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Limited Benefit PPO
MagnaCare PPO
VL1500 MagnaCare PPO
Monthly premium
$267 /mo
Deductible$1,500
Primary Care$50 after deductible
Specialist$50 after deductible
Urgent Care$50 after deductible
Additional Plan Benefits
NetworkMagnaCare PPO
Individual Out-of-Pocket$10,600 + uncovered
Generic Drugs$0
Preventive Care$0
Emergency Room$500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
$2,000 listed cost sharing*
Illustration uses the $1,500 deductible plus listed emergency-room cost sharing. Other services and charges beyond plan limits may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Catastrophic
Fidelis Care HMO
Ambetter from Fidelis Care Catastrophic, Catastrophic, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental
Monthly premium
$275.06 /mo
Deductible$10,600
Primary CareNo charge after deductible
SpecialistNo charge after deductible
Urgent CareNo charge after deductible
Additional Plan Benefits
NetworkFidelis Care HMO
Individual Out-of-Pocket$10,600
Generic DrugsNo charge after deductible
Preventive Care$0
Emergency RoomNo charge after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $7,500*
The $7,500 illustration is below the $10,600 deductible, so the member may pay the full allowed amount when no prior deductible spending has accumulated.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze HMO
BlueCross BlueShield HMO
MyBlue Health Bronze Standard
Monthly premium
$352.55 /mo
Deductible$7,500
Primary Care$50
Specialist$100
Urgent Care$75
Additional Plan Benefits
NetworkBlueCross BlueShield HMO
Metal TierExpanded Bronze
Plan TypeEasy Pricing
Individual Out-of-Pocket$10,000
Generic Drugs$25
Brand Drugs$50 after deductible
Non-preferred Brand$100 after deductible
Specialty Drugs$500 after deductible
Preventive Care$0
Emergency Room50% after deductible
Hospital Facility50% after deductible
Hospital Physician50% after deductible
Ambulance50% after deductible
Labs / Imaging50% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + 50% coinsurance*
The screenshot lists full price before the deductible and 50% coinsurance after the deductible. Exact cost depends on allowed charges and prior accumulated spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
Limited Benefit PPO
First Health PPO
VL1500 First Health PPO
Monthly premium
$377.20 /mo
Deductible$1,500
Primary Care$50 after deductible
Specialist$50 after deductible
Urgent Care$50 after deductible
Additional Plan Benefits
NetworkFirst Health PPO
Individual Out-of-Pocket$10,600 + uncovered
Generic Drugs$0
Preventive Care$0
Emergency Room$500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
$2,000 listed cost sharing*
Illustration uses the $1,500 deductible plus $250 facility and $250 physician copays. Other services and charges beyond plan limits may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze
BlueCross BlueShield Wellmark HMO
Wellmark Bronze Standard | UnityPoint Health
Monthly premium
$395.20 /mo
Deductible$7,500
Primary Care$50 copay
Specialist$100 copay
Urgent Care$75 copay
Additional Plan Benefits
NetworkBlueCross BlueShield Wellmark HMO
Individual Out-of-Pocket$10,000
Generic Drugs$25
Preventive Care$0
Emergency Room50% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $7,500*
The $7,500 illustration equals the plan deductible. Assuming no prior deductible spending, the member may pay the full allowed amount before the 50% post-deductible benefit begins.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
Limited Benefit PPO
First Health PPO
MedAccess MVP Basic
Monthly premium
$432.84 /mo
Deductible$0
Primary Care$25 (6 visits)
Specialist$50 (6 visits)
Urgent Care$50 (2 visits)
Additional Plan Benefits
NetworkFirst Health PPO
Individual Out-of-Pocket$7,350 + uncovered
Generic Drugs$10
Preventive CareIncluded
Emergency Room$350 (1 visit)
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
$350 listed copay*
The brochure lists a $350 ER copay for one visit per plan year. Charges outside covered benefits or after the visit limit may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze HMO
BlueCross BlueShield HMO
Blue Advantage Bronze HMO Standard
Monthly premium
$456.59 /mo
Deductible$7,500
Primary Care$50
Specialist$100
Urgent Care$75
