In-Network Cost

You Pay:

Benefit Details

Oxford covers Radiology services when medically necessary and appropriate.

Out-Of-Network Cost

You Pay:

Benefit Details

*Check your plan documents to see when your copay applies.

This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in your group plan documents. If there is a difference between this summary and your plan documents, the terms of your plan documents will apply.

This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in your group plan documents. If there is a difference between this summary and your plan documents, the terms of your plan documents will apply.

IN-NETWORK ACCOUNTS

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OUT-OF-NETWORK ACCOUNTS

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{{firstName}} deductible

{{firstName}}

N/A of Spent

$0.00

Family deductible

Family

N/A of Spent

$0.00

{{firstName}} Out-of-Pocket Max

{{firstName}}

N/A of Spent

$0.00

Family Out-of-Pocket Max

Family

N/A of Spent

$0.00

{{firstName}} deductible

{{firstName}}

N/A of Spent

$0.00

Family deductible

Family

N/A of Spent

$0.00

{{firstName}} Out-of-Pocket Max

{{firstName}}

N/A of Spent

$0.00

Family Out-of-Pocket Max

Family

N/A of Spent

$0.00

IN-NETWORK ACCOUNTS

OUT-OF-NETWORK ACCOUNTS

Deductibles

{{firstName}} deductible

{{firstName}}

N/A of Spent

$0.00

Family deductible

Family

N/A of Spent

$0.00

Out-of-Pocket-Maximums

{{firstName}} Out-of-Pocket Max

{{firstName}}

N/A of Spent

$0.00

Family Out-of-Pocket Max

Family

N/A of Spent

$0.00

Deductibles

{{firstName}} deductible

{{firstName}}

N/A of Spent

$0.00

{{firstName}} deductible

{{firstName}}

N/A of Spent

$0.00

Out-of-Pocket-Maximums

{{firstName}} Out-of-Pocket Max

{{firstName}}

N/A of Spent

$0.00

{{firstName}} Out-of-Pocket Max

{{firstName}}

N/A of Spent

$0.00
Explanation of Deductible and Out-of-Pocket Maximum Explanation of Deductible and Out-of-Pocket Maximum

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