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ANTEX – Generations One – VIRGINIA
A comparison of the Generations One offered by ANTEX is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
||
| Network | See Provider | See Provider |
| Application | Generations One Application | Generations One Application |
| Brochure | Generations One Brochure | Generations One Brochure |
| Copay | N/A | N/A |
| Office Visit | Deductible then coinsurance | Deductible then coinsurance |
| Deductible | Individual: $2,000, Family: $6,000 | Individual: $2,000, Family: $6,000 |
| Coinsurance | 50% | 30% |
| Coinsurance Limit | Generations One | Generations One |
| Out-of-Pocket Maximum | Generations One | Generations One |
| Lifetime Maximum | Maximum Benefit per Injury or Sickness/Covered Person- $1,000,000 or $2,000,000 | Maximum Benefit per Injury or Sickness/Covered Person- $1,000,000 or $2,000,000 |
| Prescription Drugs | Deductible then coinsurance | Deductible then coinsurance |
| Emergency Room | Generations One | Generations One |
| Adult Preventative Care | Deductible then coinsurance | Generations One |
| Child Preventative Care | Generations One | Generations One |
| Lab / X-Ray | Deductible then coinsurance | Deductible then coinsurance |
| Maternity | Generations One | Generations One |
| Physical Therapy | Generations One | Generations One |
| Skilled Nursing | Generations One | Generations One |
| Home Health Care | Generations One | Generations One |
| Mental Health | Generations One | Generations One |
| Hospital Care | ||
| Optional Benefits | ||