Category
Annual Plans
Subcategory
Gold Plan
Voucher Type
Bundle
Validity
365 days
Total Vouchers
30
Voucher details
Voucher name
Qty
Doctor Visit Or Consultation Per Session*
x 8
X-Ray Any (1) Body Part Upto 5 Views*
x 1
Routine CBC*
x 4
Comprehensive Metabolic Panel (CMP)*
x 4
Lipid / Cholesterol Panel Test*
x 4
Routine Venipuncture*
x 4
Urgent Care Visit Per (1) Session*
x 1
Ultrasound Any (1) Body Part*
x 1
Routine Ekg Or Ecg (Electrocardiogram)*
x 1
CT Or CTA Without Contrast Any (1) Body Part*
x 1
Flu Vaccine Adult (Admin + Vaccine)*
x 1
Gold Plan
Annual Plans
Terms & Conditions
Teir 1 Access Level. It can be upgraded for an upgrade fee when checking out from your cart. If you upgrade your plan all the vouchers will be upgraded to that Tier category. Once the plan is paid in full you can start to share vouchers with your family (spouse, unmarried children under the age of 26) Simply add their name as your dependent and start sharing. Spouse will need to sign consent before adding.
Exclusions And Special Instructions
Gold Plan Includes- 8 Office Visit, 1 Urgent Care Visit, 1 Ekg, 1 Flu Shot, 1 X-Ray, 1 Ultrasound (Except Doppler), 1 CT/CTA (Without Contrast), 4 Routine Venipencture, 4 CBC, 4 CMP, 4 LIPIDS (30 VOUCHERS)
The CT/CTA included in this bundle package is without contrast, If your physician wants to order test with contrast you can up grade that specific voucher for the test you need by paying the additional fee that will include contrast.
Vouchers can not be exchanged for any other services. Any additional services recommended by your physician can be purchased separately and redeemed at a THP participating Provider/Facility. (Provider or Facility protocols applies) Plan vouchers expire in 365 days from purchase date. No refunds after purchase fully nor partial.
Related CPT Code
99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99385, 99386, 99387, 99395, 99396, 99397, G0438, G0439, 74018, 74019, 73050, 73600, 73610, 72040, 72050, 71045, 71046, 73000, 72220, 73070, 70030, 73564, 70110, 70150, 73552, 73140, 73090, 73620, 73120, 73650, 73502, 85025, 85027, 85007, 80053, 80061, 36415, 76700, 76705, 76775, 76770, 76882, 76442, 76441, 76881, 76817, 76801, 76812, 76536, 76856, 76857, 76830, 76870, 76776, 76872, 93000, 74170, 74176, 70450, 70480, 70486, 71250, 72192, 73700, 90630, G0008, Q2037
