Premium Costs & Co-Pays

Premium Cost

Monthly premiums are based on the applicant’s monthly income. Premiums are due on the 20th of each month. Monthly statements are mailed to participants near the first of each month.

The first monthly payment must be made by money order, cashier’s check, credit card payment or debit card payment. Subsequent payments may be made by personal check, money order, cashier’s check, credit card payment or debit card payment. Besides monthly premiums, the Medical card also has small co-pays for services received.

Co-Pays

The HBWD medical card is the same as any other HFS MediPlan card and has the same co-pays.

Generic Prescriptions

$2 per prescription

Brand Name Prescriptions

$3.90 per prescription

Office Visits

$3.90 per visit

Hospitalization

$3.90 per day

Non-emergency Use of Emergency Room

$3.90 per visit

 

HBWD

 

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