Additional Plan Benefits
NetworkBlueCross BlueShield HMO
Metal TierExpanded Bronze
Plan TypeEasy Pricing
Individual Out-of-Pocket$10,000
Generic Drugs$25
Brand Drugs$50 after deductible
Non-preferred Brand$100 after deductible
Specialty Drugs$500 after deductible
Preventive Care$0
Emergency Room50% after deductible
Hospital Facility50% after deductible
Hospital Physician50% after deductible
Ambulance50% after deductible
Labs / Imaging50% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + 50% coinsurance*
The screenshot lists full price before the deductible and 50% coinsurance after the deductible. Exact cost depends on allowed charges and prior accumulated spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Gold HMO
BlueCross BlueShield HMO
MyBlue Health Gold 403
Monthly premium
$481.88 /mo
Deductible$500
Primary CareNo charge
Specialist30% after deductible
Urgent Care$30
Additional Plan Benefits
NetworkBlueCross BlueShield HMO
Metal TierGold
Individual Out-of-Pocket$8,500
Generic DrugsNo charge
Brand Drugs30% after deductible
Non-preferred Brand35% after deductible
Specialty Drugs45% after deductible
Preventive Care$0
Emergency Room$1,000 + 30% after deductible
Hospital Facility$950 per stay + 30% after deductible
Hospital Physician30% after deductible
Ambulance30% after deductible
Labs / Imaging20% after deductible
Outpatient Facility$300 + 20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + $1,000 + 30% coinsurance*
The screenshot lists full price before the deductible and $1,000 with 30% after the deductible. Exact cost depends on allowed charges and prior accumulated spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Gold HMO
BlueCross BlueShield HMO
MyBlue Health Gold Standard
Monthly premium
$489.10 /mo
Deductible$2,000
Primary Care$30
Specialist$60
Urgent Care$45
Additional Plan Benefits
NetworkBlueCross BlueShield HMO
Metal TierGold
Plan TypeEasy Pricing
Individual Out-of-Pocket$8,200
Generic Drugs$15
Brand Drugs$30
Non-preferred Brand$60
Specialty Drugs$250
Preventive Care$0
Emergency Room25% after deductible
Hospital Facility25% after deductible
Hospital Physician25% after deductible
Ambulance25% after deductible
Labs / Imaging25% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + 25% coinsurance*
The screenshot lists full price before the deductible and 25% coinsurance after the deductible. Exact cost depends on allowed charges and prior accumulated spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
Cigna HSA
Cigna PPO
Ultimate HSA 6000
Monthly premium
$499 /mo
Deductible$6,000
Primary Care30% after deductible
Specialist30% after deductible
Urgent Care30% after deductible
Additional Plan Benefits
NetworkCigna PPO
Individual Out-of-Pocket$7,000
Generic Drugs0% after deductible
Preventive Care$0
Emergency Room30% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $6,450*
Illustration: $6,000 deductible plus 30% of the remaining $1,500. Actual allowed charges and prior accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Gold
BlueCross BlueShield Wellmark HMO
Wellmark Gold Traditional HMO
Monthly premium
$542.99 /mo
Deductible$1,750
Primary Care$15 copay
Specialist$45 copay
Urgent Care$30 copay
Additional Plan Benefits
NetworkBlueCross BlueShield Wellmark HMO
Individual Out-of-Pocket$7,500
Generic Drugs$20
Preventive Care$0
Emergency Room25% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $3,187.50*
Illustration assumes no prior deductible spending: $1,750 deductible plus 25% of the remaining $5,750 allowed emergency-room bill.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
MagnaCare HSA
MagnaCare PPO
MagnaCare HSA 3500
Monthly premium
$543 /mo
Deductible$3,500
Primary Care20% after deductible
Specialist20% after deductible
Urgent Care20% after deductible
Additional Plan Benefits
NetworkMagnaCare PPO
Individual Out-of-Pocket$8,500
Generic Drugs$10 after deductible
Preventive Care$0
Emergency Room20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,300*
Illustration: $3,500 deductible plus 20% of the remaining $4,000. Actual allowed charges and accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
Limited Benefit EPO
Cigna EPO
VL500 Cigna EPO
Monthly premium
$548.25 /mo
Deductible$500
Primary Care$50 after deductible
Specialist$50 after deductible
