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Health Plans for Employers

Number of employees:
Plan availability varies by location. Please enter your ZIP code to see plans available in your area.

If members receive services from out-of-network providers, their deductible and out-of-pocket limit will be higher than the amounts listed in the chart below.

Advanced options
Platinum 500‡‡
Office Visits

Primary care
No deductible, $10

Urgent care
No deductible, $10

Specialist
No deductible, $20

Tier 1 prescription
Drug coverage No deductible, $5

In-network Costs 

Deductible
Individual $500
Family $1,000

Out-of-pocket max
Individual $3,000
Family $6,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Gold 1000‡‡
Office Visits

Primary care
No deductible, $25

Urgent care
No deductible, $25

Specialist
No deductible, $60

Tier 1 prescription
Drug coverage No deductible, $10

In-network Costs 

Deductible
Individual $1,000
Family $2,000

Out-of-pocket max
Individual $5,500
Family $11,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Gold 2000‡‡
Office Visits

Primary care
No deductible, $25

Urgent care
No deductible, $25

Specialist
No deductible, $60

Tier 1 prescription
Drug coverage No deductible, $10

In-network Costs 

Deductible
Individual $2,000
Family $4,000

Out-of-pocket max
Individual $5,500
Family $11,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Gold 2500‡‡
Office Visits

Primary care
No deductible, $25

Urgent care
No deductible, $25

Specialist
No deductible, $60

Tier 1 prescription
Drug coverage No deductible, $10

In-network Costs 

Deductible
Individual $2,500
Family $5,000

Out-of-pocket max
Individual $5,500
Family $11,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Gold 3500‡‡
Office Visits

Primary care
No deductible, $25

Urgent care
No deductible, $25

Specialist
No deductible, $60

Tier 1 prescription
Drug coverage No deductible, $10

In-network Costs 

Deductible
Individual $3,500
Family $7,000

Out-of-pocket max
Individual $5,500
Family $11,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Silver 3000
Office Visits

Primary care
No deductible, $35

Urgent care
No deductible, $35

Specialist
After deductible, 40%

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $3,000
Family $6,000

Out-of-pocket max
Individual $8,150
Family $16,300

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Silver 4500‡‡
Office Visits

Primary care
No deductible, $30

Urgent care
No deductible, $30

Specialist
No deductible, $60

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $4,500
Family $9,000

Out-of-pocket max
Individual $7,500
Family $15,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Silver 5500‡‡
Office Visits

Primary care
No deductible, $30

Urgent care
No deductible, $30

Specialist
No deductible, $60

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $5,500
Family $11,000

Out-of-pocket max
Individual $7,500
Family $15,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Silver 6500‡‡
Office Visits

Primary care
No deductible, $30

Urgent care
No deductible, $30

Specialist
No deductible, $60

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $6,500
Family $13,000

Out-of-pocket max
Individual $7,500
Family $15,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Bronze 7500
Office Visits

Primary care
No deductible, $35

Urgent care
No deductible, $35

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $7,500
Family $15,000

Out-of-pocket max
Individual $7,500
Family $15,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Gold HSA 3000
Office Visits

Primary care
After deductible, covered in full

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $3,000
Family $6,000

Out-of-pocket max
Individual $3,000
Family $6,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Silver HSA 3000
Office Visits

Primary care
After deductible, 20%

Urgent care
After deductible, 20%

Specialist
After deductible, 20%

Tier 1 prescription
Drug coverage After deductible, 20%

In-network Costs 

Deductible
Individual $3,000
Family $6,000

Out-of-pocket max
Individual $6,750
Family $13,500

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Silver HSA 4500
Office Visits

Primary care
After deductible, covered in full

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $4,500
Family $9,000

Out-of-pocket max
Individual $4,500
Family $9,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Silver HSA 5500
Office Visits

Primary care
After deductible, covered in full

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $5,500
Family $11,000

Out-of-pocket max
Individual $5,500
Family $11,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Bronze HSA 5000
Office Visits

Primary care
After deductible, 50%

Urgent care
After deductible, 50%

Specialist
After deductible, 50%

Tier 1 prescription
Drug coverage After deductible, 50%

In-network Costs 

Deductible
Individual $5,000
Family $10,000

Out-of-pocket max
Individual $6,750
Family $13,500

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Bronze HSA 6750
Office Visits

Primary care
After deductible, covered in full

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $6,750
Family $13,500

Out-of-pocket max
Individual $6,750
Family $13,500

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Standard Gold++
Office Visits

