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Plan Comparison

FIND THE RIGHT PLAN

All plans run on the Connected Care program with a National Carrier Network. Compare deductibles, copays, and out-of-pocket maximums across every tier.

Network

Connected Care

Repricing

National Carrier Network

Deductible Type

Various Options

16 plans shown

Bronze 4.5 Co-pay Bronze 4.4 HSA Bronze 4.3 Co-pay Bronze 4.2 HSA (EPO) Silver 3.3 HSA Silver 3.2 Co-pay Gold 2.3 Co-pay Gold 2.2 Co-pay Gold 2.1 HSA Gold 2.0 Co-pay Popular Platinum 1.2 Co-pay Platinum 1.1 Co-pay Platinum 1.0 Co-pay EPO $500/$1,000 Co-pay (EPO) EPO $1,000/$2,000 Co-pay (EPO) EPO $1,500/$3,000 Co-pay (EPO)
Deductible (Indv / Family) $8,000 / $16,000 $6,000 / $12,000 $5,000 / $10,000 $9,000 / $18,000 $3,400 / $6,800 $3,000 / $6,000 $1,500 / $3,000 $3,250 / $6,500 $3,200 / $6,400 $1,000 / $2,000 $0 / $0 $1,250 / $2,500 $250 / $500 $500 / $1,000 $1,000 / $2,000 $1,500 / $3,000
OOP Max (Indv / Family) $8,700 / $17,400 $7,000 / $14,000 $8,700 / $17,400 $9,000 / $18,000 $6,800 / $13,300 $6,000 / $12,000 $3,000 / $6,000 $3,250 / $6,500 $3,200 / $6,400 $3,500 / $7,000 $1,250 / $2,500 $1,250 / $2,500 $1,250 / $2,500 $8,700 / $17,400 $8,700 / $17,400 $8,700 / $17,400
Plan Type Co-pay HSA Co-pay HSA (EPO) HSA Co-pay Co-pay Co-pay HSA Co-pay Co-pay Co-pay Co-pay Co-pay (EPO) Co-pay (EPO) Co-pay (EPO)
Primary Care $50 30% After Ded. $40 30% After Ded. 20% After Ded. $35 $35 $30 0% After Ded. $15 $25 $25 $25 $50 $50 $50
Specialist $120 30% After Ded. $80 30% After Ded. 20% After Ded. $55 $55 $50 0% After Ded. $40 $45 $45 $45 $120 $120 $120
Urgent Care $100 30% After Ded. $60 30% After Ded. 20% After Ded. $55 $55 $50 0% After Ded. $40 $45 $45 $45 $100 $100 $100
Emergency Room $500 + 30% After Ded. 30% After Ded. 30% After Ded. 30% After Ded. 20% After Ded. $500 $500 $400 0% After Ded. $300 $300 $300 20% After Ded. $500 + 30% After Ded. $500 + 30% After Ded. $500 + 30% After Ded.
X-Ray / Lab 30% After Ded. 30% After Ded. 30% After Ded. 30% After Ded. 20% After Ded. 20% After Ded. 20% After Ded. 0% After Ded. 0% After Ded. 20% After Ded. 30% After Ded. 0% After Ded. 20% After Ded. 30% After Ded. 30% After Ded. 30% After Ded.
In-Patient Hospital 30% After Ded. 30% After Ded. 30% After Ded. 30% After Ded. 20% After Ded. 20% After Ded. 20% After Ded. 0% After Ded. 0% After Ded. 20% After Ded. 30% After Ded. 0% After Ded. 20% After Ded. 30% After Ded. 30% After Ded. 30% After Ded.
Out-Patient Surgery 30% After Ded. 30% After Ded. 30% After Ded. 30% After Ded. 20% After Ded. 20% After Ded. 20% After Ded. 0% After Ded. 0% After Ded. 20% After Ded. 30% After Ded. 0% After Ded. 20% After Ded. 30% After Ded. 30% After Ded. 30% After Ded.
Rx Tier 1 (Generic) $0 0% After Ded. $0 0% After Ded. 0% After Ded. $0 $0 $0 0% After Ded. $0 $0 $0 $0 $0 $0 $0
Rx Tier 2 (Preferred) $35 25% After Ded. $35 25% After Ded. 25% After Ded. $35 $35 $35 0% After Ded. $35 $35 $35 $35 $35 $35 $35
Rx Tier 3 (Non-Preferred) $75 45% After Ded. $75 45% After Ded. 45% After Ded. $75 $75 $75 0% After Ded. $75 $75 $75 $75 $75 $75 $75
Wellness / Preventive Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered

