Employer plans Health Plans for Employers Number of employees:1-5051+Showing plan information for: Plan availability varies by location. Please enter your ZIP code to see plans available in your area. Viewing: Select Type- Any -Chiropractic Dental Medical Orthodontia Pharmacy TMJVision Year:Select Year- Any -202320242025Multiple counties found: Please choose a county.Select CountySelect CountyIf 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.Platinum 500‡‡ Office VisitsPrimary care No deductible, $10 Urgent care No deductible, $10 Specialist No deductible, $20 Tier 1 prescription Drug coverage No deductible, $5 In-network Costs DeductibleIndividual $500 Family $1,000 Out-of-pocket maxIndividual $4,000 Family $8,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Gold 1000‡‡ Office VisitsPrimary care No deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $1,000 Family $2,000 Out-of-pocket maxIndividual $7,000 Family $14,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Gold 2000‡‡ Office VisitsPrimary care No deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $2,000 Family $4,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Gold 2500‡‡ Office VisitsPrimary care No deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $2,500 Family $5,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Gold 3500‡‡ Office VisitsPrimary care No deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Silver 3500 Office VisitsPrimary care No deductible, $50 Urgent care No deductible, $50 Specialist No deductible, $100 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $9,100 Family $18,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Silver 4500‡‡ Office VisitsPrimary care No deductible, $40 Urgent care No deductible, $40 Specialist No deductible, $80 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $4,500 Family $9,000 Out-of-pocket maxIndividual $9,100 Family $18,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Silver 5500‡‡ Office VisitsPrimary care No deductible, $35 Urgent care No deductible, $35 Specialist No deductible, $70 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $5,500 Family $11,000 Out-of-pocket maxIndividual $9,100 Family $18,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Silver 6500‡‡ Office VisitsPrimary care No deductible, $30 Urgent care No deductible, $30 Specialist No deductible, $60 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $6,500 Family $13,000 Out-of-pocket maxIndividual $9,100 Family $18,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Bronze 8150 Office VisitsPrimary 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 DeductibleIndividual $8,150 Family $16,300 Out-of-pocket maxIndividual $8,150 Family $16,300 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Bronze 9100 Office VisitsPrimary 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 DeductibleIndividual $9,100 Family $18,200 Out-of-pocket maxIndividual $9,100 Family $18,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Gold HSA 3000 Office VisitsPrimary 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 DeductibleIndividual $3,000 Family $6,000 Out-of-pocket maxIndividual $3,000 Family $6,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Silver HSA 3000 Office VisitsPrimary care After deductible, 20% Urgent care After deductible, 20% Specialist After deductible, 20% Tier 1 prescription Drug coverage After deductible, 20% In-network Costs DeductibleIndividual $3,000 Family $6,000 Out-of-pocket maxIndividual $7,050 Family $14,100 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Silver HSA 4800 Office VisitsPrimary 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 DeductibleIndividual $4,800 Family $9,600 Out-of-pocket maxIndividual $4,800 Family $9,600 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Silver HSA 5500 Office VisitsPrimary 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 DeductibleIndividual $5,500 Family $11,000 Out-of-pocket maxIndividual $5,500 Family $11,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Bronze HSA 7050 Office VisitsPrimary 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 DeductibleIndividual $7,050 Family $14,100 Out-of-pocket maxIndividual $7,050 Family $14,100 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Standard GoldOffice VisitsPrimary care No deductible, $20 Urgent care No deductible, $60 Specialist No deductible, $40 Tier 1 prescription Drug coverage No deductible, $10 In-network Costs DeductibleIndividual $1,800 Family $3,600 Out-of-pocket maxIndividual $7,300 Family $14,600 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Standard SilverOffice VisitsPrimary care No deductible, $40 Urgent care No deductible, $70 Specialist No deductible, $80 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $4,800 Family $9,600 Out-of-pocket maxIndividual $9,100 Family $18,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Standard BronzeOffice VisitsPrimary care No deductible, $50 Urgent care No deductible, $100 Specialist No deductible, $100 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $8,800 Family $17,600 Out-of-pocket maxIndividual $8,800 Family $17,600 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerRequest a quoteShare additional info with us.Dental Choice 0-20-50 50-1000^||| Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Choice Plus 0-20-50 25-1000^ Members PayDeductibleIndividual $25 Family $75 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Choice Plus 0-20-50 50-1000^ Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Choice Plus 0-20-50 25-1500^ Members PayDeductibleIndividual $25 Family $75 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Choice Plus 0-20-50 50-1500^ Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Advantage Core|||Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50% (age 19+ not covered)Annual Max. Benefit$500 on basic dental services, per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Advantage 20-20-50 1000^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Advantage 20-20-50 1500^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Advantage 0-20-50 1000^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Advantage 0-20-50 1500^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Advantage Plus 0-20-50 1000^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Dental Advantage Plus 0-20-50 1500^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsRequest a quoteShare additional info with us.Kids Dental Advantage 0-20-50 Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. BenefitN/AMore about this planSummary of benefitsRequest a quoteShare additional info with us.Kids Dental Advantage 20-40-50^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 40%MajorNo deductible, 