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Example Plan Summary

HSA 2500 + Zion

This plan is great for people who only go to the doctor 1-2 times a year and don’t expect to have any major surgeries.

  • $0 Capay
    Teladoc

    Talk to licensed physicians and specialists for free, 24/7.

  • Expert 2nd
    Opinion Services

    Consult with leading national specialists before significant procedures or to review exams and lab results.

  • Unlimited
    Network

    Expand your coverage with one of the nation's largest networks.

Doctor Visits

This applies to doctor visits when you have a condition or symptom. For preventive care visits, such as annual checkups, visits are free.

Before deductible is met Full Price

After deductible is met Free

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  • Primary Care Visit
    Full Price Free

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  • Special Visit
    Full Price Free

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  • Preventative Care Visit
    Free Free

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Prescription Drugs

Prescription coverage is based on which category a drug falls into. To see how this plan categorizes prescriptions, browse its drug formulary.

Before deductible is met Full Price

After deductible is met Free

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  • Generic
    $20 $20

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  • Brand
    Full Price Free

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  • Non-preferred Brand
    Free Free

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  • Specialty
    Free Free

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Labs & Imaging

These are tests your doctor may run when diagnosing a condition.

Before deductible is met Full Price

After deductible is met Free

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  • X-Rays
    Full Price Free

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  • Imaging (CT/PET/MRI)
    Full Price Free

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  • Blood Work
    Full Price Free

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Hospital & Emergency

To see which hospitals, ERs, and Urgent Care centers are part of this plan’s network, browse the provider list.

Before deductible is met Full Price

After deductible is met Free

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  • Urgent Care
    Full Price Free

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  • Emergency Room
    Full Price Free

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  • Ambulance
    Full Price Free

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  • Hospital Stay (Facility)
    Full Price Free

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  • Hospital Stay (Physician)
    Full Price Free

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  • Outpatient Procedure (Facility)
    Full Price Free

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  • Outpatient Procedure (Physician)
    Full Price Free

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  • Physical Rehabilitation
    Full Price Free

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Other Coverage

All plans cover behavioral health treatment (such as psychotherapy or counseling), mental and behavioral health inpatient services, and substance use treatment.

Before deductible is met Full Price

After deductible is met Free

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  • Physical Rehabilitation
    Full Price Free

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Preventative Care

All plans cover behavioral health treatment (such as psychotherapy or counseling), mental and behavioral health inpatient services, and substance use treatment.

Before deductible is met Full Price

After deductible is met Free

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  • Urgent Care
    Full Price Free

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  • Emergency Room
    Full Price Free

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  • Ambulance
    Full Price Free

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  • Hospital Stay (Facility)
    Full Price Free

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  • Hospital Stay (Physician)
    Full Price Free

    Lorem ipsum dolor sit amet, consectetur adipisicing elit. Enim quae temporibus doloribus natus incidunt est laboriosam ipsum doloremque quidem reiciendis suscipit, dicta ad ab? Eligendi facere iste ducimus magni iusto?

  • Outpatient Procedure (Facility)
    Full Price Free

    Lorem ipsum dolor sit amet, consectetur adipisicing elit. Enim quae temporibus doloribus natus incidunt est laboriosam ipsum doloremque quidem reiciendis suscipit, dicta ad ab? Eligendi facere iste ducimus magni iusto?

  • Outpatient Procedure (Physician)
    Full Price Free

    Lorem ipsum dolor sit amet, consectetur adipisicing elit. Enim quae temporibus doloribus natus incidunt est laboriosam ipsum doloremque quidem reiciendis suscipit, dicta ad ab? Eligendi facere iste ducimus magni iusto?

  • Physical Rehabilitation
    Full Price Free

    Lorem ipsum dolor sit amet, consectetur adipisicing elit. Enim quae temporibus doloribus natus incidunt est laboriosam ipsum doloremque quidem reiciendis suscipit, dicta ad ab? Eligendi facere iste ducimus magni iusto?

For support email us at planhelp@clearwatersavings.com

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