Medica Quest Catastrophic

Plan Type: PPO
Plan Tier: Catastrophic
Medical Deductible - Individual: $7,900
Medical Deductible - Family: $15,800
Drug Deductible - Individual: Included in Medical
Drug Deductible - Family: Included in Medical
Out of Pocket Max - Individual: $7,900
Out of Pocket Max - Family: $15,800
Primary Care Visit: $30 Copay with deductible
Specialist Visit: No Charge after Deductible
Emergency Room: No Charge after Deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: No Charge after Deductible
Link to Full SBC: http://portal.medica.com/visitor/sbcsearch/docdisplay?plancode=1QCOK&uid=FFM
Plan Brochure: https://www.medica.com/2019QuestOK

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: No Charge after Deductible
Non-Preferred Brand Drugs: No Charge after Deductible
Preferred Brand Drugs: No Charge after Deductible
Specialty Drugs: No Charge after Deductible
Link to Full Policy Formulary: https://www.medica.com/DrugList

About The Carrier

Medica’s mission is to the trusted health plan of choice for customers, members, partners, and our employees, and to be trusted in the community for our unwavering commitment to high-quality, affordable health care.

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