Wellpoint

Wellpoint Essential Catastrophic 9200 (+ Incentives)

Plan Overview

Medical Deductible
  • Individual: $9,200
  • Family: $18,400
  • Per Person: $9,200
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $9,200
  • Family: $18,400
  • Per Person: $9,200
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $40.00 Copay

Prescription Drug Information

Generic Drugs
  • Standard: 0.00% Coinsurance after deductible

Inpatient Coverage

Hospital Services
  • Standard: No Charge after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: No Charge after deductible
Coverage provided by Wellpoint Maryland, Inc.