Urgent Care$50 after deductible
Additional Plan Benefits
NetworkCigna EPO
Individual Out-of-Pocket$10,600 + uncovered
Generic Drugs$0
Preventive Care$0
Emergency Room$500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
$1,000 listed cost sharing*
Illustration uses the $500 deductible plus $250 facility and $250 physician copays. Other services and charges beyond plan limits may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
Limited Benefit PPO
First Health PPO
MedAccess MVP Pro
Monthly premium
$567.16 /mo
Deductible$0
Primary Care$15 (12 visits)
Specialist$25 (12 visits)
Urgent Care$35 (3 visits)
Additional Plan Benefits
NetworkFirst Health PPO
Individual Out-of-Pocket$5,000 + uncovered
Generic Drugs20% copay
Preventive CareIncluded
Emergency Room$350 (2 visits)
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
$350 listed copay*
The brochure lists a $350 ER copay for two visits per plan year. Charges outside covered benefits or after the visit limit may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
MagnaCare PPO
MagnaCare PPO
MagnaCare MM 3500
Monthly premium
$635 /mo
Deductible$3,500
Primary Care$25 copay
Specialist$40 copay
Urgent CareSee brochure
Additional Plan Benefits
NetworkMagnaCare PPO
Individual Out-of-Pocket$10,600
Generic Drugs$10 copay
Preventive Care$0
Emergency Room20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,300*
Illustration: $3,500 deductible plus 20% of the remaining $4,000. Actual allowed charges and accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Catastrophic
Kaiser Permanente HMO
Minimum Coverage HMO
Monthly premium
$644.34 /mo
Deductible$10,600
Primary CareNo charge after deductible
SpecialistNo charge after deductible
Urgent CareNo charge after deductible
Additional Plan Benefits
NetworkKaiser Permanente HMO
Individual Out-of-Pocket$10,600
Generic DrugsNo charge after deductible
Preventive Care$0
Emergency RoomNo charge after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $7,500*
The $7,500 illustration is below the $10,600 deductible, so the member may pay the full allowed amount when no prior deductible spending has accumulated.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
Cigna EPO
Cigna EPO
Ultimate EPO 3500
Monthly premium
$699.95 /mo
Deductible$3,500
Primary Care$40 copay
Specialist$60 copay
Urgent Care$75 copay
Additional Plan Benefits
NetworkCigna EPO
Individual Out-of-Pocket$3,500
Generic Drugs$0
Preventive Care$0
Emergency Room$500 + 30%
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $2,600*
Illustration: $500 copay plus 30% of the remaining $7,000. Actual allowed charges and benefit sequencing control.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
MagnaCare PPO
MagnaCare PPO
MagnaCare MM 2500
Monthly premium
$703 /mo
Deductible$2,500
Primary Care$25 copay
Specialist$40 copay
Urgent CareSee brochure
Additional Plan Benefits
NetworkMagnaCare PPO
Individual Out-of-Pocket$10,600
Generic Drugs$10 copay
Preventive Care$0
Emergency Room20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $3,500*
Illustration: $2,500 deductible plus 20% of the remaining $5,000. Actual allowed charges and accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze
Healthfirst HMO
Healthfirst Bronze Leaf, Bronze, ST, INN Pediatric Dental, Fitness & Wellness Rewards, PCP 3 FP Dep 29
Monthly premium
$779.42 /mo
Deductible$4,125
Primary Care$50 after deductible
Specialist$75 after deductible
Urgent Care$75 after deductible
Additional Plan Benefits
NetworkHealthfirst HMO
Individual Out-of-Pocket$10,150
Generic Drugs$10 after deductible
Preventive Care$0
Emergency Room$500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,625*
Illustration assumes no prior deductible spending: $4,125 deductible plus the listed $500 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Catastrophic
Anthem HMO
Minimum Coverage HMO
Monthly premium
$779.46 /mo
Deductible$10,600
Primary CareNo charge after deductible
SpecialistNo charge after deductible
Urgent CareNo charge after deductible
Additional Plan Benefits
NetworkAnthem HMO
Individual Out-of-Pocket$10,600
Generic DrugsNo charge after deductible
Preventive Care$0
Emergency RoomNo charge after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $7,500*