  • Bronze 4.5

    Co-pay
    Deductible (Indv / Family)
    $8,000 / $16,000
    OOP Max (Indv / Family)
    $8,700 / $17,400
    Primary Care
    $50
    Specialist
    $120
    Urgent Care
    $100
    Emergency Room
    $500 + 30% After Ded.
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • Bronze 4.4

    HSA
    Deductible (Indv / Family)
    $6,000 / $12,000
    OOP Max (Indv / Family)
    $7,000 / $14,000
    Primary Care
    30% After Ded.
    Specialist
    30% After Ded.
    Urgent Care
    30% After Ded.
    Emergency Room
    30% After Ded.
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    0% After Ded.
    Rx Tier 2 (Preferred)
    25% After Ded.
    Rx Tier 3 (Non-Preferred)
    45% After Ded.
    Wellness / Preventive
    Covered

  • Bronze 4.3

    Co-pay
    Deductible (Indv / Family)
    $5,000 / $10,000
    OOP Max (Indv / Family)
    $8,700 / $17,400
    Primary Care
    $40
    Specialist
    $80
    Urgent Care
    $60
    Emergency Room
    30% After Ded.
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • Bronze 4.2

    HSA (EPO)
    Deductible (Indv / Family)
    $9,000 / $18,000
    OOP Max (Indv / Family)
    $9,000 / $18,000
    Primary Care
    30% After Ded.
    Specialist
    30% After Ded.
    Urgent Care
    30% After Ded.
    Emergency Room
    30% After Ded.
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    0% After Ded.
    Rx Tier 2 (Preferred)
    25% After Ded.
    Rx Tier 3 (Non-Preferred)
    45% After Ded.
    Wellness / Preventive
    Covered

  • Silver 3.3

    HSA
    Deductible (Indv / Family)
    $3,400 / $6,800
    OOP Max (Indv / Family)
    $6,800 / $13,300
    Primary Care
    20% After Ded.
    Specialist
    20% After Ded.
    Urgent Care
    20% After Ded.
    Emergency Room
    20% After Ded.
    X-Ray / Lab
    20% After Ded.
    In-Patient Hospital
    20% After Ded.
    Out-Patient Surgery
    20% After Ded.
    Rx Tier 1 (Generic)
    0% After Ded.
    Rx Tier 2 (Preferred)
    25% After Ded.
    Rx Tier 3 (Non-Preferred)
    45% After Ded.
    Wellness / Preventive
    Covered

  • Silver 3.2

    Co-pay
    Deductible (Indv / Family)
    $3,000 / $6,000
    OOP Max (Indv / Family)
    $6,000 / $12,000
    Primary Care
    $35
    Specialist
    $55
    Urgent Care
    $55
    Emergency Room
    $500
    X-Ray / Lab
    20% After Ded.
    In-Patient Hospital
    20% After Ded.
    Out-Patient Surgery
    20% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • Gold 2.3

    Co-pay
    Deductible (Indv / Family)
    $1,500 / $3,000
    OOP Max (Indv / Family)
    $3,000 / $6,000
    Primary Care
    $35
    Specialist
    $55
    Urgent Care
    $55
    Emergency Room
    $500
    X-Ray / Lab
    20% After Ded.
    In-Patient Hospital
    20% After Ded.
    Out-Patient Surgery
    20% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • Gold 2.2

    Co-pay
    Deductible (Indv / Family)
    $3,250 / $6,500
    OOP Max (Indv / Family)
    $3,250 / $6,500
    Primary Care
    $30
    Specialist
    $50
    Urgent Care
    $50
    Emergency Room
    $400
    X-Ray / Lab
    0% After Ded.
    In-Patient Hospital
    0% After Ded.
    Out-Patient Surgery
    0% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • Gold 2.1

