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Benefits Summary

Keystone Health Plan East HMO

There are six different Individual HMO options, including three copay and three deductible plans. For more details on a single plan, click the plan name.

Medical Plan Benefit
Plan Office Visit Specialist Visit Hospitalization
PDF icon HMO 5000 Deductible $30 $50 30%, after deductible
PDF icon HMO 2500 Deductible $30 $50 30%, after deductible
PDF icon HMO 1500 Deductible $30 $50 30%, after deductible
PDF icon HMO 20 Copay $20 $30 $400 copay per day; max. 5
copays/admission ($2,000)
PDF icon HMO 15 Copay $15 $25 $200 copay per day; max. 5
copays/admission ($1,000)
PDF icon HMO 10 Copay $10 $20 $100 copay per day; max. 5
copays/admission ($500)