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HA Platinum Premier National
Health Insurance Plan Details (2026 Plan)
by Health Advantage
Monthly Premium
POS
$ubsidy
Platinum
- Deductible
- $1,475 /yr
- Max Out-of-Pocket
- $2,050 /yr
Details
| Deductible (per individual) | $1,475 /yr |
| Deductible (per family) | $2,950 /yr |
| Max Out-of-Pocket (per individual) | $2,050 /yr |
| Max Out-of-Pocket (per family) | $4,100 /yr |
| Drug Deductible (per individual) | Included in Medical |
| Drug Deductible (per family) | Included in Medical |
| Drug Max Out-of-Pocket (per individual) | Included in Medical |
| Drug Max Out-of-Pocket (per family) | Included in Medical |
| Plan Type | POS |
| Includes Child Dental? | No |
| Includes Adult Dental? | No |
Out-of-Pocket Costs
| Preventive Care | No Charge |
| Primary Care Visit | $20 Copay |
| Specialist Visit | $75 Copay |
| Emergency Room | $575 Copay after deductible |
| Inpatient Facility | $575 Copay per Day after deductible |
| Inpatient Physician | 50% Coinsurance after deductible |
| Generic Drugs | $25 Copay |
| Preferred Brand Drugs | $85 Copay |
| Non-preferred Brand Drugs | $1,500 Copay |
| Specialty Drugs | $2,050 Copay |
Plan Documents
| Summary of Benefits and Coverage | SBC doc |
| Provider Directory | Doctor lookup |
| Drug Formulary List | drug list |
* Figures shown are only for in-network medical costs
** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible
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