family: $4,600 |
Great American — BlueEdge Individual HSA - Plan II
A comparison of the BlueEdge Individual HSA - Plan II 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 | 90% of Allowable Amount after Calendar Year Deductible | 70% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $1,750, Family: $3,500 | Individual: $3,500, Family: $7,000 |
Great American — BlueEdge Individual HSA - Plan III
A comparison of the BlueEdge Individual HSA - Plan III 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 | 90% of Allowable Amount after Calendar Year Deductible | 70% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Great American — BlueEdge Individual HSA - Plan IV
A comparison of the BlueEdge Individual HSA - Plan IV 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 | 75% of Allowable Amount after Calendar Year Deductible | 60% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $1,150, Family: $2,300 | Individual: $2,300, Family: $4,600 |
Great American — BlueEdge Individual HSA - Plan V
A comparison of the BlueEdge Individual HSA - Plan V 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 | 75% of Allowable Amount after Calendar Year Deductible | 60% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $1,750, Family: $3,500 | Individual: $3,500, Family: $7,000 |
Great American — BlueEdge Individual HSA - Plan VI
A comparison of the BlueEdge Individual HSA - Plan VI 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 | 75% of Allowable Amount after Calendar Year Deductible | 60% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Great American — BlueEdge Individual HSA - Plan VII
A comparison of the BlueEdge Individual HSA - Plan VII 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 | 100% of Allowable Amount after Calendar Year Deductible | 100% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $3,500, Family: $7,000 | Individual: $7,000, Family: $14,000 |
Great American — BlueEdge Individual HSA - Plan VIII
A comparison of the BlueEdge Individual HSA - Plan VIII 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 | 100% of Allowable Amount after Calendar Year Deductible | 100% of Allowable Amount after Calendar Year Deductible |
| Office Visit | Deductible and Coinsurance | Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Great American — SelecTemp PPO - Plan I
A comparison of the SelecTemp PPO - Plan I 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 | 80% after deductible | 60% after deductible |
| Office Visit | 80% of Allowable Amount after deductible | 60% of Allowable Amount after deductible |
| Copay | N/A | N/A |
| Deductible | $500 Individual, $1,500 Family | $1,000, Individual, $3,000 Family |
Great American — SelecTemp PPO - Plan II
A comparison of the SelecTemp PPO - Plan II 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 | 80% after deductible | 60% after deductible |
| Office Visit | 80% of Allowable Amount after deductible | 60% of Allowable Amount after deductible |
| Copay | N/A | N/A |
| Deductible | $1,000, Individual, $3,000 Family | $2,000, Individual, $6,000 Family |
Great American — SelecTemp PPO - Plan III
A comparison of the SelecTemp PPO - Plan III 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 | 80% after deductible | 60% after deductible |
| Office Visit | 80% of Allowable Amount after deductible | 60% of Allowable Amount after deductible |
| Copay | N/A | N/A |
| Deductible | $1,500, Individual, $4,500 Family | $3,000, Individual, $9,000 Family |
Great American — SelecTemp PPO - Plan IV
A comparison of the SelecTemp PPO - Plan IV 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 | 80% after deductible | 60% after deductible |
| Office Visit | 80% of Allowable Amount after deductible | 60% of Allowable Amount after deductible |
| Copay | N/A | N/A |
| Deductible | $2,000, Individual, $6,000 Family | $4,000, Individual, $12,000 Family |
Great American — SelecTemp PPO - Plan V
A comparison of the SelecTemp PPO - Plan V 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 | 80% after deductible | 60% after deductible |
| Office Visit | 80% of Allowable Amount after deductible | 60% of Allowable Amount after deductible |
| Copay | N/A | N/A |
| Deductible | $2,500, Individual, $7,500 Family | $5,000, Individual, $15,000 Family |
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 | |
|---|---|---|
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| 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 | |
|---|---|---|
|
|
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| 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 | |
|---|---|---|
|
|
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| 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 | |
|---|---|---|
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|
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| 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 — PPO First Dollar 30
A comparison of the PPO First Dollar 30 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% 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, Specialist Visit: $40 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Copay | Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Deductible | Individual: $0, Family: $0 | Individual: $5,000, Family: $10,000 |
Great American — PPO First Dollar 40
A comparison of the PPO First Dollar 40 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 60% 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, Specialist Visit: $50 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Copay | Non-specialist Office Visit: $40 Copay, Specialist Visit: $50 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Deductible | Individual: $0, Family: $0 | Individual: $7,000, Family: $14,000 |
Great American — PPO 2500
