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To calculate the base rate the co pays are as follows: Mental health coverage is limited to 60 days Copays are as follows: Acute inpatient

To calculate the base rate the co pays are as follows: Mental health coverage is limited to 60 days

Copays are as follows:
Acute inpatient care $150 per admission
Mental health inpatient care $150 per admission
Inpatient surgical services $150 per procedure
Emergency care $ 25 per visit
Primary physician care $ 15 per visit
Specialist physician care $ 10 per visit plus $10 PCP copay


2. For High Cost Premium Plan:
Mental health coverage is limited to 90 days.
There are no copays with this plan


3. For Low Cost Premium Plan
Mental health coverage is limited to 30 days.
Copays are as follows:
Acute inpatient care $250 per admission
Mental health inpatient care $250 per admission
Inpatient surgical services $250 per procedure
Emergency care $ 50 per visit
Primary physician care $ 25 per visit
Specialist physician care $ 20 per visit plus $20 PCP copay. 

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1 The base rate for mental health coverage is calculated by determining the total cost of all copays for a given duration For the first plan mental he... blur-text-image

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