Core Plan
20%
Coinsurance
$1,750 / $5,250
Individual/ Family Deductible
$6,000 / $12,000
Individual/Family Max Out-of-Pocket
$250 copay + 20%
Emergency Room Visit
Prescriptions
$10 Generic Drugs
$30 Preferred Brand
$60 Non-Preferred Brand
30% up to $200 Specialty Drugs
General Information
MultiPlan through APA
Phone: 1-888-624-6300
What is a PPO plan?
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.
PPO Plans
General Information
MultiPlan through APA
Phone: 1-888-624-6300
What is a PPO plan?
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.
PPO Plans
Enhanced Plan
20%
Coinsurance
$1,000 / $2,000
Individual/ Family Deductible
$5,000 / $10,000
Individual/Family Max Out-of-Pocket
$200 copay + 20%
Emergency Room Visit
Prescriptions
$10 Generic Drugs
$30 Preferred Brand
$60 Non-Preferred Brand
30% up to $200 Specialty Drugs
Core Plan
A PPO Plan with a $1,750 individual ($5,250 family) deductible after which you pay 20% of the cost for most services, with a $6,000 individual ($12,000 family) maximum out of pocket.
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Enhanced Plan
A PPO Plan with a $1,000 individual ($2,000 family) deductible after which you pay 20% of the cost for most services, with a $5,000 individual ($10,000 family) maximum out of pocket.
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About PPO Plans
Pharmacy Benefits
ProAct’s mail order program is a reliable, cost effective way to securely receive maintenance medications at the convenience of your doorstep. Setup your Mail Order profile online by clicking here or by calling 866-287-9885
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