HMSA

CrossCountry Mortgage offers medical coverage for Hawaii Employees through HMSA.

HMSA	Network Providers
Calendar Year Deductible: Single/Family	$0 / $0
Medical Maximum Out of Pocket Limit: Single/Family	$2,500 / $7,500
Pharmacy Maximum Out of Pocket Limit: Single/Family	$3,600 / $4,200
PCP Office Visit	$14 copay
Specialist Office Visit	$14 copay
Urgent Care Visit	$14 copay
Emergency Room	20% coinsurance
Inpatient Services	20% coinsurance
Outpatient Services	20% coinsurance
Prescription Drugs:
Retail Prescription Drugs (30 day supply)	Generic $7 copay Preferred $30 copay Non-Preferred $30 copay Preferred Specialty $100 copay Non-Preferred Specialty $200 copay
Mail Order (90-day supply)	Generic $11 copay Preferred $65 copay Non-Preferred $65 copay