2016 Plan Overview and Comparison


Basic
MA Only
(HMO-POS)
$0
Monthly Premium
$0 Annual Deductible
$3,400 Annual Out-of-Pocket Max
Network Doctor & Hospital Choice
$35 co-pay Primary Care Physician Visit
$45 co-pay Specialist Visit
No Part D Coverage
Aultimate
 
(HMO-POS)
$0
Monthly Premium
$0 Annual Deductible
$4,200 Annual Out-of-Pocket Max
Network Doctor & Hospital Choice
$35 co-pay Primary Care Physician Visit
$45 co-pay Specialist Visit
Yes Part D Coverage
Classic
 
(HMO-POS)
$32
Monthly Premium
$0 Annual Deductible
$3,400 Annual Out-of-Pocket Max
Network Doctor & Hospital Choice
$20 co-pay Primary Care Physician Visit
$45 co-pay Specialist Visit
Yes Part D Coverage
Plus
 
(HMO-POS)
$72
Monthly Premium
$0 Annual Deductible
$3,400 Annual Out-of-Pocket Max
Network Doctor & Hospital Choice
$10 co-pay Primary Care Physician Visit
$45 co-pay Specialist Visit
Yes Part D Coverage
Last updated: 10/1/2015