Bronze Plan

Our Bronze plans are our most affordable plans with the lowest monthly premiums.

We are happy to include $250 Wellness Debit Card as an added benefit on all of our 2016 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 Debit Card.

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



 Q3 2016 Plan Information Bronze Standard Bronze POS 8100EX Bronze PPO 8100 Bronze Value
Monthly Premium        
     Single $333.27 $359.38 $393.97 $335.78
     Single + Child
$566.56 $610.95 $669.75 $570.82
     2 Person $666.54 $718.76 $787.94 $671.56
     Family  $949.82 $1,024.24 $1,122.82 $956.97
         
Primary Care Doctor / Specialist 50% after deductible 20% after deductible 20% after deductible 0% after deductible
          
Deductible (Single / Family) $3,500 / $7,000 embedded $5,000 / $10,000 embedded $5,000 / $10,000 embedded $6,450 / $12,900 embedded
         
Inpatient Hospital Stay 50% after deductible 20% after deductible 20% after deductible 0% after deductible
         
Prescription Drugs        
     Tier 1/2/3 $10 / $35 / $70 after deductible $5 / $30 / 50% after deductible $5 / $30 / 50% after deductible $0/ 0% / 0% after 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
         
  View Summary of Benefits and Coverage View Summary of Benefits and Coverage View Summary of Benefits and Coverage View Summary of Benefits and Coverage
The contracts on this page are generic versions. For a detailed version, specific to your plan, please log in to your member portal.

 

 

 

Q4 2015 Plan Information Bronze Standard Bronze POS 8100EX Bronze Align
Monthly Premium      
     Single $345.88 $339.88 $289.82
     Single + Child
$587.99 $577.79 $492.70
     2 Person $691.76 $679.76 $579.64
     Family  $985.76 $968.66 $825.99
       
Primary Care Doctor / Specialist 50% after deductible 20% after deductible Optimum Choice: 40% after deductible
Flexible Choice: 50% after deductible
        
Deductible (Single / Family) $3,000 / $6,000 $4,000 / $8,000 Optimum Choice: $5,000 / $10,000
Flexible Choice: $6,000 / $12,000
       
Inpatient Hospital Stay 50% after deductible 20% after deductible Optimum Choice: 40% after deducitble
Flexible Choice: 50% after deductible
       
Prescription Drugs      
     Tier 1/2/3 $10 / $35 / $70 after deductible $5 / $30 / 50% after deductible $15 / 50% / 50% after deductible
     Generic Oral Contraceptives 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