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Are there any co-pays for medical treatments, hospitalization or prescription drugs? What are they?

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Are there any co-pays for medical treatments, hospitalization or prescription drugs? What are they?

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• $200 for each hospital inpatient admission • $15 per hospital outpatient visit • $25 for hospital emergency room • $10 for doctor’s office visits • $10 for physical therapy and chiropractic visits • $10 for mental health and substance abuse outpatient visits • for prescription drugs: • a $5/$15/$30 for up to a 30-day supply • $5/$20/$55 for up to a 90-day supply

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