The $7,500 illustration is below the $10,600 deductible, so the member may pay the full allowed amount when no prior deductible spending has accumulated.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Bronze
MetroPlus HMO
BronzePlus (B1) MetroPlus Health Plan DP FP
Monthly premium
$784.51 /mo
Deductible$3,800
Primary Care$50 after deductible
Specialist$75 after deductible
Urgent Care$75 after deductible
Additional Plan Benefits
NetworkMetroPlus HMO
Individual Out-of-Pocket$9,200
Generic Drugs$10 after deductible
Preventive Care$0
Emergency Room$500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,300*
Illustration assumes no prior deductible spending: $3,800 deductible plus the listed $500 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Silver
WellSense HMO
Standard High Silver: WellSense Clarity Silver 2000 II
Monthly premium
$807.28 /mo
Deductible$2,000
Primary Care$25 copay
Specialist$60 copay
Urgent Care$60 copay
Additional Plan Benefits
NetworkWellSense HMO
Individual Out-of-Pocket$10,150
Generic Drugs$30
Preventive Care$0
Emergency Room$350 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $2,350*
Illustration assumes no prior deductible spending: $2,000 deductible plus the listed $350 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
MagnaCare PPO
MagnaCare PPO
MagnaCare MM 1000
Monthly premium
$811 /mo
Deductible$1,000
Primary Care$25 copay
Specialist$40 copay
Urgent CareSee brochure
Additional Plan Benefits
NetworkMagnaCare PPO
Individual Out-of-Pocket$10,600
Generic Drugs$10 copay
Preventive Care$0
Emergency Room20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $2,300*
Illustration: $1,000 deductible plus 20% of the remaining $6,500. Actual allowed charges and accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze
Regence EPO
Regence Standard Bronze Plan Legacy
Monthly premium
$1,085.39 /mo
Deductible$9,200
Primary Care$50 copay
Specialist$150 copay
Urgent Care$100 copay
Additional Plan Benefits
NetworkRegence EPO
Individual Out-of-Pocket$9,200
Generic Drugs$25 copay
Preventive Care$0
Emergency RoomNo charge after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $7,500*
The $7,500 illustration is below the $9,200 deductible, so the member may pay the full allowed amount when no prior deductible spending has accumulated.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Gold
Kaiser Permanente HMO
Gold 80 HMO Coinsurance
Monthly premium
$1,162.47 /mo
Deductible$0
Primary Care$40 copay
Specialist$70 copay
Urgent Care$40 copay
Additional Plan Benefits
NetworkKaiser Permanente HMO
Individual Out-of-Pocket$9,200
Generic Drugs$18
Preventive Care$0
Emergency Room$350 copay
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $350*
The illustration uses the listed $350 in-network emergency-room cost. Additional services, follow-up care, and non-covered charges may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Silver
Oscar EPO
Silver Simple PCP Saver, Silver, NS, INN, Circle, Dep25, Wellness Rewards
Monthly premium
$1,177.81 /mo
Deductible$7,300
Primary Care$15 copay
Specialist$40 copay
Urgent Care$75 copay
Additional Plan Benefits
NetworkOscar EPO
Individual Out-of-Pocket$10,100
Generic Drugs$20
Preventive Care$0
Emergency Room50% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $7,400*
Illustration assumes no prior deductible spending: the member pays the $7,300 deductible and 50% of the remaining $200 allowed amount.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze
Harvard Pilgrim HMO
Standard High Bronze HSA - Flex
Monthly premium
$1,180.73 /mo
Deductible$3,800
Primary Care$60 after deductible
Specialist$90 after deductible
Urgent Care$90 after deductible
Additional Plan Benefits
NetworkHarvard Pilgrim HMO
Individual Out-of-Pocket$8,450
Generic Drugs$30 after deductible
Preventive Care$0
Emergency Room$875 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,675*
Illustration assumes the deductible has not yet been met: $3,800 deductible plus the listed $875 emergency-room cost after deductible. Actual allowed charges and accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze
UnitedHealthcare EPO
Standard High Bronze HSA: UHC Navigate HSA Bronze 3800
Monthly premium
$1,193.07 /mo
Deductible$3,800
Primary Care$60 after deductible
Specialist$90 after deductible
Urgent Care$90 after deductible