A comparison of the PPO 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 | 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: $40 copay deductible waived (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: $40 copay deductible waived (unlimited visits). | Non-Specialist Office Visit: 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 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 1500
A comparison of the PPO Value 1500 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): Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits); Specialist Visit: Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits); Specialist Visit: Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $1,500, Family: $3,000 | Individual: $3,000, Family: $6,000 |
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 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 — Preventive and Hospital Care 3000 (HSA Compatible)
A comparison of the Preventive and Hospital Care 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 | 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): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Great American — PPO 3500
A comparison of the PPO 3500 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. | 60% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-specialist: $35 copay deductible waived, Specialist: $45 copay deductible waived | Non-specialist Office Visit: 70% after deductible, Specialist Visit: 70% after deductible |
| Copay | Non-specialist: $35 copay deductible waived, Specialist: $45 copay deductible waived | Non-specialist Office Visit: 70% after deductible, Specialist Visit: 70% after deductible |
| Deductible | Individual: $3,500, Family: $7,000 | Individual: $7,000, Family: $14,000 |
Great American — PPO 7500
A comparison of the PPO 7500 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: $45 Copay deductible waived (Unlimited visits), Specialist Visit: $50 Copay deductible waived (Unlimited visits) | Non-Specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit: $45 Copay deductible waived (Unlimited visits), Specialist Visit: $50 Copay deductible waived (Unlimited visits) | Non-Specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits) |
| Deductible | Individual: $7,500, Family: $15,000 | Individual: $10,000, Family: $20,000 |
Great American — PPO 750 with Medical $50K CYM
A comparison of the PPO 750 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 Visit: $50 Copay (Unlimited Visits) | Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits) |
| Copay | Non-Specialist Office Visit: $25 Copay (Unlimited Visits), Specialist Visit: $50 Copay (Unlimited Visits) | Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits) |
| Deductible | Individual: $750, Family: $1,500 | Individual: $1,500, Family: $3,000 |
Great American — PPO 1500 with Medical $50K CYM
A comparison of the PPO 1500 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 Visit: $50 Copay (Unlimited visits) 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: $1,500, Family: $3,000 | Individual: $3,000, Family: $6,000 |
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 First Dollar 30 with Dental
A comparison of the PPO First Dollar 30 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% 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, Specialist Visit: $40 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Copay | Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Deductible | Individual: $0, Family: $0 | Individual: $5,000, Family: $10,000 |
Great American — PPO First Dollar 40 with Dental
A comparison of the PPO First Dollar 40 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 | 60% 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, Specialist Visit: $50 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Copay | Non-specialist Office Visit: $40 Copay, Specialist Visit: $50 Copay | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Deductible | Individual: $0, Family: $0 | Individual: $7,000, Family: $14,000 |
Great American — PPO 2500 with Dental
A comparison of the PPO 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 | 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: $40 copay deductible waived (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: $40 copay deductible waived (unlimited visits). | Non-Specialist Office Visit: 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 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 1500 with Dental
A comparison of the PPO Value 1500 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 | Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. | Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible |
| Copay | Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. | Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible |
| Deductible | Individual: $1,500, Family: $3,000 | Individual: $3,000, Family: $6,000 |
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 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 — Preventive and Hospital Care 3000 (HSA Compatible) with Dental
A comparison of the Preventive and Hospital Care 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 | 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): Not covered; Specialist Visit: Not covered | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered; Specialist Visit: Not covered |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered; Specialist Visit: Not covered | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered; Specialist Visit: Not covered |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Great American — PPO 3500 with Dental
A comparison of the PPO 3500 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: $35 copay deductible waived, Specialist: $45 copay deductible waived | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Copay | Non-specialist: $35 copay deductible waived, Specialist: $45 copay deductible waived | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Deductible | Individual: $3,500, Family: $7,000 | Individual: $7,000, Family: $14,000 |
