Compare health plan details
Check out what’s covered — and the benefit amounts — with each different plan.

EPO Plan Choose a different plan | PPO Plan Choose a different plan | |
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Network coverage Does this plan cover both network and out-of-network providers? | No — covers network doctors and facilities only | Yes — covers both network and out-of-network doctors and providers |
Primary Care Provider Is a Primary Care Provider (PCP) required with this plan? | No — this plan does not require a PCP | No — this plan does not require a PCP |
Savings account option Does this plan offer a savings or reimbursement account that can be used toward health expenses? | No | No |
EPO Plan Choose a different plan | PPO Plan Choose a different plan | |
---|---|---|
Search for providers Find out if your doctor, clinic or facility is in the network |
EPO Plan Choose a different plan | PPO Plan Choose a different plan | ||
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Deductible amounts | |||
Individual | |||
Network | $175 | $175 | |
Out-of-network | Not Applicable | $500 | |
Family | |||
Network | $350 | $350 | |
Out-of-network | Not Applicable | $1,000 | |
Out-of-pocket limits | |||
Individual | |||
Network | $6,350 | $6,350 | |
Out-of-network | Not Applicable | $12,700 | |
Family | |||
Network | $12,700 | $12,700 | |
Out-of-network | Not Applicable | $25,400 |
EPO Plan Choose a different plan | PPO Plan Choose a different plan | ||
---|---|---|---|
Doctors and specialists | |||
Preventive care visit | |||
Network | $0 | $0 | |
Out-of-network | Not Applicable | 40% after deductible | |
Primary care visit (illness or injury) | |||
Network | $35 | $40 | |
Out-of-network | Not Applicable | 40% after deductible | |
Primary care kids visit | |||
Network | $35 | $40 | |
Out-of-network | Not Applicable | 40% after deductible | |
Mental health visit (outpatient) | |||
Network | $0 | $0 | |
Out-of-network | Not Applicable | 40% after deductible | |
Specialist visit | |||
Network | $50 | $55 | |
Out-of-network | Not Applicable | 40% after deductible | |
Virtual, urgent and emergency care | |||
24/7 Virtual Visit (online doctor) | |||
Network | $0 | $0 | |
Urgent care visit | |||
Network | $50 after deductible | $50 after deductible | |
Out-of-network | Not Applicable | $50 after deductible | |
Emergency room | |||
Network | $200 after deductible | $200 after deductible | |
Out-of-network | Not Applicable | $200 after deductible |