Annual
Deductible
You've met 68% of your in-network deductible for the 2026 plan year.
$2,040 / $3,000
$960
remaining
coverage status · active
Covera
Gold PPO
member id
CG-4471-A
eff. 01/2026
HSA Balance
$4,318
premium due
Auto-pay scheduled in 4 days.
$312
06/15
Out of
Pocket Max
$1,540
Office Copay
$25
In-Network
Providers
1,284
Claims Paid YTD
$1,166
Rewards Points
3,200
Claims Ledger
2026 · 6 records| Claim ID | Provider | Date | Status | Amount |
|---|
Dental
2 cleanings/yr · 80% basic restorative covered.
Vision
Annual exam + $150 frame allowance every 24 months.
Pharmacy
Tier 1 generics $10 · mail-order 90-day supply.
Mental Health
Unlimited telehealth · $0 copay first 12 visits.