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 $468.20 $442.60 $425.17 $453.45
     2 Person $936.40 $885.20 $850.34 $906.90
     Single + Child $795.94 $752.42 $722.79 $770.86
     Family  $1,334.37 $1,261.42 $1,211.74 $1,292.33
     



Primary Care Doctor / Specialist $25 / $40 after deductible 20% after first dollar and deductible $0 pediatric PCP visits
$0 for first three adult PCP visits
$25/$40
$0 pediatric PCP visits
$0 for first three adult PCP visits
$25 / $40
  



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% after first dollar 20% after deductible 20% after deductible 





Prescription Drugs



     Tier 1/2/3 $10 / $35 / $70 $15 / $50 / 50% $5 / $30 / 50% $5 / $30 / 50%
     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