|
Monthly premium
Your monthly payment for your health plan coverage. |
Deductible
The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs. |
Out-of-pocket maximum
The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year. |
|
|---|---|---|---|
| Employee-only | $835.33 | $6,450 | $11,100 |
| Two-person | $1,670.66 | $12,900 | $22,200 |
| Employee + Child(ren) | $1,612.19 | $12,900 | $22,200 |
| Family | $2,347.28 | $12,900 | $22,200 |
| Applies to All |
Generic drugs
A generic drug is a medication created to be the same as an existing approved brand-name drug. A fixed dollar amount you pay for specific services. |
Specialist visit
A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist. A fixed dollar amount you pay for specific services. |
Primary doctor visit
Primary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment. A fixed dollar amount you pay for specific services. |
Small Group Plan Comparison Tool
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $838.02 $10,900 $10,900 Two-person $1,676.04 $21,800 $21,800 Employee + Child(ren) $1,617.38 $21,800 $21,800 Family $2,354.84 $21,800 $21,800 Applies to All Generic drugs $0A generic drug is a medication created to be the same as an existing approved brand-name drug.
Specialist visit $0A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
Primary doctor visit $0Primary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $843.09 $8,700 $8,700 Two-person $1,686.18 $17,400 $17,400 Employee + Child(ren) $1,627.16 $17,400 $17,400 Family $2,369.08 $17,400 $17,400 Applies to All Generic drugs $0A generic drug is a medication created to be the same as an existing approved brand-name drug.
Specialist visit $0A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
Primary doctor visit $0Primary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $857.63 $12,000 $12,000 Two-person $1,715.26 $24,000 $24,000 Employee + Child(ren) $1,655.23 $24,000 $24,000 Family $2,409.94 $24,000 $24,000 Applies to All Generic drugs $25 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit $100 copaymentA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
A fixed dollar amount you pay for specific services.
Primary doctor visit $40 copaymentPrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
A fixed dollar amount you pay for specific services.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $891.93 $6,300 $7,800 Two-person $1,783.86 $12,600 $15,600 Employee + Child(ren) $1,721.42 $12,600 $15,600 Family $2,506.32 $12,600 $15,600 Applies to All Generic drugs $12 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit 50% coinsuranceA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
The share of a medical cost you are responsible to pay after your deductible has been met.
Primary doctor visit 50% coinsurancePrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
The share of a medical cost you are responsible to pay after your deductible has been met.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $976.07 $6,300 $6,300 Two-person $1,952.14 $12,600 $12,600 Employee + Child(ren) $1,883.82 $12,600 $12,600 Family $2,742.76 $12,600 $12,600 Applies to All Generic drugs $0A generic drug is a medication created to be the same as an existing approved brand-name drug.
Specialist visit $0A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
Primary doctor visit $0Primary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $983.33 $3,750 $9,850 Two-person $1,966.66 $7,500 $19,700 Employee + Child(ren) $1,897.83 $7,500 $19,700 Family $2,763.15 $7,500 $19,700 Applies to All Generic drugs $5 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit $50 copaymentA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
A fixed dollar amount you pay for specific services.
Primary doctor visit $30 copaymentPrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
A fixed dollar amount you pay for specific services.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $995.23 $3,500 $11,300 Two-person $1,990.46 $7,000 $22,600 Employee + Child(ren) $1,920.79 $7,000 $22,600 Family $2,796.60 $7,000 $22,600 Applies to All Generic drugs $15 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit $90 copaymentA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
A fixed dollar amount you pay for specific services.
Primary doctor visit $40 copaymentPrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
A fixed dollar amount you pay for specific services.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $1,030.22 $2,500 $7,500 Two-person $2,060.44 $5,000 $15,000 Employee + Child(ren) $1,988.32 $5,000 $15,000 Family $2,894.92 $5,000 $15,000 Applies to All Generic drugs $10 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit 35% coinsuranceA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
The share of a medical cost you are responsible to pay after your deductible has been met.
Primary doctor visit 10% coinsurancePrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
The share of a medical cost you are responsible to pay after your deductible has been met.
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Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $1,186.83 $1,550 $5,650 Two-person $2,373.66 $3,100 $11,300 Employee + Child(ren) $2,290.58 $3,100 $11,300 Family $3,334.99 $3,100 $11,300 Applies to All Generic drugs $5 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit $40 copaymentA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
A fixed dollar amount you pay for specific services.
Primary doctor visit $20 copaymentPrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
A fixed dollar amount you pay for specific services.
-
Monthly premium Your monthly payment for your health plan coverage.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $1,190.12 $3,400 $3,400 Two-person $2,380.24 $6,800 $6,800 Employee + Child(ren) $2,296.93 $6,800 $6,800 Family $3,344.24 $6,800 $6,800 Applies to All Generic drugs $0A generic drug is a medication created to be the same as an existing approved brand-name drug.
Specialist visit $0A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
Primary doctor visit $0Primary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
-
Monthly premium Your monthly payment for your health plan coverage.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $1,201.61 $1,700 $6,000 Two-person $2,403.22 $3,400 $12,000 Employee + Child(ren) $2,319.11 $3,400 $12,000 Family $3,376.52 $3,400 $12,000 Applies to All Generic drugs $15 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit $55 copaymentA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
A fixed dollar amount you pay for specific services.
Primary doctor visit $20 copaymentPrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
A fixed dollar amount you pay for specific services.
-
Monthly premium Your monthly payment for your health plan coverage.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of your costs.
Out-of-pocket maximum The maximum amount you will pay for covered services (medical or prescriptions) during a plan year. Once you meet this limit, your plans pays 100% of covered health care costs for the rest of the plan year.
Employee-only $1,445.91 $700 $2,650 Two-person $2,891.82 $1,400 $5,300 Employee + Child(ren) $2,790.61 $1,400 $5,300 Family $4,063.01 $1,400 $5,300 Applies to All Generic drugs $10 copaymentA generic drug is a medication created to be the same as an existing approved brand-name drug.
A fixed dollar amount you pay for specific services.
Specialist visit $30 copaymentA visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
A fixed dollar amount you pay for specific services.
Primary doctor visit $15 copaymentPrimary Care: A visit to a healthcare provider who provides primary, routine care services.
Mental Health: A visit to a healthcare provider for routine, office-based mental health and/or substance use disorder treatment.
A fixed dollar amount you pay for specific services.