What is the cost-sharing for a generic drug, network provider? What is the cost-sharing for a tier 2 drug purchased at an out-of- network pharmacy? What is the cost-sharing for

1. Summary of Benefits and Coverage (Level 2Understanding)
Use figure 2.2 from the textbook to identify the cost-sharing components. Complete the accompanying table.
Question Answer
What is the cost-sharing for a generic drug, network provider?
What is the cost-sharing for a tier 2 drug purchased at an out-of- network pharmacy?
What is the cost-sharing for a specialty drug, network provider?
What is the cost-sharing for a network immunization visit?
What is the cost-sharing for a network primary care visit
What is the cost-sharing for a network specialist visit?
What is the cost-sharing for an out-of-network primary care visit?
What is the cost-sharing for x-rays provided by a network provider?
What is the cost-sharing for outpatient surgery provided at a network facility?
What is the cost-sharing amount for the surgeon fees for outpatient surgery provided at an out-of-network facility?

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