    HSA
    Deductible (Indv / Family)
    $3,200 / $6,400
    OOP Max (Indv / Family)
    $3,200 / $6,400
    Primary Care
    0% After Ded.
    Specialist
    0% After Ded.
    Urgent Care
    0% After Ded.
    Emergency Room
    0% After Ded.
    X-Ray / Lab
    0% After Ded.
    In-Patient Hospital
    0% After Ded.
    Out-Patient Surgery
    0% After Ded.
    Rx Tier 1 (Generic)
    0% After Ded.
    Rx Tier 2 (Preferred)
    0% After Ded.
    Rx Tier 3 (Non-Preferred)
    0% After Ded.
    Wellness / Preventive
    Covered

  • Gold 2.0

    Co-pay
    Deductible (Indv / Family)
    $1,000 / $2,000
    OOP Max (Indv / Family)
    $3,500 / $7,000
    Primary Care
    $15
    Specialist
    $40
    Urgent Care
    $40
    Emergency Room
    $300
    X-Ray / Lab
    20% After Ded.
    In-Patient Hospital
    20% After Ded.
    Out-Patient Surgery
    20% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered
  • Popular

    Platinum 1.2

    Co-pay
    Deductible (Indv / Family)
    $0 / $0
    OOP Max (Indv / Family)
    $1,250 / $2,500
    Primary Care
    $25
    Specialist
    $45
    Urgent Care
    $45
    Emergency Room
    $300
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • Platinum 1.1

    Co-pay
    Deductible (Indv / Family)
    $1,250 / $2,500
    OOP Max (Indv / Family)
    $1,250 / $2,500
    Primary Care
    $25
    Specialist
    $45
    Urgent Care
    $45
    Emergency Room
    $300
    X-Ray / Lab
    0% After Ded.
    In-Patient Hospital
    0% After Ded.
    Out-Patient Surgery
    0% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • Platinum 1.0

    Co-pay
    Deductible (Indv / Family)
    $250 / $500
    OOP Max (Indv / Family)
    $1,250 / $2,500
    Primary Care
    $25
    Specialist
    $45
    Urgent Care
    $45
    Emergency Room
    20% After Ded.
    X-Ray / Lab
    20% After Ded.
    In-Patient Hospital
    20% After Ded.
    Out-Patient Surgery
    20% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • EPO $500/$1,000

    Co-pay (EPO)
    Deductible (Indv / Family)
    $500 / $1,000
    OOP Max (Indv / Family)
    $8,700 / $17,400
    Primary Care
    $50
    Specialist
    $120
    Urgent Care
    $100
    Emergency Room
    $500 + 30% After Ded.
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • EPO $1,000/$2,000

    Co-pay (EPO)
    Deductible (Indv / Family)
    $1,000 / $2,000
    OOP Max (Indv / Family)
    $8,700 / $17,400
    Primary Care
    $50
    Specialist
    $120
    Urgent Care
    $100
    Emergency Room
    $500 + 30% After Ded.
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

  • EPO $1,500/$3,000

    Co-pay (EPO)
    Deductible (Indv / Family)
    $1,500 / $3,000
    OOP Max (Indv / Family)
    $8,700 / $17,400
    Primary Care
    $50
    Specialist
    $120
    Urgent Care
    $100
    Emergency Room
    $500 + 30% After Ded.
    X-Ray / Lab
    30% After Ded.
    In-Patient Hospital
    30% After Ded.
    Out-Patient Surgery
    30% After Ded.
    Rx Tier 1 (Generic)
    $0
    Rx Tier 2 (Preferred)
    $35
    Rx Tier 3 (Non-Preferred)
    $75
    Wellness / Preventive
    Covered

All plans use embedded deductibles. Specialty Rx: Contact PBM for pricing on all plans. Wellness & preventive care covered at 100% on all plans. Network: ConnectedCare with National High-Performance PPO underlying repricing.

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