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Medical
What your plan covers, plus employer programs
Programs
Expert 2nd opinions
Reverse diabetes
Edison Specialty Care Program
Post-surgery care coordination
Visits
Primary care visit
$35 copay
From your plan (SPD)
Specialist visit
$60 copay
From your plan (SPD)
Urgent care visit
$75 copay
From your plan (SPD)
Telehealth visit
$35 copay
From your plan (SPD)
Annual wellness visit
No cost
From your plan (SBC)
OB-GYN visit
No cost
From your plan (SBC)
Screenings
Annual physical
No cost
From your plan (SBC)
Mammogram
No cost
From your plan (SBC)
Colonoscopy
No cost
From your plan (SBC)
Cholesterol screening
No cost
From your plan (SBC)
Diabetes screening
No cost
From your plan (SBC)
Imaging & diagnostics
Lab work / bloodwork
$35 copay
From your plan (SPD)
X-ray
$35 copay
From your plan (SPD)
MRI or CT scan
$300 copay
From your plan (SPD)
EKG
$35 copay
From your plan (SPD)
Ultrasound
$35 copay
From your plan (SPD)
Expert help & 2nd opinions
Second opinion consult
$35 copay
From your plan (SPD)
Nurse advice line
No cost
From your employer
Care navigation
No cost
From your employer
Chronic condition coaching
No cost
From your employer
Recovery & rehab
Physical therapy
$70 copay
From your plan (SBC)
Home health nursing
30% coinsurance
After deductible (SPD)
Procedures
Outpatient surgery
30% coinsurance
After deductible (SPD)
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