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Planes Medicos



Planes Médicos
Planes Medicos de la reforma de Salud Gratis o a precios asequibles*
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Planes médicos

Su salud no es un juego. No espere a sentirse enfermo para tratar de obtener un plan médico. SegurodeVidaMiami le ofrece la mas amplia lista de ofertas de planes médicos, trabajamos con las principales compañías de seguros médicos. Nuestros planes medicos están a disposición de individuales y empresas, tambien ofrecemos planes medicos de medicare para las personas de la tercera edad. Tenemos un servicio completo en línea para obtener la mas acertada información y comparar los distintos planes médicos, podra obtener un rápido presupuesto en línea.

- Los planes médicos y sus beneficios pueden confundirle pero nosotros le ayudaremos a encontrar el plan adecuado para usted y su familia.

- Lo ensenaremos a usar las diferentes herramientas que ofrecen los seguros medicos como buscar en el directorio de médicos para encontrar a un doctor en su área.

- Podra comparar varias companias de planes medicos sus costos, características y beneficios disponibles para distintos planes.

- Nuestro interes profesional por su satisfacion y no descansaremos hasta conseguirle el plan medico más adecuado para su presupuesto y necesidades, basándose en la cobertura, deducibles y doctores en su zona.

- Obtendra una constante atención al cliente para satisfacer sus necesidades de planes médicos actuales y futuros. Nuestros agentes están disponibles por teléfono, tambien puede cotizar por medio del internet. 

Si no puede obtener un Seguro Medico debido a sus altos Costos o ha sido declinado de las Companias de Seguros Medicos.
Obtenga un Plan Medico Economico. No cualquier plan medico del mercado Obtenga el Mejor Plan Medico con Companias como Preferred Medical Plan/
Medi-Flex o el Plan Medico de Blue Cross Blue Shield / GoBlue
.
Podra estar  cubierto en solo 48 horas. Si escucho bien en solo 48 horas ya podra visitar un doctor.
Para mas informacion  Llame  Ya 1 888 859 5654 ( No restriccion de edad ni necesita Social Security )

Preferred Medical Plan / MEDI-FLEX PLAN B

 Preferred Medical Plan el HMO mas antiguo de la Florida ahora ofrece mas flexiblidad y economia con los nuevos Planes Medicos Medi-Flex una alternativa dirigida a ofrecer un servicio primario de primera calidad con los doctores y centros medicos de esta reconocida compania de seguros medicos de el Sur de la Florida. Poder obtener cobertura medica con precios fijos de $41 al mes solo 4 preguntas que responder . Los planes medicos Medi-Flex te ayudaran a poder brindar un servicio de alta calidad para usted y su familia. Obtenga mas informacion LLamando a 1 888 859 5654

 

Plan Medico Basico y Plus con Centros de Urgencias / BASIC & PLUS WITH URGENT CARE

 

 

SUMMARY OF BENEFITS AND COPAYMENTS OUTPATIENT SERVICES

  Sumario de Beneficios y copagos

 

COPAYMENTS

Copagos 

Primary Care Physician Office Visits    

 Visitas a los Medicos de Cabeceras

          

$10 per visit / Por Visita

 

 

Primary Care Physician Well Child Care            

Cuidados Primarios para ninos

 

$10 per visit / Por Visita

 

 

Periodic Health Assessments and Exams

Examenes Periodicos 

 

No Charge / No Cargo

 

 

Specialty Care Physician Visits

Visitas a Especialistas

(NOT included in BASIC Plan)
(NO incluido en el Plan Basico)
 

$40 per visit up to five (5) visits per year

 

5 visitas por Ano

 

Preventive Care

Cuidados Preventivos

 

No Charge / Sin cargo

 

 

Mammograms

 

Mamografias

 

$30 per test / por Examen

 

 

Vision and Hearing Screenings

Pruebas de Audicion y Vision  

 

No Charge / Sin cargo

 

 

Health Education; Nutritional; and Family Planning Counseling

Consejeria de Educacion para la Salud, Nutricion y Planeamiento de Familia

 

No Charge / Sin Cargo

 

 

Ultrasound/Sonograms

 

Ultrasonidos /Sonogramas

 

$25 per test / Por Pruebas

 

 

Routine Immunizations and Vaccinations

 

Immunizacion y Vacunacion de Rutina

 

Copays vary between $5 - $40 / Copagos Varian de $5 a $40

 

 

Routine X-Rays

 Rayos X

 

$25 per test   / Por Pruebas

 

 

Contract X-Rays

 Rayos X

 

$50 per test / Por Pruebas

 

 

Echocardiogram/Doppler

 

Echocardiograma / Doppler

 

$75 per test / Por Prueba

 

 

Plain Stress Test

 

Prueba Simple de Esfuerzo

 

$100 per test / Por Prueba

 

 

EKG

Electro Cardiogramas 

 

$25 per test / Por Prueba

 

 

Routine Laboratories

Laboratorios de Rutinas 

 

No Charge / Sin Cargo

 

 

Other Laboratories

Otros Laboratorios

 

50% of PMP Negotiated Rate / 50% de los precios negociados para el Plan Medico por PMP

 

 

Routine Pap Smear

 Papanicolaus

 

$10 per test /Por Prueba

 

 

CT Scans

 Scanes de Contrastes

 

$200 per test / Por Prueba

 

 

MRIs

 

 

$300 per test / Por Prueba

 

 

PRESCRIPTION DRUGS

Medicinas

 

Up to $10 per generic drug / hasta $10 solo medicina Generica

 

 

Only those generic drugs listed on Medi-Flex Plan Formulary and written by contracted providers listed in the Medi-Flex Contracted Providers Directory.

