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When finding a health plan you should consider your budget, but more importantly your health care needs. Your health care needs over the next year must be considered.

Member Benefits
Member Benefits
Member Benefits
Member Benefits
Member Benefits

2020 Plan Categories and Benefits

Gold Copay

Key Benefits:

  • Primary Care Office Visits-
    $25 copay/visit DW
  • Specialist Office Visits-
    $40 copay/visit DW
  • Urgent Care-
    $25 copay/visit DW

Annual Deductible:

$1,500/$3,000

Prescription Drug Deductible:

$500/$1,000

Out-of-Pocket Maximum:

$7,000/$14,000

Silver Copay

Key Benefits:

  • Primary Care Office Visits-
    $30 copay/visit DW
  • Specialist Office Visits-
    $70 copay/visit DW
  • Urgent Care-
    $30 copay/visit DW

Annual Deductible:

$3,500/$7,000

Prescription Drug Deductible:

$2,000/$4,000

Out-of-Pocket Maximum:

$8,000/$16,000

Silver Copay (Off)

Key Benefits:

  • Primary Care Office Visits-
    $30 copay/visit DW
  • Specialist Office Visits-
    $75 copay/visit DW
  • Urgent Care-
    $30 copay/visit DW

Deductible:

$4,500/$9,000

Prescription Drug Deductible:

Included with MD

Out-of-Pocket Maximum:

$8,150/$16,300

Bronze 3 Copay

Key Benefits:

  • Primary Care Office Visits-
    $45 copay/ first 3 visits then 40% AD
  • Specialist Office Visits-
    40% coinsurance AD
  • Urgent Care-
    $45 /copay first 3 visits then 40% coinsurance AD

Deductible:

$6,550/$13,100

Prescription Drug Deductible:

Included with MD

Out-of-Pocket Maximum:

$8,150/$16,300

Bronze HSA

Key Benefits:

  • Primary Care Office Visits-
    0% coinsurance AD
  • Specialist Office Visits-
    0% coinsurance AD
  • Urgent Care-
    0% coinsurance AD

Deductible:

$6,900/$13,800

Prescription Drug Deductible:

Included with MD

Out-of-Pocket Maximum:

$6,900/$13,800

Expanded Bronze HSA

Key Benefits:

  • Primary Care Office Visits- $25 copay AD
  • Specialist Office Visits- $40 copay AD
  • Urgent Care- $25 copay AD

Deductible:

$4,000/$8,000

Prescription Drug Deductible:

Included with MD

Out-of-Pocket Maximum:

$6,900/$13,800

Expanded Bronze

Key Benefits:

  • Primary Care Office Visits-
    $45 copay/visit DW
  • Specialist Office Visits-
    $75 copay AD
  • Urgent Care-
    $45 copay/visit DW

Deductible:

$3,500/$6,000

Prescription Drug Deductible:

$1,650/$3,300

Out-of-Pocket Maximum:

$8,150/$16,300

MD = Medical Deductible|AD = After Deductible|Co AD = Coinsurance After Deductible|DW = Deductible Waived

  • Trips to the emergency room
  • Treatment in the hospital for inpatient care
  • Outpatient Care - care without being admitted to a hospital
  • Care before and after your baby is born
  • Mental health and substance use disorder services: behavioral health treatment, counseling, and psychotherapy
  • Your prescription drugs
  • Services and devices to help recover if you are injured, or have a disability or chronic condition: physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
  • Your lab tests
  • Preventative services: counseling, screening, vaccines, chronic disease - no charge
  • Pediatric services
  • Call a nurse at anytime if you have any health concerns or general information questions
  • Instant care online available 7 days a week

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