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Plans	Premium HMO
	HNE Principle * Option 4
Up-front deductible	N/A
Doctor’s Office	$0 Preventive Services $15
Emergency (waived if admitted directly from ER)	$50 per visit
Diagnostic Imaging: CT Scans, MRI, PET Scans	$0
Outpatient Surgical	$150
Hospital Stay	$250
Out-of-Pocket Maximum	$500 per individual $1,000 per family,
Out-of-Pocket Maximum Includes:	Services with copayment of $150 or greater