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Employers

2020 Gold plans

Gold plans cover more services and have a higher monthly premium. The employee will pay less out of pocket for medical services. The benefits below apply to each employee.

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

Gold 1000 ELITE

BenefitsGold 1000 ELITE
Deductible$1,000
Coinsurance20%
Out-of-Pocket Costs$5,500
Primary Care Physician Office Visit$5 copay
Specialist Office Visit$55 copay
Prescription Drugs
  • $5 copay for generics
  • $35 copay for preferred brand-name
  • $60 copay for non-preferred brand-name
  • $120 copay for preferred specialty
  • $240 copay for specialty
Deductible TypeFulfillment

Gold 1000 ESSENTIAL

BenefitsGold 1000 ESSENTIAL
Deductible$1,000
Coinsurance20%
Out-of-Pocket Costs$7,000
Primary Care Physician Office Visit$5 copay
Specialist Office Visit$55 copay
Prescription Drugs
  • $5 copay for generics
  • $45 copay for preferred brand-name
  • $75 copay for non-preferred brand-name
  • copay for preferred specialty
  • copay for specialty
Deductible TypeFulfillment

Gold 1500 ELITE

BenefitsGold 1500 ELITE
Deductible$1,500
Coinsurance20%
Out-of-Pocket Costs$3,750
Primary Care Physician Office Visit$5 copay
Specialist Office Visit$55 copay
Prescription Drugs
  • $5 copay for generics
  • $35 copay for preferred brand-name
  • $60 copay for non-preferred brand-name
  • $120 copay for preferred specialty
  • $240 copay for specialty
Deductible TypeFulfillment

Gold 1500 ESSENTIAL

BenefitsGold 1500 ESSENTIAL
Deductible$1,500
Coinsurance20%
Out-of-Pocket Costs$7,000
Primary Care Physician Office Visit$5 copay
Specialist Office Visit$55 copay
Prescription Drugs
  • $5 copay for generics
  • $45 copay for preferred brand-name
  • $75 copay for non-preferred brand-name
  • copay for preferred specialty
  • copay for specialty
Deductible TypeFulfillment

Gold 2000 ELITE

BenefitsGold 2000 ELITE
Deductible$2,000
Coinsurance20%
Out-of-Pocket Costs$5,750
Primary Care Physician Office Visit$5 copay
Specialist Office Visit$55 copay
Prescription Drugs
  • $5 copay for generics
  • $45 copay for preferred brand-name
  • $75 copay for non-preferred brand-name
  • $150 copay for preferred specialty
  • $300 copay for specialty
Deductible TypeFulfillment

Gold 2100 HSA

BenefitsGold 2100 HSA
Deductible$2,100
Coinsurance0%
Out-of-Pocket Costs$2,100
Primary Care Physician Office VisitN/A
Specialist Office VisitN/A
Prescription DrugsN/A
Deductible TypeTrue Family

Gold 2800 HSA

BenefitsGold 2800 HSA
Deductible$2,800
Coinsurance0%
Out-of-Pocket Costs$2,800
Primary Care Physician Office VisitN/A
Specialist Office VisitN/A
Prescription DrugsN/A
Deductible TypeEmbedded