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The chart below describes ranges of premium and out-of-pocket costs for plans in each level.

Metal level Premiums Out-of-pocket costs Plan pays
Gold plans Higher Lower 80%
Silver plans Moderate Moderate 70%
Bronze plans Lowest Highest 60%
†Average amount plan pays for covered services.

As you review our plans below, her are some important terms to know:

  • POS - Plans with POS ("point-of-service") in their name means you'll be able to visit out-of-network doctors, but you'll pay more
  • HMO - Plans with HMO ("health maintenance organization") in their name means you must visit in-network doctors to have those services covered.
  • HSA - This stands for "health savings account." HSA-compatible plans allow you to save money tax-free to use for qualified health care expenses.

2020 PASSAGE PLANS

Metal level Plan name Individual & family
in-network deductibles
In-network PCP
visit cost share
 Gold Passage SOLO POS
Copay/Coins. $2,000 ded.
 
$2,000/$4,000* At a Sanitas Medical Center:
$0 (deductible waived)
For all other primary care:
$30 copay (deductible waived)
Bronze Passage SOLO HMO
Copay/Coins. $6,250 ded.
$6,250/$12,500* At a Sanitas Medical Center:
$0 (deductible waived)
For all other primary care:
$50 copay (deductible waived)

2020 CHOICE PLANS

Metal level Plan name Individual & family
in-network deductibles
In-network PCP
visit cost share
Silver Choice SOLO POS
Coins. $3,000 ded.
$3,000/$6,000* At a Sanitas Medical Center: $0
For all other primary care:
$50 copay (deductible waived)
Silver Choice SOLO POS HSA
Copay/Coins. $3,500 ded.

$3,500/$7,000* At a Sanitas Medical Center: $0
For all other primary care:
25% coinsurance after deductible
Silver Choice SOLO POS
Copay/Coins. $4,500 ded. 30%
$4,500/$9,000* At a Sanitas Medical Center: $0
For all other primary care:
$50 copay (deductible waived)
Silver Choice SOLO POS
Copay/Coins. $4,500 ded. 40%

$4,500/$9,000* At a Sanitas Medical Center: $0
For all other primary care:
$40 copay (deductible waived)
Silver Choice SOLO POS
Copay/Coins. $5,500 ded.

$5,500/$11,000* At a Sanitas Medical Center: $0
For all other primary care:
$50 copay (deductible waived)
Bronze Choice SOLO POS
HSA Coins. $6,250 ded.
$6,250/$12,500* At a Sanitas Medical Center:
$0 after deductible
For all other primary care:
25% coinsurance after deductible
Bronze Choice SOLO HMO
HSA $6,500 ded.
$6,500/$13,000* At a Sanitas Medical Center:
$0 after deductible
For all other primary care:
$40 copay after deductible

*Integrated medical and prescription drug deductible.

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