Elevate 2019 Overview

Bronze HDHP
 
Deductible
$6,550
Individual $13,100
Family
Out-of-Pocket
Maximum
$6,600
Individual $13,200
Family
 
Coinsurance
50%
Primary Care Provider (PCP)
50% after deductible
Preventive Care
No Charge
Emergency Care (Facility)
50% after deductible
Urgent Care
50% after deductible
Silver Standard
 
Deductible
$3,750
Individual $7,500
Family
Out-of-Pocket
Maximum
$7,150
Individual $14,300
Family
 
Coinsurance
30%
Primary Care Provider (PCP)
30% after deductible
Preventive Care
No Charge
Emergency Care (Facility)
30% after deductible
Urgent Care
30% after deductible
Gold Standard
 
Deductible
$2,750
Individual $5,500
Family
Out-of-Pocket
Maximum
$7,000
Individual $14,000
Family
 
Coinsurance
10%
Primary Care Provider (PCP)
10% coins (ded does not apply)
Preventive Care
No Charge
Emergency Care (Facility)
10% after deductible
Urgent Care
10% after deductible