50%Annual Max. BenefitN/AMore about this planSummary of benefitsRequest a quoteShare additional info with us.Platinum 500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $10 Urgent care No deductible, $10 Specialist No deductible, $20 Tier 1 prescription Drug coverage No deductible, $5 In-network Costs DeductibleIndividual $500 Family $1,000 Out-of-pocket maxIndividual $4,000 Family $8,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 1000‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $1,000 Family $2,000 Out-of-pocket maxIndividual $7,000 Family $14,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 2000‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $2,000 Family $4,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 2500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $2,500 Family $5,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 3500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 3500 Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $50 Urgent care No deductible, $50 Specialist No deductible, $100 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 4500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $40 Urgent care No deductible, $40 Specialist No deductible, $100 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $4,500 Family $9,000 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 5000‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $40 Urgent care No deductible, $40 Specialist No deductible, $80 Tier 1 prescription Drug coverage No deductible, $10 In-network Costs DeductibleIndividual $5,000 Family $10,000 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 5500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $35 Urgent care No deductible, $35 Specialist No deductible, $70 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $5,500 Family $11,000 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 6500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $35 Urgent care No deductible, $35 Specialist No deductible, $70 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $6,500 Family $13,000 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerBronze 7500 Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $35 Urgent care No deductible, $35 Specialist No deductible, $100 Tier 1 prescription Drug coverage After deductible, 30% In-network Costs DeductibleIndividual $7,500 Family $15,000 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold HSA 3400 Office VisitsPrimary 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 DeductibleIndividual $3,400 Family $6,800 Out-of-pocket maxIndividual $3,400 Family $6,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver HSA 3500 Office VisitsPrimary care After Deductible, First 3 visits No Charge, then 20% Coinsurance Urgent care After deductible, 20% Specialist After deductible, 20% Tier 1 prescription Drug coverage After deductible, 20% In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $7,500 Family $15,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver HSA 5100 Office VisitsPrimary 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 DeductibleIndividual $5,100 Family $10,200 Out-of-pocket maxIndividual $5,100 Family $10,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver HSA 5500 Office VisitsPrimary 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 DeductibleIndividual $5,500 Family $11,000 Out-of-pocket maxIndividual $5,500 Family $11,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerBronze HSA 8050 Office VisitsPrimary 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 DeductibleIndividual $8,050 Family $16,100 Out-of-pocket maxIndividual $8,050 Family $16,100 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerStandard GoldOffice VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $20 Urgent care No deductible, $60 Specialist No deductible, $40 Tier 1 prescription Drug coverage No deductible, $10 In-network Costs DeductibleIndividual $1,500 Family $3,000 Out-of-pocket maxIndividual $7,000 Family $14,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerStandard SilverOffice VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $40 Urgent care No deductible, $70 Specialist No deductible, $80 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $5,500 Family $11,000 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerStandard BronzeOffice VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $50 Urgent care No deductible, $100 Specialist No deductible, $150 Tier 1 prescription Drug coverage No deductible, $25 In-network Costs DeductibleIndividual $9,200 Family $18,400 Out-of-pocket maxIndividual $9,200 Family $18,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerDental Choice 0-20-50 50-1000^||| Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 25-1000^ Members PayDeductibleIndividual $25 Family $75 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 50-1000^ Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 25-1500^ Members PayDeductibleIndividual $25 Family $75 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 50-1500^ Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental PPO Core|||Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50% (age 19+ not covered)Annual Max. Benefit$500 on basic dental services, per person, age 19 and olderMore about this planSummary of benefitsDental PPO 20-20-50 1000^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental PPO 20-20-50 1500^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental PPO 0-20-50 1000^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental PPO 0-20-50 1500^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental PPO Plus 0-20-50 1000^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental PPO Plus 0-20-50 1500^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsKids Dental PPO 0-20-50 Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. BenefitN/AMore about this planSummary of benefitsKids Dental PPO 20-40-50^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 40%MajorNo deductible, 50%Annual Max. BenefitN/AMore about this planSummary of benefitsPlatinum 500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $10 Urgent care No deductible, $10 Specialist No deductible, $20 Tier 1 prescription Drug coverage No deductible, $5 In-network Costs DeductibleIndividual $500 Family $1,000 Out-of-pocket maxIndividual $4,000 Family $8,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 1000‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $1,000 Family $2,000 Out-of-pocket maxIndividual $7,000 Family $14,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 2000‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $2,000 Family $4,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 