Vantage Premium HMO-POS (AAA3)

Medical Home Primary Care Physician (MH-PCP) Office visits for just $5 and $0 for Annual Routine Physicals
$0 generic prescription drug copay covered through the "coverage gap"
No Deductibles
Emergency coverage worldwide
Radiation and Chemotherapy covered 100%
Xrays, Lab and Home Health covered 100%

AAA3 Premium Plan
-Premium: $99/mo.

Evidence of Coverage

Summary of Benefits

Comprehensive Formulary

Abridged Formulary

Enrollment Election Form

The benefit information provided here is a brief summary, but not a comprehensive description of available benefits. For more information, contact the plan. Benefits may change on January 1, 2013.