Compare Plans
Plan Comparison
See all your options side by side. Compare costs, coverage, and benefits to find the best fit for you and your family.
Coverage tier:
Value
Base PPO
$39.23
bi-weekly
$-4.77 vs. last year
Balanced
Mid PPO
$45.00
bi-weekly
$-0.39 vs. last year
Premium
High PPO
$50.77
bi-weekly
+$5.00 vs. last year
| Cost & Coverage Basics | |||
| Bi-Weekly Cost | $39.23 | $45.00 | $50.77 |
| YoY Change | $-4.77 | $-0.39 | +$5.00 |
| In-Network Deductible | $1,500 / $4,500 | $500 / $1,500 | $0 / $0 |
| In-Network OOP Max | $4,500 / $9,000 | $3,000 / $6,000 | $1,500 / $3,000 |
| Coinsurance (In-Network) | 20% | 20% | 0% |
| Office Visits | |||
| Preventive Care | Covered 100% | Covered 100% | Covered 100% |
| PCP Visit | $30 Copay | $25 Copay | $10 Copay |
| Specialist Visit | $55 Copay | $60 Copay | $25 Copay |
| Telemedicine PCP | Covered 100% | Covered 100% | Covered 100% |
| Mental Health (Outpatient) | Covered 100% | Covered 100% | Covered 100% |
| Diagnostics & Labs | |||
| Blood Work | Covered 100% | Covered 100% | Covered 100% |
| X-Rays | $50 Copay | $50 Copay | $50 Copay |
| Advanced Imaging | $250 Copay | 20%, after Ded | $125 Copay |
| Hospital & Emergency | |||
| Inpatient Hospital | 20%, after Ded | 20%, after Ded | $250 Copay |
| Outpatient Surgery | 20%, after Ded | 20%, after Ded | $150 Copay |
| Ambulatory Surgical Center | $200 Copay | $100 Copay | $50 Copay |
| Emergency Room | $250 Copay + 20%, after Ded | $300 Copay | $100 Copay |
| Urgent Care | $60 Copay | $65 Copay | $30 Copay |
| Prescription Drugs | |||
| Tier 1 — Generic (Retail) | $10 Copay | $10 Copay | $10 Copay |
| Tier 2 — Preferred (Retail) | $50 Copay | $50 Copay | $50 Copay |
| Tier 3 — Non-Preferred (Retail) | $80 Copay | $80 Copay | $80 Copay |
| Specialty Rx | $250 Copay | $250 Copay | $250 Copay |
| Tier 1 — Generic (Mail) | $25 Copay | $25 Copay | $25 Copay |
| Tier 2 — Preferred (Mail) | $125 Copay | $125 Copay | $125 Copay |
All values shown are in-network. Individual / Family amounts shown where applicable. marks the best value in each row.
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