Individual & Family Plan Features
Find the right health plan – one that meets the needs of you or your family, as well as your budget.
Choose between four health plan options, Optimum, Value, Prime or HSA, each with a variety of features and deductibles to meet your needs.
Optimum Plans
Optimum Plans offer you the most comprehensive coverage. You receive women's and men's preventive care services, doctor office visits and specialist visits for $20 copay in-plan, before meeting the deductible. Optimum Plans feature:
- $20 copay for doctor and specialists visits
- Certain preventive care services covered in full
- $20 copay for urgent care visits
- $10 generic drugs and brand name drugs covered at 50 percent
- Out-of-plan benefit. See non-participating providers and pay a coinsurance amount
- Routine vision services
- Deductible waived on all doctor office visits, urgent care, prescription drugs, and most preventive care services
- Low out-of-pocket maximum: $4,000 individual or $12,000 family
- Deductible waived for all covered services within 90 days of an accidental injury
- Hospital, surgery, X-ray and laboratory services
- A national network of participating providers
Value Plans
Value Plans offer similar coverage as Optimum Plans but with slight higher out-of-pocket costs. Value Plans feature:
- $30 copay for most doctor office visits
- Certain preventive care services covered in full
- $30 copay for urgent care visits
- Prescription drugs covered at 50 percent
- Out-of-plan benefit. See non-participating providers and pay a 50 percent coinsurance amount
- Routine vision services
- Deductible waived on most doctor office visits, urgent care and prescription drugs
- Deductible waived on all covered services within 90 days of an accidental injury
- Hospital, surgery, X-ray and laboratory services
- A national network of participating providers
Prime Plan
Our Prime plan is designed to offer basic health insurance coverage for a lower premium. Benefits for covered services are provided at a 50 percent coinsurance from participating providers only. The Prime Plan includes:
- 50 percent coinsurance for all covered services.
- Certain preventive care services covered in full.
- Receive covered services from an in-plan participating provider only. (Out-of-plan providers not covered.)
- Deductible waived on most doctor office visits, urgent care and prescription drugs
- Deductible waived on all covered services within 90 days of an accidental injury
- Hospital, surgery, X-ray and laboratory services for 50 percent coinsurance.
Health Savings Account (HSA) Plans
Our HSA Plans work together with a Health Savings Account and provide comprehensive coverage with a low monthly premium, while you set aside tax deductible, interest-earning funds in a health savings account (HSA) to help cover your deductible and other qualified medical expenses. By rolling over unused funds from year to year, you also enjoy tax-sheltered investment and retirement planning options. Our HSA plans include:
- Certain preventive care services covered in full
- Prescription drugs covered at 50 percent
- Out-of-plan benefit. See non-participating providers and pay a coinsurance amount
- Routine vision services
- Deductible waived on most preventive care services
- Hospital, surgery, X-ray and laboratory services
- A national network of participating providers
LifeBalance

Recreational discounts on cultural activities and events.
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