Silver Plans


The Silver Plans have higher monthly premiums than Bronze Plans, but lower member cost-sharing.

For more information, contact us at: 1-888-249-2583.





Slate POS 7100 align Blended align HDHP Healthy Balance POS Pkg 1
In-Network:



     Deductible (single/family) $1,250 / $2,500 $750 / $1,500 $1,500 / $3,000 $1,500 / $3,000
     Coinsurance 0% 20% 20% 20%
     Out-of-Pocket Maximum
     (single/family)
$4,000 / $8,000 $6,350 / $12,700 $6,350 / $12,700 $5,000 / $10,000
Medical Services:



     PCP/Specialist Visit $25 / $50 after deductible $30 / $50 after deductible 20% after deductible 20% after deductible 
Hospital Services:



     Inpatient Hospital $750 after deductible 20% after deductible 20% after deductible 20% after deductible 
     Outpatient Surgery $150 after deductible 20% after deductible 20% after deductible 20% after deductible 
     Emergency Room Visit $125 after deductible 20% after deductible 20% after deductible 20% after deductible 
     Urgent Care $75 after deductible 20% after deductible 20% after deductible 20% after deductible 
Prescription Drugs*



     Generic/Formulary/
     Non-Formulary
$10 / $30 / 50% after deductible $25 / $50 / 50% after deductible $10 / $30 / 50% after deductible $15 / $50 / 50% after deductible
Rates (Single/Family):



     Single $409 $383 $342 $384
     Employee/Child $695 $651 $582 $652
     Employee / Spouse $818 $766 $685 $767
     Family $1,166 $1,092 $976 $1,093
     Pediatric Dental Rate $19 $19 $19 $19





*Generic oral contraceptives are covered in full.
*Mail order drugs are 2.5% copays /  90 day supply.
*Pediatric Dental is an essential health benefit required for dependents under the age of 19. Optional coverage is available with all plans.