Bronze Individual and Family Plans

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

We are happy to include a $250 Wellness Card as an added benefit on all of our 2015 individual and family 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.

2015 Plans will be available for purchase beginning on 11/15/2014.
All premiums listed represent coverage for dependents up to age 26.

 

 

2015 Plan Information Bronze Standard Bronze Value
Bronze POS 8100EX
Monthly Premium:


        Single $352.44 $278.95 $340.84
        2 Person $704.88 $557.90 $681.68
        Single + Child $599.15 $474.22 $579.43
        Family $1,004.46 $795.01 $971.40
Primary Care Doctor/Specialist 50% coinsurance / 50% coinsurance $5 (PCP visits not subject to the deductible) / 0% coinsurance 20% coinsurance / 20% coinsurance
Deductible (single/family) $3,000/$6,000 $6,600 / $13,200 $4,000 / $8,000
Inpatient Hospital Stay 50% coinsurance 0% coinsurance 20% coinsurance
Prescription Drugs:


        Tier 1/2/3 $10/$35/$70  $10 / $0/ $0 (Tier 1 not subject to deductible)  $5/ $30 / 50%
        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









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 View Summary of Benefits and Coverage

View Summary of Benefits and Coverage

 View Summary of Benefits and Coverage


View Glossary of Medical Terms

View Glossary of Medical Terms

View Glossary of Medical Terms








  Bronze Standard * Bronze 4750
Monthly Premium:    
        Single $360.26 $321.36
        2 Person $720.52 $642.72
        Single + Child $612.44 $546.32
        Family $1,026.74 $915.87
Primary Care Doctor/Specialist 50% coinsurance after deductible PCP Optimum:  $20             Specialist Optimum: 50% coinsurance
PCP Flexible: $40                 Specialist Flexible: 50% coinsurance
Deductible (single/family) $3,000/$6,000 Optimum: $4,750 / $9,500
Flexible: $6,350 / $12,700
Inpatient Hospital Stay 50% coinsurance after deductible Optimum: $1,500 copayment after deductible
Flexible: 50% coinsurance after deductible
Prescription Drugs:    
        Tier 1/2/3 $10/$35/$70 copayment after Deductible $5 / 50% / 50% after deductible
        Generic Oral Contraceptives Covered in full Covered in full
        Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply
     
     
  Shop Plans

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View Summary of Benefits and Coverage

View Summary of Benefits and Coverage

 

View Glossary of Medical Terms

View Glossary of Medical Terms

    * Bronze 4750 | This plan is only offered in Erie and Niagara county.