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Explore and compare 2023 plans. health plans that meet your business and employees’ needs.
Interested in establishing a self-funded plan? See our ASO plans link below.
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Plan Overview
- Premium savings making this plan ideal for cost-sensitive employers
- Members work closely with a dedicated medical home care team
- Ultimate plan design flexibility
- Express Care services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Referrals coordinated by a dedicated medical home team
- NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
- NEW! $10 copay for PCP and mental health virtual visits
- Premium savings making this plan ideal for cost-sensitive employers
- Members work closely with a dedicated medical home care team
- Ultimate plan design flexibility
- Express Care services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Referrals coordinated by a dedicated medical home team
- NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
- NEW! $10 copay for PCP and mental health virtual visits
- Live 24/7 customer service
- Online access to account information anytime–from paying providers to viewing claims
- Integrated plan setup, enrollment, claims administration and billing so that health plan and member accounts are set up in one convenient place
- A fully-equipped employer portal for all your contribution and reporting needs
- Free HealthEquity mobile app gives members on-the-go access to account information
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
- Lowest premiums of all Option Advantage plans
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Benefits subject to the deductible
- Deductible waived on preventive services
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
- NEW! $10 copay for PCP and mental health virtual visits
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Deductible waived on in-network PCP, specialists, urgent care visits, allergy shots and outpatient physical therapy
- First $500 of in-network lab and X-ray services covered in full; deductible waived
- Express Care services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
- NEW! $10 copay for PCP and mental health virtual visits
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Deductible waived on in-network PCP, specialists, ER, urgent care, allergy shots, outpatient physical therapy and lab and X-ray, and imaging services (PET, CT, MRI)
- Deductible waived on in-network delivery, postnatal and routine newborn nursery care; delivery is 10x PCP copay
- Express Care services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
- NEW! $10 copay for PCP and mental health virtual visits
- Comprehensive, robust coverage
- Predictable costs
- Ultimate plan design flexibility
- Many services are not subject to the deductible
- Coverage to in-network providers only
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
- NEW! $10 copay for PCP and mental health virtual visits
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Free In-Network Services
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
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Provider Network
Choice Network
Tailored network medical home model
Referral needed for select specialty care
Connect Network
Tailored network medical home model
Referral needed for select specialty care
Signature Network
Broad PPO-style network
No referral needed for select specialty care
Signature Network
Broad PPO-style network
No referral needed for select specialty care
Signature Network
Broad PPO-style network
No referral needed for select specialty care
Signature Network
Broad PPO-style network
No referral needed for select specialty care
Signature Network
Broad PPO-style network
No referral needed for select specialty care
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Plan Design
Cannot combine in- and out-of-network deductible and out-of-pocket maximum
Cannot combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
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Plan Benefits
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered after the deductible is met
Deductible applies for in-network PCP and specialist visits
Deductible applies for in-network urgent care visits
Specialist copay is the same as PCP copay
Option to pair plan with an integrated health account
Most services covered after the deductible is met
Deductible applies for in-network PCP and specialist visits
Deductible applies for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered after the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay is the same as PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay is the same as PCP copay
Option to pair plan with an integrated health account