Benefits & Coverage
Insurance Type
Small Business Group Health Insurance
Coventry Health Care
In Network: $0, $250, $500, $750, $1000, $1250, $1500, $2000, $2500, $3000, $3250, $4000, $4500, $5000, $6000, $7000, $7500, $10000
Out of Network: $300, $500, $750, $1000, $1500, $2000, $2500, $3000, $4000, $5000, $6000, $7500, $8000, $8500, $10000, $12000
Out of Network: $300, $500, $750, $1000, $1500, $2000, $2500, $3000, $4000, $5000, $6000, $7500, $8000, $8500, $10000, $12000
0% - 20%
Plan Highlights
More Details
Average Cost Per Enrollee
Average Cost Per Enrollee starts at not available
How Accurate is this amount?
The actual cost per month may be significantly higher or lower than the average costs shown here, based on an employee's choice of deductible and cost sharing options as well as other factors
Annual Out of Pocket Maximum
In Network: $0, $500, $1500, $2500, $3000, $4000, $5000, $5200, $5950
Out of Network: None
Out of Network: None
Annual In Network Maximum Benefit
No Maximum
Range of Copay Options
In Network: $5 - 25
Out of Network: $0
Out of Network: $0
Doctor Choice
PPO
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Physician Directory
Physicians who accept this plan
/
Details
GUILLERMO INFANTE-GUTIERREZ, MD
Phone Number
(215) 728-7690
Office Locations5600 TABOR AVE
PHILADELPHIA, PA 19120