Vytra gives you low out-of-pocket costs. You get:
- Coverage for in-network services
- A primary care physician (PCP) to partner in your health
- $5 copay for PCP and specialists
The information in this section is intended to provide general information and highlights regarding Vytra. It does not provide a complete benefit description. Vytra coverage is subject to all terms, conditions and limitations contained in the certificate of insurance. Refer to policy form VHLI-LGRP-01.
Your in-network costs:
- PCP office visit: $5 copay
- Specialist office visit: $5 copay
- Diagnostic lab/X-ray: $0
- Routine physical exam: $5 copay
- Well child care: $0
- Outpatient mental health: $5 copay
- Urgent care: $5 copay
- Ambulatory care: $0
- Ambulance: $0
- Inpatient care: $0
- Anesthesia: $0
- Emergency room: $25 copay (waived if admitted)
- Durable medical equipment: $0
Additional Riders
You can add the following through a payroll or pension deduction:
- Prescription drugs (for generic and brand drugs from network retail drug stores and home delivery service)