| Basic | Enhanced | Crown | |
|---|---|---|---|
| Sharing Services | |||
| Preventive Care Services | 100% up to $1,000 per Program Year | 100% up to $1,000 per Program Year | 100% up to $1,000 per Program Year |
| Primary Care | $20 (1/year) Visit Fee | $20 (3/year) Visit Fee | $20 (5/year) Visit Fee |
| Urgent Care | $20 (1/year) Visit Fee | $20 (1/year) Visit Fee | $20 (2/year) Visit Fee |
| Specialists | N/A | N/A | $75 Visit Fee |
| Emergency Room | $500 Visit Fee | $500 Visit Fee | $300 Visit Fee |
| X-Ray | Labs | PCP/Urgent Care | PCP/Urgent Care | PCP/Urgent Care |
| Hospitalization | Eligible | Eligible | Eligible |
| In/Outpatient Surgery | 180-Day Waiting Period | 180-Day Waiting Period | 90-Day Waiting Period |
| Maternity This amount is associated with natural childbirth. See membership guide for complete maternity sharing service limitations. |
N/A | N/A | $5,000 |
| Maximum Limit Per Incident | $150,000 | $250,000 | $500,000 |
| Life Sharing Maximum | $1,000,000 | $1,000,000 | $1,000,000 |
