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HSA Comprehensive Major Medical PPO 2500


The HSA Comprehensive Major Medical (CMM) PPO 2500 plans offers comprehensive coverage for everything from inpatient care to outpatient care, laboratory tests and x-rays to diagnostic office visits. This plan has $2,500 deductible for an individual or a $5,000 deductible for a family. Once your full deductible is met, the plan pays 80% of your covered benefits for general services in-network and you pay the remaining 20% as your copayment. There is an additional 20% copayment required for out-ofnetwork services. The maximum you'll pay in copayments for general in-network services is $1,000 per calendar year. At that point, the plan pays 100% of your covered benefits for general in-network services for the remainder of that calendar year.

Blue Preferred PPO network

When you belong to our HSA CMM-PPO plan, you'll have an entire network of more than 16,000 Blue Preferred Provider Organization (PPO) physicians and more than 140 hospitals in Michigan available to you to get the best benefits at the best price. The network also extends nationwide for those who travel out of state. Most services are also covered if you choose to use a provider who is not in the PPO network, however, you will be responsible for higher copayments, and some services may not be covered.



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