Arise Health Plan
WPS HMO Silver $4,500 | Select Network
Plan Overview
Medical Deductible |
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Prescription Drug Deductible |
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Combined Medical and Drug Out of Pocket Maximum |
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Office Visit
Primary Doctor |
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Specialist |
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Prescription Drug Information
Preferred Brand Drugs |
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Non Preferred Brand Drugs |
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Generic Drugs |
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Specialty Drugs |
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Inpatient Coverage
Hospital Services |
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Inpatient Services |
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Emergency and Urgent Care
Emergency Room |
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Urgent Care Facility |
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Maternity
Labor and Delivery Hospital Stay |
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Pre and Postnatal Office Visit |
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Vision
Routine Eye Exams For Children |
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Major Dental Care
Routine Dental Checkups for Children |
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Major Dental Care - Child |
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