Additional Plan Benefits
NetworkUnitedHealthcare EPO
Individual Out-of-Pocket$8,450
Generic Drugs$30 after deductible
Preventive Care$0
Emergency Room$875 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,675*
Illustration assumes no prior deductible spending: $3,800 deductible plus the listed $875 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Catastrophic
Horizon EPO
Horizon Advantage EPO Essentials
Monthly premium
$1,204.44 /mo
Deductible$10,600
Primary CareNo charge after deductible
SpecialistNo charge after deductible
Urgent CareNo charge after deductible
Additional Plan Benefits
NetworkHorizon EPO
Individual Out-of-Pocket$10,600
Generic DrugsNo charge after deductible
Preventive Care$0
Emergency RoomNo charge after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $7,500*
The $7,500 illustration is below the $10,600 deductible, so the member may pay the full allowed amount when no prior deductible spending has accumulated.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze
Harvard Pilgrim HMO
Non-Standard Bronze: HMO 3500 - Flex
Monthly premium
$1,213.04 /mo
Deductible$3,500
Primary Care$45 after deductible
Specialist$70 after deductible
Urgent Care$70 after deductible
Additional Plan Benefits
NetworkHarvard Pilgrim HMO
Individual Out-of-Pocket$8,900
Generic Drugs$5
Preventive Care$0
Emergency Room$1,500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $5,000*
Illustration assumes no prior deductible spending: $3,500 deductible plus the listed $1,500 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Silver
Anthem HMO
Silver 70 HMO
Monthly premium
$1,251.99 /mo
Deductible$5,200 + $50 drug
Primary Care$50 copay
Specialist$90 copay
Urgent Care$50 copay
Additional Plan Benefits
NetworkAnthem HMO
Individual Out-of-Pocket$9,800
Generic Drugs$19
Preventive Care$0
Emergency Room$400 copay
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $400*
The illustration uses the listed $400 in-network emergency-room cost. Additional services, follow-up care, and non-covered charges may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Platinum
WellSense HMO
Standard Platinum: WellSense Clarity Platinum 0 Deductible
Monthly premium
$1,280.60 /mo
Deductible$0
Primary Care$20 copay
Specialist$40 copay
Urgent Care$40 copay
Additional Plan Benefits
NetworkWellSense HMO
Individual Out-of-Pocket$3,000
Generic Drugs$10
Preventive Care$0
Emergency Room$150 copay
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $150*
The illustration uses the listed $150 in-network emergency-room cost. Additional services, follow-up care, and non-covered charges may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Gold
UnitedHealthcare EPO
Non-Standard Low Gold: UHC Navigate Gold 2000
Monthly premium
$1,414.48 /mo
Deductible$2,000 + $250 drug
Primary Care$20 copay
Specialist$50 copay
Urgent Care$50 copay
Additional Plan Benefits
NetworkUnitedHealthcare EPO
Individual Out-of-Pocket$7,000
Generic Drugs$25
Preventive Care$0
Emergency Room$350 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $2,350*
Illustration assumes no prior deductible spending: $2,000 medical deductible plus the listed $350 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze
UnitedHealthcare HMO
UHC Compass Bronze ST INN Pediatric Dental Dep 29
Monthly premium
$1,417.29 /mo
Deductible$4,125
Primary Care$50 after deductible
Specialist$75 after deductible
Urgent Care$75 after deductible
Additional Plan Benefits
NetworkUnitedHealthcare HMO
Individual Out-of-Pocket$10,150
Generic Drugs$10 after deductible
Preventive Care$0
Emergency Room$500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,625*
Illustration assumes no prior deductible spending: $4,125 deductible plus the listed $500 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Gold
Harvard Pilgrim HMO
Non-Standard Gold: HMO 2000 Value II - Flex
Monthly premium
$1,478.10 /mo
Deductible$2,000 + $250 drug
Primary Care$25 copay
Specialist$50 copay
Urgent Care$50 copay
Additional Plan Benefits
NetworkHarvard Pilgrim HMO
Individual Out-of-Pocket$5,750
Generic Drugs$30
Preventive Care$0
Emergency Room$500 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $2,500*
Illustration assumes no prior deductible spending: $2,000 medical deductible plus the listed $500 emergency-room cost after deductible.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