Great American — PPO 750 with Medical $50K CYM with Dental
A comparison of the PPO 750 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, deductible waived (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: $750, Family: $1,500 | Individual: $1,500, Family: $3,000 |
Great American — PPO 1500 with Medical $50K CYM with Dental
A comparison of the PPO 1500 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: $25 Copay (Unlimited visits), Specialist Visit: $50 Copay (Unlimited visits) | Non-Specialist Office Visit: 50% after deductible (Unlimited visits), Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit: $25 Copay (Unlimited visits), Specialist Visit: $50 Copay (Unlimited visits) | Non-Specialist Office Visit: 50% after deductible (Unlimited visits), Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $1,500, Family: $3,000 | Individual: $3,000, Family: $6,000 |
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 7500 with Dental
A comparison of the PPO 7500 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: $45 Copay deductible waived (Unlimited visits), Specialist Visit: $50 Copay deductible waived (Unlimited visits) | Non-Specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit: $45 Copay deductible waived (Unlimited visits), Specialist Visit: $50 Copay deductible waived (Unlimited visits) | Non-Specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits) |
| Deductible | Individual: $7,500, Family: $15,000 | Individual: $10,000, Family: $20,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier PPO
A comparison of the ExpressMed Premier PPO 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 | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier PPO
A comparison of the ExpressMed Premier PPO 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 | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier HSA PPO
A comparison of the ExpressMed Premier HSA PPO 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 | Subject to Deductible and Coinsurance | Subject to Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $5,600,Family: $7,500 | Individual: $11,200, Family: $15,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier HSA PPO
A comparison of the ExpressMed Premier HSA PPO 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 | Subject to Deductible and Coinsurance | Subject to Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $5,600,Family: $7,500 | Individual: $11,200, Family: $15,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier PPO
A comparison of the ExpressMed Premier PPO 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 | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier PPO
A comparison of the ExpressMed Premier PPO 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 | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier PPO
A comparison of the ExpressMed Premier PPO 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 | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier HSA PPO
A comparison of the ExpressMed Premier HSA PPO 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 | Subject to Deductible and Coinsurance | Subject to Deductible and Coinsurance |
| Copay | N/A | N/A |
| Deductible | Individual: $5,600,Family: $7,500 | Individual: $11,200, Family: $15,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — ExpressMed Premier PPO
A comparison of the ExpressMed Premier PPO 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 | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier PPO ($15,000 SL)
A comparison of the ExpressMed Premier PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, no Calendar Year Maximum | Subject to Deductible and Coinsurance |
| Copay | $50 | Subject to Deductible and Coinsurance |
| Deductible | $1,000 | $2,000 |
Great American — ExpressMed Premier Plus PPO ($15,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($15,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $3,500 | $7,000 |
Great American — ExpressMed Premier Plus PPO ($10,000 SL)
A comparison of the ExpressMed Premier Plus PPO ($10,000 SL) 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% | 50% |
| Office Visit | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Copay | $50 Copay, First 2 copays waived | Subject to Deductible and Coinsurance |
| Deductible | $1,500 | $3,000 |
Great American — Patriot Class 1
A comparison of the Patriot Class 1 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 | see brochure | see brochure |
| Copay | see brochure | see brochure |
| Deductible | see brochure | see brochure |
Great American — Patriot Class 3
A comparison of the Patriot Class 3 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 | see brochure | see brochure |
| Copay | see brochure | see brochure |
| Deductible | see brochure | see brochure |
Great American — Patriot Class 4
A comparison of the Patriot Class 4 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | N/A | N/A |
| Office Visit | ||
| Copay | ||
| Deductible | N/A | N/A |
Great American — Patriot Class 5
A comparison of the Patriot Class 5 offered by Great American is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | N/A | N/A |
| Office Visit | ||
| Copay | ||
| Deductible | N/A | N/A |
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 |
| 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 |
| 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 |
| 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 One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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: $25,000, Family: $75,000 |
Individual: $25,000, Family: $75,000 |
Great American — Generations One
A comparison of the Generations One 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 | ||