Name: National Real Estate Insurance Group
Address: United States

Benefits Summary	In-Network	Out-of-Network
	Member Pays	Member Pays
Deductible (Individual/Family)	$3,400 / $6,800	$3,400 / $6,800
Out-of-Pocket Max (Individual/Family)	$3,400 / $6,800	$6,800 / $13,600
Doctors Office Visits
Primary Care Visit	Deductible	Deductible then 20%
Specialist Visit	Deductible	Deductible then 20%
Mental Health	Mental Health	Deductible then 20%
Urgent Care	Deductible	Deductible then 20%
Emergency Services	Deductible	Deductible
Outpatient Lab Services	Deductible	Deductible then 20%
X-Ray, Radiology	Deductible	Deductible then 20%
Preventive Care	Fully Covered	Deductible then 20%
Retail Prescriptions
Tier 1	Deductible	Deductible then 50%
Tier 2	Deductible	Deductible then 50%
Tier 3	Deductible	Deductible then 50%
Tier 4	Deductible	Deductible then 50%

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Benefits Summary	In-Network	Out-of-Network
	Member Pays	Member Pays
Deductible (Individual/Family)	$1,000 / $2,000	$1,000 / $2,000
Out-of-Pocket Max (Individual/Family)	$2,500 / $5,000	$5,000 / $10,000
Doctors Office Visits
Primary Care Visit	$25 Copay	Deductible then 40%
Specialist Visit	$25 Copay	Deductible then 40%
Mental Health	Outpatient: $25 Copay Therapy/Inpatient: Ded. + 20%	Deductible then 40%
Urgent Care	$25 Copay	Deductible then 40%
Emergency Room	$100 Copay, then Deductible + 20%	$100 Copay, then Deductible + 20%
Outpatient Lab Services	Deductible then 20%	Deductible then 40%
X-Ray, Radiology	Deductible then 20%	Deductible then 40%
Preventive Care	Fully Covered	Deductible then 40%
Retail Prescriptions
Tier 1	$15 Copay	$15 + 50%
Tier 2	$70 Copay	$70 + 50%
Tier 3	$110 Copay	$110 + 50%
Tier 4	$200 Copay	$200 + 50%

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Spira Care are KC Metro Only Network Plans

Benefits Summary	Spira Care	Blue Select Plus
	Member Pays	Member Pays
Deductible (Individual/Family)	None / None	$1,500 / $3,000
Out-of-Pocket Max (Individual/Family)	$1,500 / $3,000	$1,500 / $3,000
Doctors Office Visits
Primary Care Visit	No Charge	Deductible
Specialist Visit	N/A	Deductible
Mental Health	No Charge	No Charge
Urgent Care	No Charge	Deductible
Emergency Room	N/A	Deductible
Outpatient Lab Services	No charge for labs done at a Spira Center	Deductible
X-Ray, Radiology	No Charge	Deductible
Preventive Care	No Charge	Deductible
Retail Prescriptions
Tier 1	$15 Copay	$15 Copay
Tier 2	$50 Copay	$50 Copay
Tier 3	Deductible	Deductible

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Spira Care are KC Metro Only Network Plans

Benefits Summary	Spira Care	Blue Select Plus
	Member Pays	Member Pays
Deductible (Individual/Family)	None / None	$3,500 / $7,000
Out-of-Pocket Max (Individual/Family)	$3,500 / $7,000	$3,500 / $7,000
Doctors Office Visits
Primary Care Visit	No Charge	Deductible
Specialist Visit	N/A	Deductible
Mental Health	No Charge	Deductible
Urgent Care	No Charge	Deductible
Emergency Room	N/A	Deductible
Outpatient Lab Services	No charge for labs done at a Spira Center	Deductible
X-Ray, Radiology	No Charge	Deductible
Preventive Care	No Charge	Deductible
Retail Prescriptions
Tier 1	$15 Copay	$15 Copay
Tier 2	$50 Copay	$50 Copay
Tier 3	Deductible	Deductible

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Medical Benefits