Cubierto al 100%
de las tarifas contratadas
después del copago de 10$
Montura y Receta
Cubierto 1 par por suscriptor hasta $150 por año contrato. Cubierto por reembolso
Dental Coverage
Diagnosis, prevention, and dental treatments
Exámen Oral Periódico
Cubierto cada 6 meses
Restaurativo
30%
Endodoncia
30%
Restauraciones Temporera (Coronas)
50%
Cirugía Oral
30%
Note: This is a summary of benefits. Consult your plan documents for complete information. Copayments and coinsurance are subject to the annual maximum limit.
Benefit / Service Category
Emergency Services
Immediate emergency care
Red Preferida / Otras Facilidades
Accidente
$0
Enfermedad
$50
Hospitalization
Hospital stays and inpatient care
Total incluyendo Salud Mental
$0 Red Preferida
$100 Otras Facilidades
Parcial Salud Mental
$0 Red Preferida $75 Otras Facilidades
Outpatient Services
Consultations and treatments without hospitalization
Generalista
$8
Specialist
$12
Sub-Especialista
$18
Siquiatría
$12
Sicólogo
$12
Qiropráctico
Copago de $12 Limitado
a 20 sesiones por año. (Combinadas con las terapias físicas)
Nutricionista
$12 de copago, hasta 12 visitas por contrato
Laboratorios y Rayos X
0% Red Preferida
30%Otras Faciliddes
Estudios Especializados
Diagnostic tests and medical studies
CT Scan
40%
Sonogramas
0% Red Preferida
40% Otras Facilidades
STRESS Test, Electrocardiograma, Estudios Neurológicos
40%
MRI, MRA
40%
Limitado a 1 por año contrato
Servicios de Rehabilitación y Habilitación
Therapies and necessary medical equipment
Terapia Física
Copago de $7 limitado
a 20 sesiones (Combinado con manipulaciones de quiropráctico)
Cubierto al 100% de las tarifas contratadas
después del copago de 10$
Montura y Receta
Cubierto 1 par por suscriptor
hasta $150 por año contrato. Cubierto por reembolso
Dental Coverage
Diagnosis, prevention, and dental treatments
Exámen Oral Periódico
Cubierto cada 6 meses
Restaurativo
30%
Endodoncia
30%
Restauraciones Temporera (Coronas)
50%
Cirugía Oral
30%
Note: This is a summary of benefits. Consult your plan documents for complete information. Copayments and coinsurance are subject to the annual maximum limit.
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Thank you for considering Plan de Salud Menonita as your health insurance provider.
We have received your information and appreciate
your interest in our health plans.
One of our Sales Representatives will be in touch with you to provide personalized guidance and share details about the plan you are interested in.
Thank you for considering Plan de Salud Menonita as your health insurance provider.