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Platinum Plans

Platinum plans provide the richest benefit offering with a high monthly premium. Because of this, employees won't pay as much out of pocket for medical services. The benefits below apply to each employee.


Benefits Platinum $250-1 Platinum $250-2 Platinum $250-3
Deductible Amount $250 $250 $250
Coinsurance 20% coinsurance 20% coinsurance 20% coinsurance
Annual Limit on Cost Sharing $1,250 $1,250 $1,250
Primary Care Physician Office Visit $20 copay. $30 copay. $20 copay.
Specialist Office Visit $40 copay. $50 copay. $40 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
$40 copay for preferred brand-name
$60 copay for non-preferred brand-name

Benefits Platinum $250-4 Platinum $500-1 Platinum $500-2
Deductible Amount $250 $500 $500
Coinsurance 20% coinsurance 20% coinsurance 20% coinsurance
Annual Limit on Cost Sharing $1,250 $1,250 $1,250
Primary Care Physician Office Visit $30 copay $20 copay $30 copay
Specialist Office Visit $50 copay $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
$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 Platinum $500-3 Platinum $500-4
Deductible Amount $500 $500
Coinsurance 10% coinsurance 10% coinsurance
Annual Limit on Cost Sharing $1,000 $1,000
Primary Care Physician Office Visit $20 copay $30 copay
Specialist Office Visit $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

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