Elevate Exchange Plans Comparisons

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Which Plan is Right for You?

The following plan comparison will provide you with general information to help you decide which plan is right for you. For additional plan information, refer to the Member Handbook or Summary of Benefits and Coverage for each specific plan. To find out if you qualify for APTC or CSR subsidies to offset your costs, select ENROLL NOW and answer the qualifying questions. You will not be enrolled until you complete and sign your application.

Bronze HDHP
Deductible
$6,950 Individual/$13,900 Family
Out-of-Pocket Max
$7,000 Individual/$14,000 Family
Preventive Care
No charge
Coinsurance
50%
PCP/Specialist
50% Coinsurance after Deductible
Emergency/Urgent Care
50% Coinsurance after Deductible
Silver Standard
Deductible*
$225-$3,750 Individual/$450-$7,500 Family
Out-of-Pocket Max*
$625-$7,150 Individual/$1,250-$14,300 Family
Preventive Care
No charge
Coinsurance*
5%-30%
PCP/Specialist*
5%-30% Coinsurance after Deductible
Emergency/Urgent Care*
5%-30% Coinsurance after Deductible

*You may qualify for two federal subsidies:

The Advance Premium Tax Credit (APTC) subsidy that can lower monthly premiums

The Cost Sharing Reduction (CSR) subsidy that can lower deductibles, copays and coinsurance costs (available on the Silver plans only)

Gold Standard
Deductible
$2,750 Individual/$5,500 Family
Out-of-Pocket Max
$7,000 Individual/$14,000 Family
Preventive Care
No charge
Coinsurance
10%
PCP/Specialist
10% Coinsurance (Deductible does not apply)/10% Coinsurance after Deductible
Emergency/Urgent Care
10% Coinsurance after Deductible