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OHO Test Page
HMO Plan Max

HMO
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Enter your zip code to see the plan premium.
Per Month
Enroll Now in OHO TEST PAGE: HMO Plan Maximum
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$0
Medical Deductible
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$0 - $10
Doctor Copay
per visit
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$45
Specialist Copay
per visit
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Dental Option

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Drug Coverage Heading

Tier 1 - Preferred Generic Drugs

Copays (30-day Retail / 90-day Mail Order)
$0 / $0
Deductible
$0

Tier 2 - Generic Drugs

Copays (30-day Retail / 90-day Mail Order)
$4 / $8
Deductible
$0

Tier 3 - Preferred Brand Drugs

Copays (30-day Retail / 90-day Mail Order)
$47 / $94
Deductible
$250

Tier 4 - Non-Preferred Drugs

Copays (30-day Retail / 90-day Mail Order)
$100 / $300
Deductible
$250

Tier 5 - Specialty Drugs

Copays (30-day Retail / 90-day Mail Order)
28% of cost / N/A
Deductible
$250

Tier 6 - Vaccines

Copays (30-day Retail)
$0
Deductible
$0
THP_Icon_Vaccine_rgb_blue_orange_Vaccine.png

Tier 7 - Insulin

Copays (30-day Retail / 90-day Mail Order)
Retail Copay Insulin / Mail Order Copay
Deductible
Deductible

Medical Coverage Heading

Out-of-Pocket Maximum

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Physical and Wellness Visit

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Routine Vision Exam

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Routine Hearing Exam

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Laboratory Services

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X-Rays

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Diagnostic Procedures

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Diagnostic Radiology Services

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Outpatient Surgery

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Physical, Occupational, and Speech Therapy

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Cardiovascular Screening

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Cancer Screening (Colorectal, Prostate, Breast)

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Urgent Care

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Emergency Room Visits

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Inpatient Hospital Coverage

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Ambulance Rides and Services

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Additional Benefits Heading

Embedded Dental Benefit

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Hearing Aid Benefit

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Eyewear Benefit

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Weight Management Programs

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Wellness Allowance

Integer posuere erat a ante venenatis dapibus posuere velit aliquet. Cras justo odio, dapibus ac facilisis in, egestas eget quam. Fusce dapibus, tellus ac cursus commodo, tortor mauris condimentum nibh, ut fermentum massa justo sit amet risus.