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WVU Medicine

Summit Plan

2025 Plan Highlights

Summit (PPO)

Monthly Plan Premium

$16

Maxiumum Annual Out-of-Pocket

Healthcare Expenses

$6,250

Hospital and Medical Benefits

Inpatient Hospital (Physical)

$350 per stay

Primary Care Provider Visit

$0 copay

Specialist Visit

$20 copay

Occupational, Physical, & Speech Therapy

$20 copay

Emergency Room/Urgent Care

$90/$30 copay

Routine Foot Care

$20 copay/10 visits

Outpatient Surgery

$0 – $250 copay

Outpatient Lab Work

$0 copay

X-rays

$0 – $20 copay

Prescription Drug Benefits

Part D Prescription Drug Coverage

$0 deductible

$0 copay (Tier 1)

at preferred pharmacies

More Great Benefits

$16 Premium Plan

$0 Medical and Rx deductibles

$0 Primary care provider copay

Up to $525 Flexible Spending Card

Up to $4000 Dental Allowance

Vision, hearing, and fitness

And More

Want to learn more about Peak Advantage Summit (PPO) Plan?

Check out all the details in our Summary of Benefits.