 Solo las medicinas genericas listadas en el Formulario de Plan Medico Medi flex y deben ser ofrecidas por proveedores contratados por el directorio del plan Medi Flex

 

For up to a 31-day supply maximum per month / un maximo de 31 de medicina por mes

 

 

Not to exceed $100 per month and $600 per year / No excederan $100 por mes un maximo de $600 por ano

 

 

URGENT CARE AND SERVICES (NOT included in BASIC Plan)

 Servicios de Urgencias (No estan incluidos en el Plan Basico )

 

$50 per visit up to three (3) visits per year and

not to exceed $250 paid by PMP per day    / $50 por visita un maximo de 3 visitas por ano y no excedera $250 por dia pagado por la Compania PMP        

 

 

OPTIONAL RIDERS AVAILABLE / Servicios Opcionales

 

 

Eyeglasses

Espejuelos

 

$10 copayment / Copago

 

 

Dental

 

 

See Dental Brochure / Pida un Resumen de Beneficios.

 

 

The sum of all copayments will not exceed $5000 per member per calendar year, except these limits are not applicable to copayments for prescriptions and any coverage provided through selection of an Optional Rider. These Medi-Flex Plans are not health maintenance organization (HMO) plans or products. Preferred Medical Plan, Inc. does not own or operate any medical clinics or facilities. Covered services and benefits are provided directly by or arranged by the member’s primary care physician and/or other contracted health care providers. The contracted healthcare providers and independent contractors are not employees or agents of Preferred Medical Plan, Inc. This is not a contract. For detailed information on benefits, exclusions, limitations, places of service, and copayments, refer to the applicable Preferred Medical Plan, Inc. Medi-Flex Plan Evidence of Coverage and any relevant, corresponding endorsements                

 

Blue Cros Blue Shield de la Florida / Plan Medico GoBlue


El plan medico GoBlue ofrece economia y servicios al alcance de todos con pagos mensuales desde $58 al mes

Medicos de Cabeceras especialistas y centros de Urgencias

Genericas y de Marcas (Medicinas )
Laboratorios sin costo alguno por medio de Quest Diagnosticos.

Dental, 
 Limpieza Dental mas un Rayos X

 

Office Services, Convenient Care Centers

Includes coverage for services such as:
Sick visits, routine preventive care for adults and children, allergy testing and injections, outpatient surgery
In- or Out-of-Network

Plan pays $50 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays $50 or the Allowed Amount (whichever is lower) and and you the balance

Preventive Care

Mammograms (including Independent Diagnostic Testing Facility (IDTF) or outpatient hospital)
In- or Out-of-Network

(including Independent Diagnostic Testing Facility (IDTF) or outpatient hospital)In- or Out-of-Network

Plan pays $50 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays $50 or the Allowed Amount (whichever is lower) and and you the balance

Osteoporosis screening, diagnosis and treatment
(including IDTF or outpatient hospital)
In- or Out-of-Network

(including IDTF or outpatient hospital)In- or Out-of-Network

Plan pays $50 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays $50 or the Allowed Amount (whichever is lower) and and you the balance

Diabetes Outpatient Self Management (including outpatient hospital)
In- or Out-of-Network

Plan pays $50 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays $50 or the Allowed Amount (whichever is lower) and and you the balance

Prescription Drug Program

Prescription Drugs (Generic & Brand)
In- or Out-of-Network

Plan pays $5 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays $15 or the Allowed Amount (whichever is lower) and and you the balance

Urgent Care Centers

In- or Out-of-Network

Plan pays $50 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays $50 or the Allowed Amount (whichever is lower) and and you the balance

Independent Clinical Lab

In-Network
Out-of-Network

Plan pays 100%, and the member pays $0.
Plan pays $50 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays 100%, and and you $0.
Plan pays $50 or the Allowed Amount (whichever is lower) and and you the balance

Dental Coverage

Preventive and Basic Dental Services
Includes coverage for services such as routine oral exams and cleanings 2 times/yr, bitewing x-rays once/yr, and fluoride for children 2 times/yr. Plus, complete mouth or panoramic x-ray once in 36 months, repair of broken dentures, fillings, routine tooth extractions, sealants for children.
In- or Out-of-Network

Includes coverage for services such as routine oral exams and cleanings 2 times/yr, bitewing x-rays once/yr, and fluoride for children 2 times/yr. Plus, complete mouth or panoramic x-ray once in 36 months, repair of broken dentures, fillings, routine tooth extractions, sealants for children.In- or Out-of-Network

Plan pays $50 or the Allowed Amount (whichever is lower) and the member pays the balance

Plan pays $50 or the Allowed Amount (whichever is lower) and and you the balance

GoBlue is a limited benefit plan that has limitations and exclusions. NetworkBlue is one of our Preferred Provider Networks made up of independent hospitals, physicians and ancillary providers.

This Benefit Summary is only a partial description of the many benefits and services provided or authorized by Blue Cross and Blue Shield of Florida, Inc., an independent licensee of the Blue Cross and Blue Shield Association. This does not constitute a Contract. For complete details, including a complete description of benefits and exclusions, please refer to the GoBlue Limited Benefit Plan for Individuals Under 65 Non-Group Contract.

Obtenga un presupuesto para un Plan Médico GRATIS

_ Cotizacion por medio del Internet, puede comparar planes medicos, aprenda todo lo qué tiene que tener en cuenta para obtener un plan medico que se ajuste a sus necesidades, le daremos respuestas a sus preguntas y le ayudaremos a obtener un presupuesto.

_ Por Telefóno. Usted pueda llamar a SegurodeVidaMiami al 1-888-859-5654.





Coventry Health Plan Florida 
Seguros Medicos en Florida - FL










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