Statewide -Medical Savings Account Plan,
New Orleans Metro Area ---Non Smoker
High Deductible Medical Savings Account 
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Costs incurred below the deductible are tax deductible on your individual federal tax return.
Medical Savings Account Benefits:
Covered Benefits $2,000,000 Lifetime
Benefit Period Deductible  $1,700 or  $2,500 individual
Calendar Year  $3,350 or  $5050 family
Out-of-Pocket Maximum $3,350 individual/$5050 family
 Expense per year
Physician Office Visits 100% PPO
Preventive & Wellness
 		 State–mandated benefits (deductible waived for some services)
 Pap Smear , Mamogram , Psa testing
Office Visits Covered as any other illness
Prescription Drug Coverage 100% Generic/80% Brand Name
Emergency Room 100% PPO / 80% Outside
Inpatient Hospital 100% PPO / 80% Outside
Admission
Pregnancy Care Optional (covered as any other illness)
Ambulatory Surgical 100% PPO / 80% Outside
Center
Ambulance 100% PPO / 80% Outside
 

                                Request more information or a personalized quote!  
                                 Send me an application to apply for coverage
                                    Go To Information about MSA Accounts
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