Flex Deductible Programs maintains a copay schedule for network office visits and outpatient care. These copays apply to all Flex Deductible Programs options.
| Office/Outpatient Care | |
|---|---|
| Doctor's Office Visits | |
| Primary and OB/GYN Care | $20 |
| Specialist | $40 |
| Physical/Occupational Therapy | |
| (30 visits per cal. year) | $40 |
| Spinal Manipulations and Speech Therapy | |
| (20 visits each per cal. year) | $40 |
| Cardiac and Pulmonary Rehabilitation | |
| (36 sessions each per cal. year) | $40 |
| X-Ray/Radiology/Diagnostics | |
| Routine Radiology | $40 |
| MRI/MRA, CT Scans, PET Scans* | $80 |
| Injectable Medications | |
| Standard Injectables | $0 |
| Biotech/Specialty Injectables* | $100 |
| Lab/Pathology | |
| Copayment: | $0 |
Coinsurance is based upon Plan allowance and reflects amount paid by the Plan.
* Pre-authorization required for certain services.