• Buy-Up Plan 
     
    Click on these links to view a schedule of benefits covered
    for the Medical Buy-Up Plan:
      
     
     
     

    Benefit Design

    Medical Buy Up Plan

    Deductible (Plan Year):

    $500

    Individual

    Family

    $1,000

    Coinsurance:

    90%

    Total Out of Pocket Max:

    $1,500

    Individual

    Family

    $3,000

    Physician Office Visit:

    $25

    Specialist Office Visit:

    $35

    Emergency Room:

    $100, then Ded / Coins

    Urgent Care:

    $35, then Ded / Coins

    Inpatient Hospital:

    $100, then Ded / Coins

    Outpatient Surgery:

    Ded / Coins

    Prescription:

    $10/30/50  

    Specialty:  $75 or $125
       

    Employee Monthly Premiums:

    Monthly Medical Premiums

    Buy Up Plan

    w/o Wellness   w/Wellness

    Employee only

    $100         $70

    Employee & spouse

    $630         $600

    Employee & children

    $460         $430

    Family

    $990         $960