ACA Platinum
UnitedHealthcare EPO
Standard Platinum: UHC Navigate Platinum 0
Monthly premium
$1,930.72 /mo
Deductible$0
Primary Care$20 copay
Specialist$40 copay
Urgent Care$40 copay
Additional Plan Benefits
NetworkUnitedHealthcare EPO
Individual Out-of-Pocket$3,000
Generic Drugs$10
Preventive Care$0
Emergency Room$150 copay
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $150*
The illustration uses the listed $150 in-network emergency-room cost. Additional services, follow-up care, and non-covered charges may apply.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
Cigna PPO
Cigna PPO
MedPerformance 3500 Classic
Monthly premium
Quote required
Deductible$3,500
Primary Care$45 copay
Specialist$90 copay
Urgent Care$90 copay
Additional Plan Benefits
NetworkCigna PPO
Individual Out-of-Pocket$7,350
Generic Drugs$15 copay
Preventive Care$0
Emergency Room20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $4,300*
Illustration: $3,500 deductible plus 20% of the remaining $4,000. Actual allowed charges and accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
Cigna PPO
Cigna PPO
MedPerformance 5000 Classic
Monthly premium
Quote required
Deductible$5,000
Primary Care$45 copay
Specialist$90 copay
Urgent Care$90 copay
Additional Plan Benefits
NetworkCigna PPO
Individual Out-of-Pocket$7,350
Generic Drugs$15 copay
Preventive Care$0
Emergency Room20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Approx. $5,500*
Illustration: $5,000 deductible plus 20% of the remaining $2,500. Actual allowed charges and accumulated spending can change the result.
These examples were created with AI using the supplied plan brochures and are for illustration only. They are not guarantees of coverage, benefits, member cost, or claim payment.
These scenarios are illustrative examples and are not guarantees of benefits
or final member responsibility. Actual costs depend on the provider's
contracted allowed amount, network status, covered services, deductibles,
copays, coinsurance, benefit limitations and the applicable maximum
out-of-pocket. Verify all benefits before enrollment.
ACA Silver EPO
Horizon BlueCross BlueShield EPO
OMNIA Silver Value ($0 Horizon CareOnline Virtual Care, $0 Select Insulin, No Referrals)
Monthly premium
$401.51 /mo
Deductible$2,100
Primary Care$45
Specialist$75
Urgent Care$75
Additional Plan Benefits
NetworkHorizon BlueCross BlueShield EPO
Individual Out-of-Pocket$10,150
Generic Drugs40% after deductible
Preventive Care$0
Emergency Room$100 + 40% after deductible
Hospital Facility40% after deductible
Ambulance40% after deductible
Labs / Imaging40% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + $100 + 40% coinsurance*
The screenshot lists full price before the deductible and $100 with 40% after the deductible. Exact member cost depends on allowed charges and deductible/out-of-pocket spending already accumulated.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Silver EPO
Horizon BlueCross BlueShield EPO
OMNIA Silver ($0 Horizon CareOnline Virtual Care, $0 Select Insulin, No Referrals)
Monthly premium
$563.50 /mo
Deductible$1,700
Primary Care$30
Specialist$60
Urgent Care$75
Additional Plan Benefits
NetworkHorizon BlueCross BlueShield EPO
Individual Out-of-Pocket$10,000
Drug Deductible$250
Generic Drugs$20
Preventive Care$0
Emergency Room$100 + 20% after deductible
Hospital Facility$500/day after deductible
Hospital PhysicianNo charge after deductible
AmbulanceNo charge after deductible
Labs / Imaging$100 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + $100 + 20% coinsurance*
The screenshot lists full price before the deductible and $100 with 20% after the deductible. Exact member cost depends on allowed charges and deductible/out-of-pocket spending already accumulated.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Expanded Bronze EPO
UnitedHealthcare EPO
UHC Bronze Value ($0 Virtual Urgent Care, No Referrals)
Monthly premium
$417.12 /mo
Deductible$3,000
Primary Care$50
Specialist$75 after deductible
Urgent Care$75 after deductible
Additional Plan Benefits
NetworkUnitedHealthcare EPO
Individual Out-of-Pocket$10,600
Generic Drugs$25
Preventive Care$0
Emergency Room$100 + 50% after deductible
