|
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 | $826.99 | $6,450 | $10,150 |
| Employee & Spouse | $1,653.98 | $12,900 | $20,300 |
| Employee & Child(ren) | $1,596.09 | $12,900 | $20,300 |
| Family | $2,323.84 | $12,900 | $20,300 |
| 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 $838.03 $8,200 $8,200 Employee & Spouse $1,676.06 $16,400 $16,400 Employee & Child(ren) $1,617.40 $16,400 $16,400 Family $2,354.86 $16,400 $16,400 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 (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 $843.35 $9,950 $9,950 Employee & Spouse $1,686.70 $19,900 $19,900 Employee & Child(ren) $1,627.67 $19,900 $19,900 Family $2,369.81 $19,900 $19,900 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 $874.65 $10,150 $10,150 Employee & Spouse $1,749.30 $20,300 $20,300 Employee & Child(ren) $1,688.07 $20,300 $20,300 Family $2,457.77 $20,300 $20,300 Applies to All Generic drugs $25 co-payA 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 co-payA 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 co-payPrimary 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 $876.14 $6,000 $7,600 Employee & Spouse $1,752.28 $12,000 $15,200 Employee & Child(ren) $1,690.95 $12,000 $15,200 Family $2,461.95 $12,000 $15,200 Applies to All Generic drugs $12 co-payA 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% co-insuranceA 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% co-insurancePrimary 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 $959.56 $3,750 $9,250 Employee & Spouse $1,919.12 $7,500 $18,500 Employee & Child(ren) $1,851.95 $7,500 $18,500 Family $2,696.36 $7,500 $18,500 Applies to All Generic drugs $5 co-payA 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 co-payA 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 co-payPrimary 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 $963.65 $6,000 $6,000 Employee & Spouse $1,927.30 $12,000 $12,000 Employee & Child(ren) $1,859.84 $12,000 $12,000 Family $2,707.86 $12,000 $12,000 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 $980.80 $3,500 $10,150 Employee & Spouse $1,961.60 $7,000 $20,300 Employee & Child(ren) $1,892.94 $7,000 $20,300 Family $2,756.05 $7,000 $20,300 Applies to All Generic drugs $15 co-payA 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 co-payA 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 co-payPrimary 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 $1,021.58 $2,300 $7,250 Employee & Spouse $2,043.16 $4,600 $14,500 Employee & Child(ren) $1,971.65 $4,600 $14,500 Family $2,870.64 $4,600 $14,500 Applies to All Generic drugs $10 co-payA 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% co-insuranceA 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% co-insurancePrimary 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 $1,188.53 $1,350 $5,150 Employee & Spouse $2,377.06 $2,700 $10,300 Employee & Child(ren) $2,293.86 $2,700 $10,300 Family $3,339.77 $2,700 $10,300 Applies to All Generic drugs $5 co-payA 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 co-payA 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 co-payPrimary 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 $1,189.80 $3,200 3,200 Employee & Spouse $2,379.60 $6,400 $6,400 Employee & Child(ren) $2,296.31 $6,400 $6,400 Family $3,343.34 $6,400 $6,400 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 $1,198.19 $1,500 $5,700 Employee & Spouse $2,396.38 $3,000 $11,400 Employee & Child(ren) $2,312.51 $3,000 $11,400 Family $3,366.91 $3,000 $11,400 Applies to All Generic drugs $15 co-payA 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 co-payA 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 co-payPrimary 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 $1,409.43 $500 $1,600 Employee & Spouse $2,818.86 $1,000 $3,200 Employee & Child(ren) $2,720.20 $1,000 $3,200 Family $3,960.50 $1,000 $3,200 Applies to All Generic drugs $10 co-payA 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 co-payA 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 co-payPrimary 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.