Vista Health Insurance in FLORIDA – Health Plan Options

Vista — Plan 10

A comparison of the Plan 10 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician- $10 Per Visit Specialty Physician- $25 Per Visit	Primary Care Physician- $10 Per Visit Specialty Physician- $25 Per Visit
Copay	Primary Care Physician- $10 Per Visit. Specialty Physician- $25 Per Visit.	Primary Care Physician- $10 Per Visit. Specialty Physician- $25 Per Visit.
Deductible	None	None

Vista — Plan 20A

A comparison of the Plan 20A offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician: $20 Per Visit Speciality Physician: $40 Per Visit	Primary Care Physician: $20 Per Visit Speciality Physician: $40 Per Visit
Copay	Primary Care Physician: $20 Per Visit Speciality Physician: $40 Per Visit	Primary Care Physician: $20 Per Visit Speciality Physician: $40 Per Visit
Deductible	None	None

Vista — Plan 30B

A comparison of the Plan 30B offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician: $30 Per Visit Speciality Physician: $50 Per Visit	Primary Care Physician: $30 Per Visit Speciality Physician: $50 Per Visit
Copay	Primary Care Physician: $30 Per Visit Speciality Physician: $50 Per Visit	Primary Care Physician: $30 Per Visit Speciality Physician: $50 Per Visit
Deductible	None	None

Vista — Plan IFD20 1000

A comparison of the Plan IFD20 1000 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit
Copay	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit
Deductible	$1,000	$1,000

Vista — Plan IFD30B 2500

A comparison of the Plan IFD30B 2500 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Copay	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Deductible	$2,500	$2,500

Vista — Plan IFD30B 5000

A comparison of the Plan IFD30B 5000 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Copay	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Deductible	$5,000	$5,000

Vista — C15-500

A comparison of the C15-500 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Deductible	$500	$500

Vista — C15-1000

A comparison of the C15-1000 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Deductible	$1,000	$1,000

Vista — C20-2500

A comparison of the C20-2500 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay
Copay	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay
Deductible	$2,500	$2,500

Vista — C30-5000

A comparison of the C30-5000 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay
Copay	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay
Deductible	$5,000	$5,000

Vista — Plan IFD20A 1000 OA

A comparison of the Plan IFD20A 1000 OA offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit
Copay	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit	Primary Care Physician- $20 Per Visit Specialty Physician- $40 Per Visit
Deductible	$1,000	$1,000

Vista — Plan IFD30B 2500 OA

A comparison of the Plan IFD30B 2500 OA offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Copay	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Deductible	$2,500	$2,500

Vista — Plan IFD30B 5000 OA

A comparison of the Plan IFD30B 5000 OA offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Copay	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit	Primary Care Physician- $30 Per Visit Specialty Physician- $50 Per Visit
Deductible	$5,000	$5,000

Vista — OAC15-500

A comparison of the OAC15-500 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Deductible	$500	$500

Vista — OAC15-1000

A comparison of the OAC15-1000 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay	Primary Care Physician- $15 Copay Specialist Office Visits- $30 Copay
Deductible	$1,000	$1,000

Vista — OAC20-2500

A comparison of the OAC20-2500 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay
Copay	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay	Primary Care Physician- $20 Copay Specialist Office Visits- $40 Copay
Deductible	$2,500	$2,500

Vista — OAC30-5000

A comparison of the OAC30-5000 offered by Vista is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay
Copay	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay	Primary Care Physician- $30 Copay Specialist Office Visits- $50 Copay
Deductible	$5,000	$5,000

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