Health Plan at-a-glance:
         Coverage overview
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The AFTRA Health Plan offers both Individual and Family Plan coverage. Performers whose covered earnings (as defined in the AFTRA Health Plan) only qualify them for Individual Plan coverage may choose to buy-up to the Family Plan option. Both the Individual and Family Plans have separate deductibles for Major Medical and Prescription Drug coverage. There is no deductible for a hospitalization.

Coverage Options
  • Individual

  • Individual w/ buy-up to Family option

  • Family

Individual Lifetime
Maximum Benefits 		Coverage
  • Hospital and Prescription Drugs
$1,000,000
  • Major Medical and Mental Health and Chemical Dependency treatment
$1,000,000
Annual Deductibles
Major Medical Program
  • Individual Network
$200
  • Family Network
$400 (maximum per family)
  • Individual Non-Network
$400
  • Family Non-Network
$800 (maximum per family)
Prescription Drug Program
  • Individual (retail only)
$75
  • Family (retail only)
$150 (maximum per family)

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Benefits at-a-glance main page

See p.13 of the January 2005 Health Plan Summary Plan Description and the August 2008 Benefits Update for additional information and details. The information provided above is summarized and is not a complete description of the actual terms and provisions of the Health Plan documents. If any conflict arises between this information and the Plan documents, or if any point is not discussed above or is only partially discussed, the Plan documents will govern in all cases.