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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 | $577.51 | $6,450 | $9,100 |
| Employee & Spouse | $1,155.02 | $12,900 | $18,200 |
| Employee & Child(ren) | $1,114.59 | $12,900 | $18,200 |
| Family | $1,622.80 | $12,900 | $18,200 |
| 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
A health care provider who provides primary, routine care services. A fixed dollar amount you pay for specific services. |
Your 2023 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 $581.44 $7,150 $7,150 Employee & Spouse $1,162.88 $14,300 $14,300 Employee & Child(ren) $1,122.18 $14,300 $14,300 Family $1,633.85 $14,300 $14,300 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 $587.78 $8,950 $8,950 Employee & Spouse $1,175.56 $17,900 $17,900 Employee & Child(ren) $1,134.42 $17,900 $17,900 Family $1,651.66 $17,900 $17,900 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 $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 $594.37 $9,000 $9,000 Employee & Spouse $1,188.74 $18,000 $18,000 Employee & Child(ren) $1,147.13 $18,000 $18,000 Family $1,670.18 $18,000 $18,000 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 $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 $596.43 $5,800 $7,100 Employee & Spouse $1,192.86 $11,600 $14,200 Employee & Child(ren) $1,151.11 $11,600 $14,200 Family $1,675.97 $11,600 $14,200 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-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 $657.24 $3,200 $8,550 Employee & Spouse $1,314.48 $6,400 $17,100 Employee & Child(ren) $1,268.47 $6,400 $17,100 Family $1,846.84 $6,400 $17,100 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 (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 $659.82 $5,150 $5,150 Employee & Spouse $1,319.64 $10,300 $10,300 Employee & Child(ren) $1,273.45 $10,300 $10,300 Family $1,854.09 $10,300 $10,300 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 $667.15 $4,000 $9,100 Employee & Spouse $1,334.30 $8,000 $18,200 Employee & Child(ren) $1,287.60 $8,000 $18,200 Family $1,874.69 $8,000 $18,200 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 $704.25 $2,100 $7,050 Employee & Spouse $1,408.50 $4,200 $14,100 Employee & Child(ren) $1,359.20 $4,200 $14,100 Family $1,978.94 $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 30% 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-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 $791.42 $1,250 $5,150 Employee & Spouse $1,582.84 $2,500 $10,300 Employee & Child(ren) $1,527.44 $2,500 $10,300 Family $2,223.89 $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 $807.84 $2,675 $2,675 Employee & Spouse $1,615.68 $5,350 $5,350 Employee & Child(ren) $1,559.13 $5,350 $5,350 Family $2,270.03 $5,350 $5,350 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 $831.51 $1,400 $5,600 Employee & Spouse $1,663.02 $2,800 $11,200 Employee & Child(ren) $1,604.81 $2,800 $11,200 Family $2,336.54 $2,800 $11,200 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-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 $994.55 $425 $1,500 Employee & Spouse $1,989.10 $850 $3,000 Employee & Child(ren) $1,919.48 $850 $3,000 Family $2,794.69 $850 $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.