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WVU Medicine 2027 Summit Plan

2027 Plan Highlights

Summit (PPO)

Monthly Plan Premium

$25

Maximum Annual Out-of-Pocket

Healthcare Expenses

$6,750

Hospital and Medical Benefits

Inpatient Hospital (Physical)

$495 per stay

Primary Care Provider Visit

$0 copay

Specialist Visit

$20 copay

Emergency Room/Urgent Care

$115/$40 copay

Outpatient Surgery

$250 copay

Outpatient Lab Work

$20 copay

X-rays

$20 copay

Prescription Drug Benefits

Part D Prescription Drug Coverage

$0 deductible

$0 copay (Tier 1)

at preferred pharmacies

Additional Benefits

Dental Benefit

$3500 annual allowance

Over-the-Counter Allowance

$280 annual allowance ($70/qtr)

Flexible Spending Card

$425 prepaid debit card

Vision

$200 annual allowance

Hearing

$0 copay for exam;

$399, $599, $899 per aid

Transportation

$0 copay for up to 36 trips

Fitness Membership

$0 (Expansive Nationwide Network)

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