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Safe, Secure & Absolutely FreeAmerican Community – Community Flex 80 – IOWA
A comparison of the Community Flex 80 offered by American Community is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
||
| Network | See Provider | See Provider |
| Application | Community Flex 80 Application | Community Flex 80 Application |
| Brochure | Community Flex 80 Brochure | Community Flex 80 Brochure |
| Copay | N/A | N/A |
| Office Visit | In-Network: Deductible, then 80% | In-Network: Deductible, then 80% |
| Deductible | In-Network:Individual: $3,500, Family: $7,000 | In-Network:Individual: $3,500, Family: $7,000 |
| Coinsurance | In-Network: 80% coinsurance | In-Network: 80% coinsurance |
| Coinsurance Limit | Community Flex 80 | Community Flex 80 |
| Out-of-Pocket Maximum | Community Flex 80 | Community Flex 80 |
| Lifetime Maximum | $5,000,000 per person | $5,000,000 per person |
| Prescription Drugs | Discount Drug Card Only | Discount Drug Card Only |
| Emergency Room | ||
| Adult Preventative Care | In-Network: Deductible, then 80% ($1,000 paid limit per person per CY on specific services). | Community Flex 80 |
| Child Preventative Care | Community Flex 80 | Community Flex 80 |
| Lab / X-Ray | Deductible, then 80% | Deductible, then 80% |
| Maternity | Community Flex 80 | Community Flex 80 |
| Physical Therapy | Community Flex 80 | Community Flex 80 |
| Skilled Nursing | Skilled Nursing Facility- Subject to deductible and coinsurance (60 days per family member per Calendar Year) | Skilled Nursing Facility- Subject to deductible and coinsurance (60 days per family member per Calendar Year) |
| Home Health Care | Community Flex 80 | Community Flex 80 |
| Mental Health | Community Flex 80 | Community Flex 80 |
| Hospital Care | In-Network: |
In-Network: |
| Optional Benefits |
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