| Plan Name | Estimated Monthly Premium | Apply | Plan Type | Networks | Copay | Deductible | Coinsurance (%Paid by Insurance Company) |
|
|
$238.00 |
|
PPO | See provider details |
Network
Non-Network |
Non-specialist: $30 copay deductible waived, Specialist: $40 copay deductible waived
Non-specialist Office Visit: 70% after deductible, Specialist Visit: 70% after deductible |
Individual: $2,500, Family: $5,000
Individual: $5,000, Family: $10,000 |
80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
|
$270.57 |
|
Network | See provider details | $35 | $2,500 (maximum 2 per family, per calendar year) | 80% | |
|
$278.46 |
|
PPO | See provider details |
Network
Non-Network |
Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.
N/A |
$2,500 (Two members must meet their deductible).
$5,000 (Two members must meet their deductible). |
80%
60% |
|
$362.33 |
|
Network | See provider details |
Network
Non-Network |
$30
N/A |
$2,500(2 per family maximum )
$5,000(2 per family maximum ) |
Plan pays 80%
Plan pays 50% |
|
$217.00 |
|
PPO | See provider details |
Network
Non-Network |
None |
$2,500 Individual/ $7,500 Family
$5,000 Individual/ $15,000 Family |
80% of the Allowable Amount for Eligible Expenses
70% of the Allowable Amount for Eligible Expenses |
|
$237.00 |
|
PPO | See provider details |
Network
Non-Network |
Office Visit- $30 copay, deductible waived for unlimited visits
50% after deductible |
$2,500 per member, per year with a two-member family maximum
Additional $2,000 out of network deductible per member, per year |
75% after deductible
50% after deductible |
