Our 2022 Plans Compare 2021 Plans

If you’re looking for a plan with a $0 premium, $0 copays, $0 deductible and more no-cost advantages, check out the HMO plan below. If you want low premiums and copays, plus the ability to go out of network and get out-of-state travel coverage, check out our PPO.

Deductible - Medical Services:

Does not include prescription drugs.
$0

Annual Out-of-Pocket Maximum:

$4200

Inpatient Hospital Visit:

In-network:

$325 $0
per day, days 1 - 6 each additional day

Outpatient Hospital Coverage - In-network:

$175
For each visit

Primary Care Physician (PCP) :

$0
for each visit

Specialist Visit:

$35

Deductible - Prescription Drug (Part D)

$0

Tier 1/Tier 2 (Generic) Prescription Drugs At Preferred Pharmacy:

$0/$7
30-day supply

Deductible - Medical Services - In-network/Out-of-network:

Does not include prescription drugs.
$0

Annual Out-of-Pocket Maximum - In-network/In- and-Out-of-network Combined:

$5000/$10000

Inpatient Hospital Visit:

In-network:

$350 $0
per day, days 1 - 5 each additional day
Out-of-network:
40%
of each day

Outpatient Hospital Coverage - In-network/Out of-network:

$225/$375
for each visit

Primary Care Physician (PCP) - In-network/Out of-network:

$5/$40
for each visit

Specialist Visit - In-network/Out-of-network:

$35/$55

Deductible - Prescription Drug (Part D) - Tiers 1-2/ Tiers 3-5

$0/$100

Tier 1/Tier 2 (Generic) Prescription Drugs At Preferred Pharmacy:

$2/$8
30-day supply

Both plans also include no or low-cost supplemental benefits like:

  • Gym Membership
  • Dental
  • Over-the-Counter Drug Allowance
  • Vision
  • Hearing
  • Worldwide Emergency Coverage
  • Virtual Care/Telehealth
  • Diabetes Support
  • and More

For more information, see the Supplemental Benefits page or the 2022 Summary of Benefits