Questions
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What is the total cost Peg would pay for having a baby?
150
SBC2
Who can be contacted for grievances and appeals?
Contact Narendra Modi
SBC2
What is the cost coverage for pregnancy and childbirth services?
The plan covers the total cost of pregnancy and childbirth services, including office visits, professional services for childbirth/delivery, and facility services for childbirth/delivery, for in-network services. However, a 20% co-insurance applies for out-of-network services.
SBC2
What is the percentage of cost covered for preferred brand drugs?
The cost for preferred brand drugs is $30 for a 34-day supply or $60 for a 90-day supply. The percentage of the cost covered by the plan would depend on the total cost of the drugs, but the individual's cost would not exceed the stated amounts-B
SBC2
What is the OMB control number and expiration date for HHS?
0939-1148 and 11/31/2021-B
SBC2
What percentage of the cost does the plan cover for mental health, behavioral health, or substance abuse services?
The plan covers the total cost for both outpatient and inpatient services related to mental health, behavioral health, or substance abuse for in-network services. However, a 20% co-insurance applies for out-of-network services.
SBC1
What is the plan type?
PPO
SBC1
What is the cost coverage for a hospital stay under the plan?
The plan covers the total costs associated with a hospital stay, such as the facility fee for the hospital room and the physician/surgeon fees, for in-network services. However, a 20% co-insurance applies for out-of-network services.
SBC1
What is the airspeed velocity of an unladen swallow?
I can't answer your question as I am trained to answer SBC related information, if you have a question in that direction please feel free to ask your query.
No Label
Are there any services that the plan does not cover?
Yes
SBC2
What services does the plan cover before the deductible is met?
The plan covers certain items and services even before the deductible is met. However, a copayment or coinsurance may apply. For instance, the plan covers specific preventive services without cost-sharing and before the deductible is met. A comprehensive list of covered preventive services is available on the healthcare.gov website.
SBC1
What costs are not included in the out-of-pocket limit?
The out-of-pocket limit does not include premiums, balance-billed charges, any pharmacy penalty, and health care that the plan doesn聮t cover. While these expenses are paid by the individual, they do not count toward the out-of-pocket limit.
SBC2
What is the coverage period?
Beginning on or after 01/01/2021-B
SBC2
What is the weather like in Paris today?
I can't answer your question as I am trained to answer SBC related information, if you have a question in that direction please feel free to ask your query.
No Label
What is the cost of emergency room care?
250
SBC2
Can you see a specialist without a referral?
No
SBC2
What is the cost for non-preferred brand drugs?
20 for 44-day supply/ 40 for 100-day supply
SBC2
What is the cost for home health care?
No charge
SBC1
Does the plan cover services before you meet your deductible?
No
SBC2
Is cosmetic surgery covered?
No
SBC1
What percentage of the cost is covered for in-network specialist visits?
In-network specialist visits require a $20 co-pay, after which the plan covers the remaining cost. The exact percentage covered by the plan would depend on the total cost of the visit, but the individual's cost would not exceed the $20 co-pay.
SBC1
What is the cost for specialty drugs?
20 for 44-day supply/ 40 for 100-day supply
SBC2
What is the cost for diagnostic tests such as x-rays and blood work?
No charge
SBC1
How are preventive care, screenings, and immunizations covered?
Preventive care, screenings, and immunizations are covered without charge under the plan. This means that individuals can access these services without having to meet the deductible and without any cost-sharing.
SBC1
What is the population of New York City?
I can't answer your question as I am trained to answer SBC related information, if you have a question in that direction please feel free to ask your query.
No Label
Who won the World Series in 1987?
I can't answer your question as I am trained to answer SBC related information, if you have a question in that direction please feel free to ask your query.
No Label
What is the cost for rehabilitation services?
No charge
SBC2
What is the cost for a physician's visit during a hospital stay?
No charge
SBC1
What is the overall deductible for this plan?
The overall deductible for in-network services is $100 for an individual and $200 for a family. For out-of-network services, the deductible is $250 for an individual and $500 for a family.
SBC1
What is the cost for primary care and specialist visits?
No charge
SBC2
Who won the Nobel Prize in Literature in 2010?
I can't answer your question as I am trained to answer SBC related information, if you have a question in that direction please feel free to ask your query.
No Label
Are children's glasses covered?
Yes
SBC2
How much is the co-pay for a primary care visit?
20
SBC1
What percentage of the cost is covered for in-network specialist visits?
In-network specialist visits require a $30 co-pay, after which the plan covers the remaining cost. The exact percentage covered by the plan would depend on the total cost of the visit, but the individual's cost would not exceed the $20 co-pay.
SBC2
What is the cost for home health care?
No charge
SBC2
What is the total cost Peg would pay for having a baby?
100
SBC1
What is the role of the Glossary in understanding the health plan?
The Glossary plays a crucial role in helping individuals understand common terms related to health plans. It provides definitions for terms such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, and other underlined terms. This aids in understanding the terms of coverage, cost-sharing, and other aspects of the health plan.
SBC2
How much is the co-pay for a primary care visit?
80
SBC2
What is the current exchange rate between the US dollar and the Euro?
I can't answer your question as I am trained to answer SBC related information, if you have a question in that direction please feel free to ask your query.
No Label
What is the cost for non-preferred brand drugs?
40 for 34-day supply/ 80 for 90-day supply
SBC1
How much does the plan cover for diagnostic tests such as X-rays and blood work?
The plan covers the total cost of diagnostic tests such as X-rays and blood work for in-network services. However, a 30% co-insurance applies for out-of-network services.
SBC2
Are children's eye exams covered?
No
SBC2
What is the cost of outpatient surgery?
Outpatient surgery, including the facility fee and physician/surgeon fees, is covered without charge under the plan for in-network services. However, a 20% co-insurance applies if the services are provided out-of-network.
SBC1
What is not included in the out-of-pocket limit?
Everything Covered
SBC2