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Employers with 2 to 50 employees

2019 Silver plans

Silver plans provide important benefits, and the monthly premium will cost less than Gold plans. With Silver plans, your employees pay a little more out of pocket for medical services. The benefits below apply to each employee.

Group Health Coverage - Metallics and Dual Options [pdf]: Additional benefits available for individuals and families for these Small Group Plans.

Silver 2000 ELITE

BenefitsSilver 2000 ELITE
Deductible$2,000
Coinsurance30%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$30 copay
Specialist Office VisitN/A
Prescription Drugs
  • $20 copay for generics
  • $55 copay for preferred brand-name
  • $90 copay for non-preferred brand-name
  • $180 copay for preferred specialty
  • $360 copay for specialty
Deductible TypeFulfillment

Silver 2000 ESSENTIAL

BenefitsSilver 2000 ESSENTIAL
Deductible$2,000
Coinsurance30%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$45 copay
Specialist Office VisitN/A
Prescription Drugs
  • $20 copay for generics
  • $60 copay for preferred brand-name
  • $100 copay for non-preferred brand-name
  • $200 copay for preferred specialty
  • $400 copay for specialty
Deductible TypeFulfillment

Silver 2500 ELITE

BenefitsSilver 2500 ELITE
Deductible$2,500
Coinsurance20%
Out-of-Pocket Costs$6,450
Primary Care Physician Office VisitN/A
Specialist Office VisitN/A
Prescription Drugs
  • $10 copay for generics
  • $30 copay for preferred brand-name
  • $50 copay for non-preferred brand-name
  • $100 copay for preferred specialty
  • $200 copay for specialty
Deductible TypeFulfillment

Silver 3000 ELITE

BenefitsSilver 3000 ELITE
Deductible$3,000
Coinsurance20%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$35 copay
Specialist Office Visit$55 copay
Prescription Drugs
  • $20 copay for generics
  • $55 copay for preferred brand-name
  • $90 copay for non-preferred brand-name
  • $180 copay for preferred specialty
  • $360 copay for specialty
Deductible TypeFulfillment

Silver 4000 HSA

BenefitsSilver 4000 HSA
Deductible$4,000
Coinsurance0%
Out-of-Pocket Costs$4,000
Primary Care Physician Office VisitN/A
Specialist Office VisitN/A
Prescription DrugsN/A
Deductible TypeEmbedded

 

*Copayments apply only to in-network providers.