Tonik
the big picture.
Three plans. Same all-around coverage: Preventive, Emergency, Rx, Teeth and Eyes.
The only differences among the plans are what you’ll pay per month, the cost and number of
office visits, and the amount of the deductible. You’ll pay the amounts listed below and we’ll pay the rest.
The plans are called Tonik. There are three plans to chose from :
(1) Calculated Risk Taker
(2) Part-Time Daredevil
(3) Thrill Seeker
Features are:
1) Easy to understand benefits
2) Simple 15 min. online applications with approval in about 45 seconds
3) Very affordable pricing options
After Review... Scroll to Top Section..Click on your state above to apply:
| Plan Benefits (in-network) | Thrill-Seeker 5000 aka (T775/DN15) |
Dare Devil 3000 aka (T774/DN14) |
Calculated Risk Taker 1500 aka (T773/DN13) |
|---|---|---|---|
| OFFICE VISITS An office visit is:
History (gathering of information on an illness or injury)
Examination
Medical Decision Making (the Physician’s actual diagnosis and treatment plan)
|
Office Visits $20 per visit, , 4 visits/year (additional visits covered after you meet your deductible) |
Office Visits $30 per visit, , 4 visits/year (additional visits covered after you meet your deductible) |
$40 per visit, unlimited visits/year Best Value |
| Emergency Room Care |
Member pays $0 after deductible is met
|
Member pays $0 after deductible is met
|
Member pays $0 after deductible is met
|
| Prescription Drug (generic only-Blue Cross Member get discount on named brand Rx) |
$10 for 30-day supply from retail pharmacy or $20 for up to 60-day supply through mail order |
$10 for 30-day supply from retail pharmacy or $20 for up to 60-day supply through mail order |
$10 for 30-day supply from retail pharmacy or $20 for up to 60-day supply through mail order |
| Other Professional Services (X-rays, blood tests, anesthesia, etc. received separately from professional services covered under your office visit) |
$0 after you meet your deductible | $0 after you meet your deductible | $0 after you meet your deductible |
Overnight Hospital Stays (surgery, lab work, doctor charges, anesthesia, and any other covered hospital charges) |
$0 after you meet your deductible | $0 after you meet your deductible | $0 after you meet your deductible |
| If You Don’t Stay Overnight (fracture repairs, shoulder or knee arthroscopies, etc.) |
$0 after you meet your deductible | $0 after you meet your deductible | $0 after you meet your deductible |
| Teeth | You'll pay $0 for cleanings, exams and X-rays. After you pay your $25 deductible, you'll pay 20% for minor restorative procedures like fillings. We'll pay up to $500/year for your dental benefits. |
You'll pay $0 for cleanings, exams and X-rays. After you pay your $25 deductible, you'll pay 20% for minor restorative procedures like fillings. We'll pay up to $500/year for your dental benefits. |
You'll pay $0 for cleanings, exams and X-rays. After you pay your $25 deductible, you'll pay 20% for minor restorative procedures like fillings. We'll pay up to $500/year for your dental benefits. |
| Eyes | You’ll pay only $25 for basic eyeglass lenses and receive up to $100 toward frames or $80 toward contact lenses every 24 months. In addition, we’ll pay $50 for an eye exam or to help out on the cost of glasses or contact lenses every 12 months |
You’ll pay only $25 for basic eyeglass lenses and receive up to $100 toward frames or $80 toward contact lenses every 24 months. In addition, we’ll pay $50 for an eye exam or to help out on the cost of glasses or contact lenses every 12 months. |
You’ll pay only $25 for basic eyeglass lenses and receive up to $100 toward frames or $80 toward contact lenses every 24 months. In addition, we’ll pay $50 for an eye exam or to help out on the cost of glasses or contact lenses every 12 months. |
| Deductible (how much you’ll pay each year before we start paying for services, like hospitalization) |
$5,000 | $3,000 | $1,500 |
| Out-of-Pocket Maximum (does not include office visits co-pay) | $5,000 | $3,000 | $1,500 |
| The Tonik plans do not include maternity benefits. Copays for office visits, ER visits and prescription drugs do not apply toward the deductible/out-of-pocket maximum. This is only an overview of the Tonik plan benefits. For a complete listing of all the benefits, limitations and exclusions, call 866-333-4820 or your agent to request a policy booklet. |
The Tonik plans do not include maternity benefits. Copays for office visits, ER visits and prescription drugs do not apply toward the deductible/out-of-pocket maximum. This is only an overview of the Tonik plan benefits. For a complete listing of all the benefits, limitations and exclusions, call 866-333-4820 or your agent to request a policy booklet. |
The Tonik plans do not include maternity benefits. Copays for office visits, ER visits and prescription drugs do not apply toward the deductible/out-of-pocket maximum. This is only an overview of the Tonik plan benefits. For a complete listing of all the benefits, limitations and exclusions, call 866-333-4820 or your agent to request a policy booklet. |
The Tonik plans do not include maternity benefits. Copays for office visits, ER visits and prescription drugs do not apply toward the deductible/out-of-pocket maximum. This is only an overview of the Tonik plan benefits. For a complete listing of all the benefits, limitations and exclusions, call 866-333-4820 or your agent to request a policy booklet. |
After Review... Scroll to Top Section..Click on your state above to apply:
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You can learn more about our other products like Benefits Small Group health plans, Individual and Family Health plans, and the dental plans
at www.esecurityhealthinsurance.com
Put the power of Blue from Blue Cross on your side and send me an email to ela@tonik123.com for your free information packet. Do it now!