Skip to content

The Essentials

Please Note: Highlighted benefits reflect In-Network coverage

$8,550

Deductible

$8,550

Out-of-Pocket Maximum

$17,100

Family deductible

$17,100

Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No

Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.

$0

Preventive Services

0%

Coinsurance After Deductible

0%

Primary Care Visit - (0% first 3 visits then: 0% after)

0% after deductible

Urgent Care Visit

0% after deductible

Specialist Visit

0% after deductible

Tier 1- Preferred Generic Drugs

All-Purpose Feedback Form

1. Submit unlimited forms
2. DO NOT FORGET to enter the page name.