Routine hearing exam(one exam per member per calendar year)
Medical exams
Routine physical
exam for babies,
children and adults
including family
planning visits
Routine vision exam
(one exam per member per calendar year)
Routine hearing exam(one exam per member per calendar year)
Medical exams
Routine physical
exam for babies,
children and adults
including family
planning visits
Routine vision exam
(one exam per member per calendar year)
Routine hearing exam(one exam per member per calendar year)
Medical exams
Annual Deductible
(*In Network)
$1,500 Max out Pocket (Worst Case Scenario)
$3,000 Max out Pocket (Worst Case Scenario)
$5,000 Max out Pocket (Worst Case Scenario)
If you have a $250,000 hospital stay, $1,500* all you pay. That's it!!!
If you have a $250,000 hospital stay, $3,000* all you pay. That's it!!!
If you have a $250,000 hospital stay, $5,000* all you pay. That's it!!!
Prescription Drugs
(*Generic Formulary Only)
$10
$10
$10
Emergency Room
*$100 Co-pay
*$100 Co-pay
*$100 Co-pay
Inpatient/
Outpatient
Hospital
$0 after the deductible is met
$0 after the deductible is met
$0 after the deductible is met
Dental Benefits
$50 Deductible for Fillings
$50 Deductible for Fillings
$50 Deductible for Fillings
Cleanings, Exams & X-rays
$0, 2 free per year
$0, 2 free per year
$0, 2 free per year
Fillings
Anthem pays 80% up to $500,
Anthem pays 80%
up to $500,
Anthem pays 80%
up to $500,
you pay 20%.
you pay 20%.
you pay 20%.
Vision
$40 Routine vision exam(one exam per member per calendar year)
$40 Routine vision exam (one exam per member per calendar year)
$40 Routine vision exam(one exam per member
per calendar year)
*Emergency room - $100 co-pay covers all services rendered at the time of visit.
**Referrals are crucial to our business. We would appreciate you referring our site to 3 friends that you think need insurance or would be interested in finding out more about Tonik Health. Simply forward them this website link
**Selling policies is how I make a living and feed my family, so if you need or know of anyone in need of health insurance I would appreciate the opportunity to help you or them out. They can call me toll free (888)599-7056 or they can apply online directly from this website so that I may get credit for being your agent. By making me your agent, you will have someone to be accountable for your policy. You will be able to call when you have questions or problems with your policy. I will personally call membership, underwriting and claims department on your behalf saving you time and energy. During the sales process I will present to you all your plan options, give you personalized quotes and explain all of your plan options in full detail. In addition to this, I will help you thru the entire application process (including helping you complete the 10 minutes application).
Definitions for the Insurance-Impaired (all of us)
Annual Deductible: This is the amount you'll have to pay before Anthem starts paying. Of course, the deductible is waived in certain cases, such as doctor visits and Emergency Room Care. Co-pay: This is what you pay when you see the doctor, go to the emergency room or get generic prescription drugs. In-Network -You save money when you go to doctors and hospitals in the Anthem PPO network.
Generic Formulary Medication-These are commonly prescribed Food & Drug Administration (FDA) approved drugs chosen by Anthem for their value and effectiveness. Drugs not considered formulary are not covered at $10 co-pay. You will pay the regular rate.
REMEMBER: The Tonik plans do not include maternity benefits!!!!
If you want maternity coverage, go to our traditional Anthem plans by clicking the Anthem logo at the bottom of this page.
TO CHECK PROVIDERS, HOSPITALS & DENTISTS CLICK HERE!!!
For all Traditional/Non-Tonik individual and family plans please click the Anthem logo below and you wil be routed to our main Anthem page. You will be able to find providers, get quotes and apply online.
