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| Unicare | Aetna | |
| co-pay for doctor visits |
$30 for all plans possessing co-pay feature |
from $25 to $40 based on deductible |
|
x-ray and lab in doctor's office |
subject to deductible and coinsurance |
included in co-pay if billed by doctor |
| rates for smokers | non-smoker rates + 40% | same as non-smokers |
|
retail drug card co-pay (all plans) |
$10 generic/ $25 name brand |
$15 generic/$25 name
brand/ $40 non-formulary |
|
separate drug card deductible |
applies on all plans,
rises w/ basic calendar year deductible |
applies on all plans,
rises with basic calendar year deductible |
| child immunizations | 100% paid to age 7 on all plans | 100% paid to age 7 on all plans |
|
in-network coinsurance after deductible |
80% on all plans w/
$1,000 deductible or less, 75% all others |
80% on all plans |
| lifetime maximum benefit | $5,000,000 | $5,000,000 |
| key exclusions |
maternity, alcohol, substance abuse, drug abuse |
maternity, alcohol, substance abuse, drug abuse |
| view PPO providers | click here | click here |
|
view carrier- prepared outlines |
click here | click here |
| view rates | click here | click here |
| view application | click here | click here |
| apply online | click here | click here |