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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, 387 KB]: Additional benefits available for individuals and families for these Small Group Plans.

Benefits Silver 2000-1 Silver 2000-2 Silver 2000-3
Deductible $2,000 $2,000 $2,000
Coinsurance 70% 70% 70%
Out-of-Pocket Costs $7,350 $7,350 $6,850
Primary Care Physician Office Visit $30 copay $30 copay N/A
Specialist Office Visit N/A N/A N/A
Prescription Drugs $20 copay for generics
$60 copay for preferred brand-name
$90 copay for non-preferred brand-name
$180 copay for preferred specialty
$360 copay for specialty
$20 copay for generics
$65 copay for preferred brand-name
$90 copay for non-preferred brand-name
$180 copay for preferred specialty
$360 copay for specialty
$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 Type Fulfillment Fulfillment Fulfillment

Benefits Silver 2000-5 Silver 2500-1 Silver 2500-2
Deductible $2,000 $2,500 $2,500
Coinsurance 70% 80% 80%
Out-of-Pocket Costs $7,350 $7,000 $6,450
Primary Care Physician Office Visit $45 copay N/A N/A
Specialist Office Visit N/A N/A N/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
$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
$10 copay for generics
$40 copay for preferred brand-name
$60 copay for non-preferred brand-name
$120 copay for preferred specialty
$240 copay for specialty
Deductible Type Fulfillment Fulfillment Fulfillment

Benefits Silver 3000-1 Silver 3000 HSA Silver 3600 HSA
Deductible $3,000 $3,000 $3,600
Coinsurance 80% 90% 100%
Out-of-Pocket Costs $7,350 $6,550 $3,600
Primary Care Physician Office Visit $30 copay N/A N/A
Specialist Office Visit N/A N/A N/A
Prescription Drugs $20 copay for generics
$65 copay for preferred brand-name
$90 copay for non-preferred brand-name
$180 copay for preferred specialty
$360 copay for specialty
N/A N/A
Deductible Type Fulfillment Embedded Embedded
Benefits Silver 4350 HSA Silver 5000-1
Deductible $4,350 $5,000
Coinsurance 100% 70%
Out-of-Pocket Costs $4,350 $6,850
Primary Care Physician Office Visit N/A N/A
Specialist Office Visit N/A N/A
Prescription Drugs N/A $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 Type Embedded Fulfillment

*Copayments apply only to in-network providers.

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