Plan Information and Benefits

Plan Information

AS OF DECEMBER 16, 2016

My Primary Care Team

AS OF DECEMBER 16, 2016
  • PRIMARY CARE PHYSICIAN

    Charles Stiegler, MD

    201-555-8600

    Last Visit 06/01/16
  • CARDIOLOGIST

    William Pugsley, MD

    201-555-7283

    Last Visit 08/14/16
  • ENT

    Leonard McCoy, MD

    201-555-3752

    Last Visit 01/7/01

Have a benefits question?

Just call your personal Health Advocate for clarity at 1-855-424-6400.

Medical Benefits

CareFirst

Plan

PPO Plan 2

Phone

1-877-691-5856

Website

carefirst.com

$571 spent

AS OF DECEMBER 16, 2016

Total deductible

$3,000

Deductible remaining

$2,429

Coinsurance

25%

Out of pocket maximum

$5,000

Out of pocket remaining

$4,429

Prescription Benefits

CVS/Caremark

Phone

1-800-241-3371

Website

caremark.com
AS OF DECEMBER 16, 2016

Standard co-pay

$8/$25/$40