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2016 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.


Benefits Gold 1000-1 Gold 1000-2 Gold 1000-3
Deductible Amount $1,000 $1,000 $1,000
Coinsurance 20% 20% 20%
Annual Limit on Cost Sharing $3,500 $3,500 $3,500
Primary Care Physician Office Visit $30 copay $20 copay $30 copay
Specialist Office Visit N/A $40 copay $50 copay
Prescription Drugs $10 copay for generics
$30 copay for preferred brand-name
$50 copay for non-preferred brand-name
$10 copay for generics
$30 copay for preferred brand-name
$50 copay for non-preferred brand-name
$10 copay for generics
$30 copay for preferred brand-name
$50 copay for non-preferred brand-name

Benefits Gold 1000-4 Gold 1000-5 Gold 1000-6
Deductible Amount $1,000 $1,000 $1,000
Coinsurance 20% 20% 20%
Annual Limit on Cost Sharing $3,000 $3,500 $3,000
Primary Care Physician Office Visit $30 copay $20 copay $30 copay
Specialist Office Visit N/A $40 copay $50 copay
Prescription Drugs $10 copay for generics
$40 copay for preferred brand-name
$60 copay for non-preferred brand-name
$10 copay for generics
$40 copay for preferred brand-name
$60 copay for non-preferred brand-name
$10 copay for generics
$40 copay for preferred brand-name
$60 copay for non-preferred brand-name

Benefits Gold 1500 Gold 1500-1 Gold 1500-2
Deductible Amount $1,500 $1,500 $1,500
Coinsurance 10% 20% 20%
Annual Limit on Cost Sharing $2,000 $3,500 $3,500
Primary Care Physician Office Visit N/A $20 copay $30 copay
Specialist Office Visit N/A $40 copay $50 copay
Prescription Drugs N/A $10 copay for generics
$30 copay for preferred brand-name
$50 copay for non-preferred brand-name
$10 copay for generics
$30 copay for preferred brand-name
$50 copay for non-preferred brand-name

Choose from these medical plans:

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