Healthy Insurance Dude Brochures
MedMax · your plan
$500 deductible
Schedule of Benefits · MedMax

MEDMAX

A real PPO network. First Health by Aetna, nationwide.
Four numbers to remember and you're set.
$500
Individual deductible $1,000 family · low and simple
NetworkFirst Health PPO
Telemedicine$0 · unlimited
Preventive care$0 · in full

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The framework

Four numbers you need to remember.

no charts. no fine print.
just four numbers.
Free
No cost to you
  • Preventive careAnnual wellness, screenings, vaccines
  • TeladocUnlimited virtual visits, 24/7
See the full free list →
$50
Office visits
  • Primary careAfter deductible
  • SpecialistsNo referral needed
  • Urgent careWalk-ins covered
$250
Medium-sized stuff
  • ER visitsAccident or sickness
  • Outpatient surgeryUp to 3 per year
  • Ambulance ridesEmergency transport
$1,000
The big stuff
  • Inpatient hospitalAdmission & stay
  • Inpatient surgeryPre-cert required
  • Surgical servicesAnesthesia included
same four numbers no matter the deductible. yours is $500.

How deductibles work

“You pay the deductible once a year.
After that, it’s just copays.”
Perry Lunsford
Perry LunsfordFounder · The Healthy Insurance Dude

A real-life example · MedMax $500

Jessica breaks a leg.

Her deductible · once a year$500
ER visit · one copay$250
X-ray · one copay$50
Jessica pays, all in$800

the plan covers the rest. that's the whole point.

A real-life example · MedMax $500

Jenny has a baby.

Her deductible · once a year$500
Prenatal, labs & ultrasoundsFree
Delivery · one copay$250
Hospital stay · one copay$1,000
Jenny pays, all in$1,750

a new baby. no surprise bill.

A real-life example · MedMax $500

Jenny’s daughter needs her tonsils removed.

Her deductible · once a year$500
Outpatient surgery · one copay$250
Family pays, all in$750

even surgery. just one copay.

In-network benefits

What's covered, in plain English.

See full schedule

Office & everyday care

Preventive careAnnual wellness, screeningsFree
TelemedicineUnlimited visits, 24/7Free
PCP office visit*10 visits/year combined$50
Specialist visit*No referral needed$50
Urgent care*After deductible$50
Chiropractic12 visits/year$50
Labs3 per benefit year$25
X-rays3 per benefit year$50

Surgery & emergencies

ER · accident2 per year$250
ER · sickness2 per year$250
Ambulance2 per year$250
Outpatient surgery3 per year, pre-cert$250
Inpatient admission10-day limit, 2 stays/year$1,000
Inpatient surgery2 per year, elective not covered$1,000
Surgical servicesAnesthesia included$1,000
Advanced imaging3 per year, pre-cert$200

Specialty & therapy

Physical, speech, OT16 visits/year combined$50
Mental health · outpatient15 days/year$50
Mental health · inpatientCounts toward hospital limit$250
Infusions, chemo, radiation10 visits/year combined$100
Home health care10-day limit$50
Allergy shots24/year$25
Preventive generic RxSubject to formularyFree
Standard generic RxAfter your deductible is metFree

Worth knowing

A few things to keep in mind.

  • 1
    True emergencies are exempt

    Severe injury or life-threatening symptoms? Go to the closest ER. No out‑of‑network penalty, no denial. 48-hour grace period if you're admitted.

  • 2
    Maternity has a 12‑month waiting period

    After that, most prenatal, delivery, and postnatal care is fully covered. Vaginal delivery $250 copay, C-section $500. Genetic testing only if medically necessary.

  • 3
    Elective surgery isn't covered

    This plan focuses on medically necessary care.

For your records

The full schedule of benefits, in writing.

Every limit, every copay, every preventive service the plan covers. Bring it to your doctor's office. Send it to your accountant. Keep it on hand.

Open the Schedule of Benefits PDF · opens in a new tab · download optional

Do your research

Go ahead, look us up.

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happy clients
Google reviews, 4.9 average. From real people. Read them →
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since 2018
BBB accredited business. Vetted, licensed, on the record.
No bots.
promise.
You call, we answer. Call the team →
What happens next

Three steps, and the plan is yours.

1Call the team

One call, (817) 205-6257. Ask anything, no pressure.

2Enroll in about 15 minutes

The team walks you through it, right on the phone.

3You're covered

And never on your own. The team sticks with you after you enroll, for every question, every claim, every step.

Quick answers

Asked all the time.

Can I keep my doctor?

The network lists over a million providers nationwide, so yours is probably one of them. The team can check by name in a minute.

When does coverage start?

Fast. But start dates come with real deadlines, and they vary. The sooner you call, the sooner you're covered.

Will my rate increase?

Plans can adjust a little over time, same as anywhere in health care. The difference: the team watches it for you, and if your plan ever stops making sense, they'll move you to one that does.

ready when you are

Questions about MedMax $500?
The team picks up.

Call the team

Call the team: (817) 205-6257 · thehealthyinsurancedude.com