Gold Package Health Plan

Before hitting your deductible, you’ll pay for the majority of your care. Once you’ve hit it, we will begin paying for a portion of your costs.

Individual

$3,000

Family

$3,000

The max indicates the total amount you will pay out of pocket for covered medical expenses per calendar year, including your deductible. Once hitting the max, the plan pays 100% for eligible network services and supplies for the remainder of the calendar year.

Individual

$3,000

Family

$6,000

Some examples of preventive care include your annual wellness visit, flu shot, and vaccinations.

Covered at 100%

You pay:

$0

You visit your primary care physician for your annual wellness exam or if you are sick.

Covered at 100%

You pay:

20% coinsurance

Specialists are physicians who have advanced training in a particular branch of medicine, like dermatology or cardiology.

Covered at 100%

You pay:

20% coinsurance

Urgent care offers quick access to care for non-life-threatening medical problems or conditions that could get worse if you wait to be seen.

Covered at 100%

You pay:

20% coinsurance

Blood, urine, tissue, or other bodily substances are are used to provide in-depth information about a patient’s health.

You Pay:

Covered at 100%

20% coinsurance

Provides detailed images of areas inside the body to diagnose health issues such as X-rays and ultrasounds. Authorization must be obtained.

You Pay:

Covered at 100%

20% coinsurance

Provides detailed images of areas inside the body to diagnose and/or monitor health and treatment such as CT and MRI scans. Authorization must be obtained.

You Pay:

Covered at 100%

20% coinsurance

Blood, urine, tissue, or other bodily substances are are used to provide in-depth information about a patient’s health.

Your Pay:

Covered at 100%

20% coinsurance

Being admitted to the hospital and staying overnight for one or more days. Authorization must be obtained.

Your Pay:

Covered at 100%

20% coinsurance

Drugs that are most commonly prescribed, cost-effective, and can treat most diseases.

You Pay:

Covered at 100%

20% coinsurance

Drugs that are most commonly prescribed, cost-effective, and can treat most diseases.

You Pay:

Covered at 100%

40% coinsurance