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Monthly premium
Your premium is the amount you pay for your health insurance each month. |
Deductible
The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs. |
Out-of-pocket maximum
A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year. |
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|---|---|---|---|
| Employee | $650.77 | $6,450 | $9,450 |
| Employee & Spouse | $1,301.54 | $12,900 | $18,900 |
| Employee & Child(ren) | $1,255.99 | $12,900 | $18,900 |
| Family | $1,828.66 | $12,900 | $18,900 |
| 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
A health care provider who provides primary, routine care services. A fixed dollar amount you pay for specific services. |
Your 2024 Plan Options
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $659.13 $7,500 $7,500 Employee & Spouse $1,318.26 $15,000 $15,000 Employee & Child(ren) $1,272.12 $15,000 $15,000 Family $1,852.16 $15,000 $15,000 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 $0A health care provider who provides primary, routine care services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $669.06 $9,250 $9,250 Employee & Spouse $1,338.12 $18,500 $18,500 Employee & Child(ren) $1,291.29 $18,500 $18,500 Family $1,880.06 $18,500 $18,500 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 $0A health care provider who provides primary, routine care services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $675.95 $9,400 $9,400 Employee & Spouse $1,351.90 $18,800 $18,800 Employee & Child(ren) $1,304.58 $18,800 $18,800 Family $1,899.42 $18,800 $18,800 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 $100A visit to a healthcare provider that is considered a medical specialist, such as an orthopedic surgeon or cardiologist.
Primary doctor visit $40 co-payA health care provider who provides primary, routine care services.
A fixed dollar amount you pay for specific services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $680.95 $5,800 $7,200 Employee & Spouse $1,361.90 $11,600 $14,400 Employee & Child(ren) $1,314.23 $11,600 $14,400 Family $1,913.47 $11,600 $14,400 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-insuranceA health care provider who provides primary, routine care services.
The share of a medical cost you are responsible to pay after your deductible has been met.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $743.58 $5,500 $5,500 Employee & Spouse $1,487.16 $11,000 $11,000 Employee & Child(ren) $1,435.11 $11,000 $11,000 Family $2,089.46 $11,000 $11,000 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 $0A health care provider who provides primary, routine care services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $749.21 $3,250 $8,750 Employee & Spouse $1,498.42 $6,500 $17,500 Employee & Child(ren) $1,445.98 $6,500 $17,500 Family $2,105.28 $6,500 $17,500 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-payA health care provider who provides primary, routine care services.
A fixed dollar amount you pay for specific services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $761.82 $4,000 $9,300 Employee & Spouse $1,523.64 $8,000 $18,600 Employee & Child(ren) $1,470.31 $8,000 $18,600 Family $2,140.71 $8,000 $18,600 Applies to All Generic drugs $20 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-payA health care provider who provides primary, routine care services.
A fixed dollar amount you pay for specific services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $791.64 $2,100 $7,050 Employee & Spouse $1,583.28 $4,200 $14,100 Employee & Child(ren) $1,527.87 $4,200 $14,100 Family $2,224.51 $4,200 $14,100 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 15% co-insuranceA health care provider who provides primary, routine care services.
The share of a medical cost you are responsible to pay after your deductible has been met.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $905.72 $1,250 $5,150 Employee & Spouse $1,811.44 $2,500 $10,300 Employee & Child(ren) $1,748.04 $2,500 $10,300 Family $2,545.07 $2,500 $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-payA health care provider who provides primary, routine care services.
A fixed dollar amount you pay for specific services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Aggregate)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $910.92 $2,850 $2,850 Employee & Spouse $1,821.84 $5,700 $5,700 Employee & Child(ren) $1,758.08 $5,700 $5,700 Family $2,559.69 $5,700 $5,700 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 $0A health care provider who provides primary, routine care services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $938.54 $1,400 $5,600 Employee & Spouse $1,877.08 $2,800 $11,200 Employee & Child(ren) $1,811.38 $2,800 $11,200 Family $2,637.30 $2,800 $11,200 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-payA health care provider who provides primary, routine care services.
A fixed dollar amount you pay for specific services.
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Monthly premium Your premium is the amount you pay for your health insurance each month.
Deductible (Stacked)The dollar amount you pay for services and/or medications before your plan begins to pay a larger portion of costs.
Out-of-pocket maximum A limit on the amount you will pay for covered services (medical or prescriptions) in a calendar year. Once you meet this limit, we will pay for 100% of covered health care costs for the rest of the calendar year.
Employee $1,132.59 $450 $1,500 Employee & Spouse $2,265.18 $900 $3,000 Employee & Child(ren) $2,185.90 $900 $3,000 Family $3,182.58 $900 $3,000 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 $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 $15 co-payA health care provider who provides primary, routine care services.
A fixed dollar amount you pay for specific services.