Benefits Overview for Health Plans

This document is a benefits overview for various health plans, including the Preferred Provider Plan, Comprehensive Medical, and Health Plan Hawaii Plus. It outlines the member costs associated with different services under each plan, such as annual deductibles, copayments, and coinsurance for various medical services. The document details costs for preventive health exams, urgent care, emergency services, and outpatient visits, specifying the copayment amounts for doctor and specialist visits. It also includes information on inpatient hospital stays and associated costs for surgeries. Additionally, the document provides a summary of drug benefits, including copayment amounts for different tiers of medications and the maximum out-of-pocket costs for members. Vision care benefits are also summarized, detailing copayments for eye exams, lenses, and frames. Key terms related to the benefits are defined to clarify the terms used in the document. Overall, it serves as a comprehensive guide to understanding the costs and coverage of health services.