Gold Plan

Our Gold plans have a robust level of coverage combined with a low cost sharing.

We are happy to include $250 Wellness Card as an added benefit on all of our 2015 group plans. This card can be used for many products and services including: gym memberships, massage therapy and nutritional supplements.

View more details
on the Wellness Card.

All premiums listed represent coverage for dependents up to age 26.







2015 Plan Information Gold Standard Gold Aqua Gold POS 250 Gold POS 250EX
Monthly Premium



     Single $461.28 $436.06 $418.89 $446.75
     2 Person $922.56 $872.12 $837.78 $893.50
     Single + Child $784.17 $741.30 $712.11 $759.47
     Family  $1,314.65 $1,242.78 $1,193.83 $1,273.24
     



Primary Care Doctor / Specialist $25 / $40 after deductible 20% coinsurance after first dollar and deductible $25 / $40 not subject to deductible $25 / $40 not subject to deductible
  



Deductible (Single / Family) $600 / $1,200 $1,000 / $2,000 $1,500 / $3,000 $1,500 / $3,000





Inpatient Hospital Stay $1,000 after deductible 20% coinsurance after first dollar allowance 20% coinsurance after deductible 20% coinsurance after deductible 





Prescription Drugs



     Tier 1/2/3 $10 / $35 / $70 not subject to deductible $15 / $50 / 50% not subject to deductible $5 / $30 / 50% not subject to deductible $5 / $30 / 50% not subject to deductible
     Generic Oral Contraceptives   Covered in full  Covered in full Covered in full  Covered in full
     Mail Order Drugs   2.5 copays / 90-day supply   2.5 copays / 90-day supply 2.5 copays / 90-day supply 2.5 copays / 90-day supply