Hospital Facility50% after deductible
Hospital Physician50% after deductible
Ambulance50% after deductible
X-rays50% after deductible
Imaging50% after deductible
Blood Work50% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + $100 + 50% coinsurance*
The screenshot lists full price before the deductible and $100 with 50% after the deductible. Exact member cost depends on allowed charges and accumulated deductible/out-of-pocket spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Silver EPO
UnitedHealthcare EPO
UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)
Monthly premium
$477.94 /mo
Deductible$2,500
Primary Care$20
Specialist$75
Urgent Care$75
Additional Plan Benefits
NetworkUnitedHealthcare EPO
Individual Out-of-Pocket$10,600
Generic Drugs$8
Preventive Care$0
Emergency Room$100 + 50% after deductible
Hospital Facility50% after deductible
Hospital Physician50% after deductible
Ambulance50% after deductible
X-rays$35 after deductible
Imaging50% after deductible
Blood Work$25 after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + $100 + 50% coinsurance*
The screenshot lists full price before the deductible and $100 with 50% after the deductible. Exact member cost depends on allowed charges and accumulated deductible/out-of-pocket spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Gold EPO
UnitedHealthcare EPO
UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)
Monthly premium
$848.29 /mo
Deductible$1,500
Primary Care$5
Specialist$50
Urgent Care$50
Additional Plan Benefits
NetworkUnitedHealthcare EPO
Individual Out-of-Pocket$7,200
Generic Drugs$8
Preventive Care$0
Emergency Room$100 + 20% after deductible
Hospital Facility20% after deductible
Hospital Physician20% after deductible
Ambulance20% after deductible
X-rays20% after deductible
Imaging20% after deductible
Blood Work$15
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + $100 + 20% coinsurance*
The screenshot lists full price before the deductible and $100 with 20% after the deductible. Exact member cost depends on allowed charges and accumulated deductible/out-of-pocket spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Gold HMO
BlueCross BlueShield HMO
Blue Advantage Gold HMO 206
Monthly premium
$620.46 /mo
Deductible$550
Primary Care$30
Specialist$110
Urgent Care$45
Additional Plan Benefits
NetworkBlueCross BlueShield HMO
Metal TierGold
Individual Out-of-Pocket$10,100
Generic DrugsNo charge
Brand Drugs$50
Non-preferred Brand35% after deductible
Specialty Drugs45% after deductible
Preventive Care$0
Emergency Room$1,000 + 35% after deductible
Hospital Facility$950 per stay + 35% after deductible
Hospital Physician35% after deductible
Ambulance35% after deductible
Labs / Imaging20% after deductible
Outpatient Facility$600 + 20% after deductible
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
Subject to deductible + $1,000 + 35% coinsurance*
The screenshot lists full price before the deductible and $1,000 with 35% after the deductible. Exact cost depends on allowed charges and prior accumulated spending.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
ACA Silver POS
BlueCross BlueShield POS
Blue Advantage Plus Silver 605
Monthly premium
$772.95 /mo
Deductible$0
Primary Care$115
Specialist$125
Urgent Care$60
Additional Plan Benefits
NetworkBlueCross BlueShield POS
Metal TierSilver
Individual Out-of-Pocket$10,150
Generic Drugs$40
Brand Drugs20%
Non-preferred Brand45%
Specialty Drugs50%
Preventive Care$0
Emergency Room$1,000 copay + 50% coinsurance
Hospital Facility$950 per stay + 50%
Hospital Physician50%
Ambulance50%
X-rays / Imaging40%
Blood Work$50 + 40%
Outpatient Facility40%
Outpatient Physician50%
How This Plan Could Work
Illustration using a $7,500 emergency-room bill.
Emergency Room Visit
ER Bill: $7,500
Estimated Member Responsibility
$1,000 copay + 50% coinsurance*
This plan shows a $0 deductible and lists a $1,000 emergency-room copay plus 50% coinsurance. Exact member cost depends on allowed charges and how the copay and coinsurance are applied to the claim.
This example was created with AI using the supplied plan screenshot and is for illustration only. It is not a guarantee of coverage, benefits, member cost, or claim payment.
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