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← Back to All Plans EPO with Enhanced Pharmacy – In-Network Only

1000 EPO Rx Plus

Same core EPO design as the 1000 EPO plan, upgraded with brand-name prescription coverage for members who take maintenance medications.

Annual Deductible (Ind / Family)
$1,000 / $2,000
Out-of-Pocket Max (Ind / Family)
$10,600 / $21,200
Network
In-network only (except true emergencies)
BenefitWhat You Pay
Primary Care Visit$50 copay after deductible
Specialist Visit$75 copay after deductible
Urgent Care$100 copay after deductible
Telemedicine (MYMDNOW)$0 copay, unlimited visits
Emergency Room$1,000 copay after deductible

Prescription Drug Benefits

Drug TierWhat You Pay
Rx Preventive / Maintenance$0 copay
Retail Generic Rx$0 copay
Preferred Brand Name Drugs$65 copay
Non-Preferred Brand Name Drugs$95 copay
Specialty DrugsNot covered (patient assistance programs may be available)
This is an in-network-only plan. This plan does not include a dental benefit.

Want the Full Plan Details?

This page summarizes the key benefits only. For the complete Summary of Benefits, exclusions, and plan documentation, return to your plan overview page and schedule time with the benefits advisor affiliated with your association.

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