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Employers with 2 to 50 employees

2018 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 Option [pdf]: Additional benefits available for individuals and families for these Small Group Plans.

Silver 2500-1

BenefitsSilver 2500-1
Deductible$2,500
Coinsurance70%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$35 copay
Specialist Office Visit$55 copay
Prescription Drugs$20 copay for generics
$50 copay for preferred brand-name
$75 copay for non-preferred brand-name
$150 copay for preferred specialty
$300 copay for specialty
Deductible TypeFulfillment

Silver 2500-2

BenefitsSilver 2500-2
Deductible$2,500
Coinsurance70%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$35 copay
Specialist Office Visit$55 copay
Prescription Drugs$15 copay for generics
$65 copay for preferred brand-name
$100 copay for non-preferred brand-name
$200 copay for preferred specialty
$400 copay for specialty
Deductible TypeFulfillment

Silver 2500-3

BenefitsSilver 2500-3
Deductible$2,500
Coinsurance80%
Out-of-Pocket Costs$7,150
Primary Care Physician Office Visit$35 copay
Specialist Office Visit$55 copay
Prescription Drugs$20 copay for generics
$70 copay for preferred brand-name
$90 copay for non-preferred brand-name
$180 copay for preferred specialty
$360 copay for specialty
Deductible TypeFulfillment

Silver 2600 HSA

BenefitsSilver 2600 HSA
Deductible$2,700
Coinsurance80%
Out-of-Pocket Costs$5,500
Primary Care Physician Office VisitN/A
Specialist Office VisitN/A
Prescription DrugsN/A
Deductible TypeEmbedded

Silver 3000 HSA

BenefitsSilver 3000 HSA
Deductible$3,000
Coinsurance90%
Out-of-Pocket Costs$6,550
Primary Care Physician Office VisitN/A
Specialist Office VisitN/A
Prescription DrugsN/A
Deductible TypeEmbedded

Silver 3000-1

BenefitsSilver 3000-1
Deductible$3,000
Coinsurance80%
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
$85 copay for non-preferred brand-name
$170 copay for preferred specialty
$340 copay for specialty
Deductible TypeFulfillment

Silver 3000-2

BenefitsSilver 3000-2
Deductible$3,000
Coinsurance75%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$35 copay
Specialist Office Visit$55 copay
Prescription Drugs$15 copay for generics
$50 copay for preferred brand-name
$90 copay for non-preferred brand-name
$180 copay for preferred specialty
$360 copay for specialty
Deductible TypeFulfillment

Silver 3000-3

BenefitsSilver 3000-3
Deductible$3,000
Coinsurance80%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$35 copay
Specialist Office Visit$55 copay
Prescription Drugs$20 copay for generics
$70 copay for preferred brand-name
$100 copay for non-preferred brand-name
$200 copay for preferred specialty
$400 copay for specialty
Deductible TypeFulfillment

Silver 3000-4

BenefitsSilver 3000-4
Deductible$3,000
Coinsurance75%
Out-of-Pocket Costs$7,350
Primary Care Physician Office Visit$35 copay
Specialist Office Visit$55 copay
Prescription Drugs$20 copay for generics
$65 copay for preferred brand-name
$100 copay for non-preferred brand-name
$200 copay for preferred specialty
$400 copay for specialty
Deductible TypeFulfillment

Silver 3600 HSA

BenefitsSilver 3600 HSA
Deductible$3,600
Coinsurance100%
Out-of-Pocket Costs$3,600
Primary Care Physician Office VisitN/A
Specialist Office VisitN/A
Prescription DrugsN/A
Deductible TypeEmbedded

Silver 4000

BenefitsSilver 4000
Deductible$4,000
Coinsurance70%
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
$85 copay for non-preferred brand-name
$170 copay for preferred specialty
$340 copay for specialty
Deductible TypeFulfillment

Silver 6000

BenefitsSilver 6000
Deductible$6,000
Coinsurance75%
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
$85 copay for non-preferred brand-name
$170 copay for preferred specialty
$340 copay for specialty
Deductible TypeFulfillment

*Copayments apply only to in-network providers.