Zoe Pediatrics 2025 Proposal

Benefits Summary

Sidecar Health Employer (0/1500)

Sidecar Health Employer (0/2500)

The Core Details Deductible (Individual / Family)

$1,500 / $3,000 $1,500 / $3,000

$2,500 / $5,000 $2,500 / $5,000

Maximum Out-of-Pocket (Individual / Family) Balance Billing Protection on medical services Co-insurance Prescription drugs included HSA-compatible high deductible health plan Deductible Option

Included

Included

Embedded No Yes 0%

0% Yes

Embedded No

Sidecar Health Employer (0/1500)

Sidecar Health Employer (0/2500)

Additional coverage details

Prescription Drugs

$0/$0/$0

$0/$0/$0

Prescriptions (Generic/Brand Name/Specialty)

Professional Services

$0 $0 $0 $0 after deductible $0 after deductible $0 after deductible

$0 $0 $0

Primary Care Physician (PCP) Specialist (including mental health therapy visits) Preventive care exam Diagnostic x-ray and lab Complex diagnosis (MRI / CT Scan) Urgent Care

$0 after deductible $0 after deductible $0 after deductible

Hospital Services

$0 after deductible

$0 after deductible

Inpatient Outpatient surgery Emergency Room

$0 after deductible

$0 after deductible $0 after deductible

$0 after deductible

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