HSA Eligible
What is an HSA, and why is it useful?
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OPTION 3
Primary Only
Your Monthly Premium
$890.19
Individual Deductible
The amount you pay for covered health care services before your health insurance plan starts to pay.
$5,000
Individual Out-of-Pocket Max
The most you have to pay for covered services in a plan year. Once you meet this amount, the insurance company pays 100% of the covered expenses for the remainder of the calendar year.
$6,500
Family Deductible
The amount you pay for covered health care services before your health insurance plan starts to pay.
$10,000
Family Out-of-Pocket Max
The most you have to pay for covered services in a plan year. Once you meet this amount, the insurance company pays 100% of the covered expenses for the remainder of the calendar year.
$13,000
Office Visit
The fixed dollar amount you pay for certain health services that cover a range of prevention, wellness, and treatment for common illnesses.
20% after deductible
Specialist Visit
The fixed dollar amount you pay for certain services like office visits and prescriptions. A provider focusing on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat certain types of symptoms and conditions.
20% after deductible
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