MEDICAL COVERAGE
Insurance Carrier:
Angle Health Medical Insurance
In-Network Primary Care Visits
$20 Copay
Specialist Care Visits
$50 Copay
Urgent Care
$75 Copay
Emergency Room Care
Deductible; then $250 Copay
Preventative Visit Copay
$0
Advanced Imaging
Deductible & Coinsurance
Plan Coinsurance
80%
Employee Deductible
$3,000
Family Deductible
$6,000
Employee Out-of-Pocket Max
$5,000 (includes deductible)
Family Out-of-Pocket Max
$10,000 (includes deductible)
Inpatient Hospital
Deductible & Coinsurance
Outpatient Hospital or Facility
Deductible & Coinsurance
Out-of-Network Plan Coinsurance
50%
Employee Deductible
$6,000
Family Deductible
$12,000 $10,000 $20,000
Employee Out-of-Pocket Max
Family Out-of-Pocket Max
Prescription Drugs 30-day supply Tier 1 - Generic
$20 $60 $85
Tier 2 - Preferred
Tier 3 - Non-Preferred
Tier 4 - Specialty
Deductible; then 20% Coinsurance
Employee Bi-Weekly Deduction Employee Only
$140.58 $460.21 $402.09 $750.78
Employee + Spouse Employee + Child(ren)
Family
4 | Faced Facial Studio 2026 Benefits Guide
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