Skip to main content
Toggle Menu

HSA Plan

Network

100% coverage* after deductible for 4 visits

Additional visits:
20% coinsurance after deductible

Non-Network

40% coinsurance after deductible

PPO 750 Plan

Network

100% coverage*
for 4 visits

Additional visits:
20% coinsurance after deductible

Non-Network

40% coinsurance after deductible

PPO 1250 Plan

Network

100% coverage*
for 4 visits

Additional visits:
20% coinsurance after deductible

Non-Network

40% coinsurance after deductible

*For 100% coverage, visits must be ordered by a provider and received in-network.


Back to Top