Verified 03/18/2025 10:42 AM · Transaction #EV-88213407
Member
James Anderson
Member ID
MBR-90210-WA
Plan
Cascade Health PPO Gold
Group #
GRP-44710
Coverage Status
Active
Coverage Period
01/01/2025 – 12/31/2025
| Benefit | In-Network |
|---|---|
| Primary Care Visit | $25 copay |
| Specialist Visit | $50 copay |
| Urgent Care | $75 copay |
| Emergency Room | $250 copay |
| Deductible (Individual) | $1,500.00 · $1,120.00 met |
| Out-of-Pocket Max (Individual) | $6,000.00 · $1,845.00 met |