Is a CoventryOne $20 CoPay Plan right for you?

Sample of benefits for the $500, $1,000, $2,000, $3,000, $4,000, and $5,000 deductible Plans:

• $20 CoPay for Primary Care doctor's office visits (unlimited)
  
• 100% Coverage for Preventive Care
  
• $55 CoPay for Specialist doctor's office visits (unlimited)
  
• $10 CoPay for Chiropractic visits (24 visit annual max)
  
• $20 CoPay for Dental Cleanings (1 every 6 months, other fees may apply- must use Dentist in the CoventryOne Delta Dental Network)
  
• $15 CoPay for Vision Exam (1 every 12 months)
  
• $250 CoPay for Emergency Room visit
  
• $55 CoPay for Urgent Care visit
  
• 100% Coverage for mammograms
  
• Out of Pocket Maximum In Network: Deductible + $2500
  
• Unlimited lifetime benefit
  
• 11 month minimum rate guarantee
• Mail Order Rx Available
  
• No Maternity Coverage
  
  Prescription Drug Card featuring: 
  
• $10 CoPay for preferred generic drugs with NO drug deductible
• $35 CoPay for preferred brand name drugs after you meet a $100 drug deductible for the $500 deductible plan, a $250 drug deductible for the $1000-$4000 deductible plans, and a $500 drug deductible for the $5000 deductible plan.
• $50 CoPay for non-preferred brand name drugs and a few non- preferred generic drugs after you meet a $100 drug deductible for the $500 deductible plan, a $250 drug deductible for the $1000-$4000 deductible plans, and a $500 drug deductible for the $5000 deductible plan.