How the Plan WorksFlex Deductible ProgramsFOUR STEPS TO BUILDING YOUR FLEX DEDUCTIBLE PLAN1. Choose a health planOur most popular and newest health plans are available: AmeriHealth HMO or Direct POS. The Flex Deductible Programs maintains a copay schedule for office visits and outpatient care. These copays apply to all Flex Deductible Programs options — $20 for primary care/$40 for specialist care. View copay schedule. 2. Select a deductible for facility/ancillary careThe deductible applies to hospital services, outpatient surgery, and emergency room care. Select from four levels of coverage. View facility/ancillary deductible options. 3. Select the network coinsurance level for facility/ancillary careThe coinsurance applies to hospital services, outpatient surgery, and emergency room care. Select from two levels of coinsurance and out-of-pocket maximums. View network coinsurance options.. Our Direct POS plan allows members to access care out-of-network. All Flex Deductible plans use the same cost-sharing schedule for out-of-network benefits. View cost-sharing schedule. 4. Select prescription drug, dental, vision, and life benefitsOptional benefits round off a benefits package. Three prescription drug formulary options are offered through our Select Drug Program®. View Select Drug Program options. |