Capstone

PHCS Network, MDLIVE Telehealth
& Paramount Rx

Adult and Child Wellness Services

No Visit Fee. Eligible at 100% up to a maximum $1,000 annually for wellness services per membership year, per member.

Primary Care Physician, Specialist, or Urgent Care Provider

$25 Visit Fee for all eligible outpatient office visits at a primary care physician, specialist, or urgent care provider.

Membership shares up to a maximum of $200, $300, or $400 per office visit.

MAXIMUM OFFICE VISITS OF SIX (6), EIGHT (8), or TEN (10) PER MEMBERSHIP YEAR, per member, based on the Capstone 1, 2, or 3 program option selected.

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Capstone Overview

ADULT AND CHILDREN WELLNESS SERVICES

No Visit Fee. Eligible at 100% up to a maximum $1,000 annually for wellness services per membership year, per member.

PRIMARY CARE PHYSICIAN, SPECIALIST, OR URGENT CARE VISITS

$25 Visit Fee for all eligible injury or illness for outpatient office visits at a primary care physician, specialist, or urgent care facility. Office visits at a hospital or in an emergency room are ineligible for sharing by the membership.

Membership shares up to a maximum of $200, $300 or $400 per office visit.

MAXIMUM OFFICE VISITS OF SIX (6), EIGHT (8), TEN (10) PER MEMBERSHIP YEAR, per member, based on the Capstone 1-2-3 program option selected.

Please Note: there is a waiting period of 12-months for any pre-existing condition(s) for all inpatient services and/or outpatient surgery services.
Pre-Existing Condition: a disease or physical condition for which medical advice, treatment or diagnosis was received and/or a prescription
was prescribed, during the 12-month period preceding the member’s effective date.


Additional Offerings

$5,000 | $10,000 | $20,000

Valiant offers members on the Campus, Canon, or Capstone program the opportunity to add eligibility for critical illness needs.

More Information

$25,000 | $50,000 | $75,000

Valid offers members on the Campus, Canon, or Capstone program the opportunity to add eligibility for limited inpatient hospitalization.

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$1,000 | $2,500 | $5,000 | $7,500 | $10,000

Victory offers members on the Campus, Canon, or Capstone program the opportunity to add eligibility for a accidental death,
dismemberment or loss of and accidental medical needs.

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Victory is not offered in Texas.

$1,000 | $3,000 | $5,000

Virtue offers members on the Campus, Canon, or Capstone program the opportunity to add eligibility for dental needs.

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Programs

  • Adult and Child
    Wellness Services
  • No Visit Fee. Eligible at 100% up to a maximum of $500 annually for wellness services per membership year, per member.
  • Primary Care Physician, Specialist, or Urgent Care Provider
  • $25 Visit Fee for all eligible outpatient office visits with a primary care physician, specialist, or urgent care provider.

Explore Campus

  • Adult and Child
    Wellness Services
  • No Visit Fee. Eligible at 100% up to a maximum of $500 or $1,000 annually for Wellness Services per membership year, per member based on the Canon 1,2, or 3 program selected.
  • Primary Care Physician, Specialist, or Urgent Care Provider
  • $25 Visit Fee for all eligible outpatient office visits with a primary care physician, specialist, or urgent care provider.

Explore Canon

  • Adult and Child
    Wellness Services
  • No Visit Fee. Eligible at 100% up to a maximum $1,000 annually for Wellness Services per membership year, per member.
  • Primary Care Physician, Specialist, or Urgent Care Provider
  • $25 Visit Fee for all eligible outpatient office visits with a primary care physician, specialist, or urgent care provider.

Explore Capstone

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