|
Examples of Services Covered |
Sample HMO Co-Payment |
Sample POS Co-Payment |
Atlantis Outpatient Center Co-Payment * |
Blood Work |
$15 |
$20 |
No co-payment |
Sonogram |
$15 |
$20 |
No co-payment |
Physical Therapy |
$15 |
$20 |
No co-payment |
EKG |
$15 |
$20 |
No co-payment |
Minor Local Surgery |
Lesser of 20% or $200 |
Lesser of 20% or $200 |
No co-payment |
Second Opinions |
$15 |
$20 |
No co-payment |
IV/ IM Therapy |
$15 |
$20 |
No co-payment |
Endoscopies |
$15 |
$20 |
No co-payment |
Pre-Surgical Testing |
$15 |
$20 |
No co-payment |
Office Visits |
$15 |
$20 |
No co-payment |
X-Rays |
$15 |
$20 |
No co-payment |
Echocardiogram |
$15 |
$20 |
No co-payment |
Vascular Studies |
$15 |
$20 |
No co-payment |
Holter Monitor |
$15 |
$20 |
No co-payment |
Spirometer |
$15 |
$20 |
No co-payment |
*Atlantis Outpatient Centers are owned and operated by physicians. Atlantis Health Plan has licensed the naming rights and logo of Atlantis Health Plan to the physician entity that owns and operates Atlantis Outpatient Centers.
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