Employers with 2 to 50 employees
2020 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 - Metallic plans [pdf]: Additional benefits available for individuals and families for these Small Group Plans.
Silver 2000 ELITE
| Benefits | Silver 2000 ELITE |
|---|---|
| Deductible | $2,000 |
| Coinsurance | 30% |
| Out-of-Pocket Costs | $7,800 |
| Primary Care Physician Office Visit | $25 copay |
| Specialist Office Visit | N/A |
| Prescription Drugs | $25 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 Type | Fulfillment |
Silver 2000 ESSENTIAL
| Benefits | Silver 2000 ESSENTIAL |
|---|---|
| Deductible | $2,000 |
| Coinsurance | 30% |
| Out-of-Pocket Costs | $8,150 |
| Primary Care Physician Office Visit | $45 copay |
| Specialist Office Visit | N/A |
| Prescription Drugs | $25 copay for generics
$60 copay for preferred brand-name $100 copay for non-preferred brand-name Coinsurance for preferred specialty Coinsurance for specialty |
| Deductible Type | Fulfillment |
Silver 2500 ELITE
| Benefits | Silver 2500 ELITE |
|---|---|
| Deductible | $2,500 |
| Coinsurance | 20% |
| Out-of-Pocket Costs | $7,800 |
| Primary Care Physician Office Visit | N/A |
| Specialist Office Visit | N/A |
| Prescription Drugs | $5 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 Type | Fulfillment |
Silver 3000 ELITE
| Benefits | Silver 3000 ELITE |
|---|---|
| Deductible | $3,000 |
| Coinsurance | 20% |
| Out-of-Pocket Costs | $8,150 |
| Primary Care Physician Office Visit | $25 copay |
| Specialist Office Visit | $65 copay |
| Prescription Drugs | $20 copay for generics $60 copay for preferred brand-name $100 copay for non-preferred brand-name Coinsurance for preferred specialty Coinsurance for specialty |
| Deductible Type | Fulfillment |
Silver 4100 HSA
| Benefits | Silver 4100 HSA |
|---|---|
| Deductible | $4,100 |
| Coinsurance | 0% |
| Out-of-Pocket Costs | $4,100 |
| Primary Care Physician Office Visit | N/A |
| Specialist Office Visit | N/A |
| Prescription Drugs | N/A |
| Deductible Type | Embedded |