2500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $2,500 Family $5,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold 3500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $25 Urgent care No deductible, $25 Specialist No deductible, $75 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $6,500 Family $13,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 3500 Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $50 Urgent care No deductible, $50 Specialist No deductible, $100 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $9,400 Family $18,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 4500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $40 Urgent care No deductible, $40 Specialist No deductible, $100 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $4,500 Family $9,000 Out-of-pocket maxIndividual $9,400 Family $18,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 5000‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $40 Urgent care No deductible, $40 Specialist No deductible, $80 Tier 1 prescription Drug coverage No deductible, $10 In-network Costs DeductibleIndividual $5,000 Family $10,000 Out-of-pocket maxIndividual $9,400 Family $18,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 5500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $35 Urgent care No deductible, $35 Specialist No deductible, $70 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $5,500 Family $11,000 Out-of-pocket maxIndividual $9,400 Family $18,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver 6500‡‡ Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $35 Urgent care No deductible, $35 Specialist No deductible, $70 Tier 1 prescription Drug coverage No deductible, $20 In-network Costs DeductibleIndividual $6,500 Family $13,000 Out-of-pocket maxIndividual $9,400 Family $18,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerBronze 7500 Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $35 Urgent care No deductible, $35 Specialist No deductible, $100 Tier 1 prescription Drug coverage After deductible, 30% In-network Costs DeductibleIndividual $7,500 Family $15,000 Out-of-pocket maxIndividual $9,400 Family $18,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerBronze 9400 Office VisitsPrimary care 1-3 no deductible, $5; visits 4+ 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 DeductibleIndividual $9,400 Family $18,800 Out-of-pocket maxIndividual $9,400 Family $18,800 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerGold HSA 3200 Office VisitsPrimary 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 DeductibleIndividual $3,200 Family $6,400 Out-of-pocket maxIndividual $3,200 Family $6,400 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver HSA 3500 Office VisitsPrimary care After deductible, 20% Urgent care After deductible, 20% Specialist After deductible, 20% Tier 1 prescription Drug coverage After deductible, 20% In-network Costs DeductibleIndividual $3,500 Family $7,000 Out-of-pocket maxIndividual $7,500 Family $15,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver HSA 5100 Office VisitsPrimary 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 DeductibleIndividual $5,100 Family $10,200 Out-of-pocket maxIndividual $5,100 Family $10,200 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerSilver HSA 5500 Office VisitsPrimary 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 DeductibleIndividual $5,500 Family $11,000 Out-of-pocket maxIndividual $5,500 Family $11,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerBronze HSA 7500 Office VisitsPrimary 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 DeductibleIndividual $7,500 Family $15,000 Out-of-pocket maxIndividual $7,500 Family $15,000 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerStandard GoldOffice VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $20 Urgent care No deductible, $60 Specialist No deductible, $40 Tier 1 prescription Drug coverage No deductible, $10 In-network Costs DeductibleIndividual $1,800 Family $3,600 Out-of-pocket maxIndividual $7,550 Family $15,100 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerStandard SilverOffice VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $40 Urgent care No deductible, $70 Specialist No deductible, $80 Tier 1 prescription Drug coverage No deductible, $15 In-network Costs DeductibleIndividual $5,500 Family $10,200 Out-of-pocket maxIndividual $9,450 Family $18,900 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerStandard BronzeOffice VisitsPrimary care 1-3 no deductible, $5; visits 4+ no deductible, $50 Urgent care No deductible, $100 Specialist No deductible, $150 Tier 1 prescription Drug coverage No deductible, $25 In-network Costs DeductibleIndividual $9,450 Family $18,900 Out-of-pocket maxIndividual $9,450 Family $18,900 Preventive services No deductible, covered in full Plan Downloads (PDFs)More details for this plan on the following networksNavigatorVoyagerDental Choice 0-20-50 50-1000^||| Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 25-1000^ Members PayDeductibleIndividual $25 Family $75 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 50-1000^ Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 25-1500^ Members PayDeductibleIndividual $25 Family $75 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental Choice Plus 0-20-50 50-1500^ Members PayDeductibleIndividual $50 Family $150 ServicesPreventiveNo deductible, 0%BasicAfter deductible, 20%MajorAfter deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental PPO Core|||Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50% (age 19+ not covered)Annual Max. Benefit$500 on basic dental services, per person, age 19 and olderMore about this planSummary of benefitsDental PPO 20-20-50 1000^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental PPO 20-20-50 1500^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental PPO 0-20-50 1000^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental PPO 0-20-50 1500^||| Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsDental PPO Plus 0-20-50 1000^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,000 per person, age 19 and olderMore about this planSummary of benefitsDental PPO Plus 0-20-50 1500^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. Benefit$1,500 per person, age 19 and olderMore about this planSummary of benefitsKids Dental PPO 0-20-50 Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 0%BasicNo deductible, 20%MajorNo deductible, 50%Annual Max. BenefitN/AMore about this planSummary of benefitsKids Dental PPO 20-40-50^ Members PayDeductibleIndividual $0 Family $0 ServicesPreventiveNo deductible, 20%BasicNo deductible, 40%MajorNo deductible, 50%Annual Max. BenefitN/AMore about this planSummary of benefits