Primary care
No deductible, $20

Urgent care
No deductible, $60

Specialist
No deductible, $40

Tier 1 prescription
Drug coverage No deductible, $10

In-network Costs 

Deductible
Individual $1,000
Family $2,000

Out-of-pocket max
Individual $7,300
Family $14,600

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Standard Silver++
Office Visits

Primary care
No deductible, $40

Urgent care
No deductible, $70

Specialist
No deductible, $80

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $3,550
Family $7,100

Out-of-pocket max
Individual $8,150
Family $16,300

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Standard Bronze++
Office Visits

Primary care
No deductible, $45

Urgent care
After deductible, covered in full

Specialist
No deductible, $90

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $7,900
Family $15,800

Out-of-pocket max
Individual $7,900
Family $15,800

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Dental Advantage Essentials^|||
Members Pay

$0 Deductible

Services Preventive Copay varies based on service, see benefit summary Basic Copay varies based on service, see benefit summary Major Copay varies based on service, see benefit summary

Annual Max. Benefit

N/A

More about this plan Summary of benefits

Dental Advantage Essentials Plus^
Members Pay

$0 Deductible

Services Preventive Copay varies based on service, see benefit summary Basic Copay varies based on service, see benefit summary Major Copay varies based on service, see benefit summary

Annual Max. Benefit

N/A

More about this plan Summary of benefits

Dental Choice 0-20-50 50-1000^|||
Members Pay

Deductible
Individual $50
Family $150

Services Preventive No deductible, 0% Basic After deductible, 20% Major After deductible, 50%

Annual Max. Benefit

$1,000 per person, age 19 and older

More about this plan Summary of benefits

Dental Choice Plus 0-20-50 25-1000^
Members Pay

Deductible
Individual $25
Family $75

Services Preventive No deductible, 0% Basic After deductible, 20% Major After deductible, 50%

Annual Max. Benefit

$1,000 per person, age 19 and older

More about this plan Summary of benefits

Dental Choice Plus 0-20-50 50-1000^
Members Pay

Deductible
Individual $50
Family $150

Services Preventive No deductible, 0% Basic After deductible, 20% Major After deductible, 50%

Annual Max. Benefit

$1,000 per person, age 19 and older

More about this plan Summary of benefits

Dental Choice Plus 0-20-50 25-1500^
Members Pay

Deductible
Individual $25
Family $75

Services Preventive No deductible, 0% Basic After deductible, 20% Major After deductible, 50%

Annual Max. Benefit

$1,500 per person, age 19 and older

More about this plan Summary of benefits

Dental Choice Plus 0-20-50 50-1500^
Members Pay

Deductible
Individual $50
Family $150

Services Preventive No deductible, 0% Basic After deductible, 20% Major After deductible, 50%

Annual Max. Benefit

$1,500 per person, age 19 and older

More about this plan Summary of benefits

Dental Advantage Core|||
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 0% Basic No deductible, 20% Major No deductible, 50% (age 19+ not covered)

Annual Max. Benefit

$500 on basic dental services, per person, age 19 and older

More about this plan Summary of benefits

Dental Advantage 20-20-50 1000^|||
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 20% Basic No deductible, 20% Major No deductible, 50%

Annual Max. Benefit

$1,000 per person, age 19 and older

More about this plan Summary of benefits

Dental Advantage 20-20-50 1500^|||
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 20% Basic No deductible, 20% Major No deductible, 50%

Annual Max. Benefit

$1,500 per person, age 19 and older

More about this plan Summary of benefits

Dental Advantage 0-20-50 1000^|||
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 0% Basic No deductible, 20% Major No deductible, 50%

Annual Max. Benefit

$1,000 per person, age 19 and older

More about this plan Summary of benefits

Dental Advantage 0-20-50 1500^|||
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 0% Basic No deductible, 20% Major No deductible, 50%

Annual Max. Benefit

$1,500 per person, age 19 and older

More about this plan Summary of benefits

Dental Advantage Plus 0-20-50 1000^
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 0% Basic No deductible, 20% Major No deductible, 50%

Annual Max. Benefit

$1,000 per person, age 19 and older

More about this plan Summary of benefits

Dental Advantage Plus 0-20-50 1500^
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 0% Basic No deductible, 20% Major No deductible, 50%

Annual Max. Benefit

$1,500 per person, age 19 and older

More about this plan Summary of benefits

Kids Dental Advantage 0-20-50
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 0% Basic No deductible, 20% Major No deductible, 50%

Annual Max. Benefit

N/A

More about this plan Summary of benefits

Kids Dental Advantage 20-40-50^
Members Pay

Deductible
Individual $0
Family $0

Services Preventive No deductible, 20% Basic No deductible, 40% Major No deductible, 50%

Annual Max. Benefit

N/A

More about this plan Summary of benefits