Compare Qualified Health Plans

Plan Name

Annual Deductible

Annual Max Out-of-Pocket

Office Visits

Prescriptions

Emergency Room

Inpatient Hospitalization

Individual/Family Individual/Family PCP/Specialist Tiers 1/2/3
(30 day supply)
Waived if admitted
Per admission
Platinum
$0/$0* $3,000/$6,000
(Medical, Pharmacy, & Pediatric Dental*)
$25/$40 $15/$30/$50 $150 per visit $500
Gold
$1,000/$2,000* $5,000/$10,000
(Medical, Pharmacy, & Pediatric Dental*)
$30/$45 $20/$30/$50 $150 per visit after deductible

$500 after deductible
Silver A
$2,000/$4,000* $7,150/$14,300 (Medical, Pharmacy, & Pediatric Dental*) $30/$50 $20/$60/$90 $700 per visit after deductible $1,000 copayment after deductible
Silver B
$3,000/$6,000* $7,150/$14,300 (Medical, Pharmacy, & Pediatric Dental*) $30/$50 $30 copay/35%/35% coinsurance (all after deductible)
$500 per visit after deductible 25% coinsurance after deductible
Bronze

$2,750 (Medical) | $250 (Pharmacy)/
$5,500 (Medical) | $500 (Pharmacy)*
$7,150/$14,300 (Medical, Pharmacy, & Pediatric Dental*) $50/$40 after deductible
$25/$75/$100 after deductible 
$500 per visit after deductible $1,000 copayment
per admission after deductible

*See plan document for more information.

All preventive services are covered in full.

Are you an American Indian/Native Alaskan? If so, please click here.

What is an HSA?

A Health Savings Account (HSA) is a savings product that allows you to pay for current qualified medical expenses and save toward future medical expenses on a tax-free basis. An HSA can be a valuable tool to help you save money for medical expenses for you and your family.

Learn how financial institutions administer HSAs with these Frequently Asked Questions.

How Can I Enroll in an HSA?

The Bancorp Bank is one of the top 10 financial institutions offering HSAs and one of your options. You can apply for an HSA with them online, by mail or over the phone

Please enter code BMCHSA for tracking purposes.

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Preventive Care

Care that helps you stay healthy, like flu shots and wellness visits or diabetes or cancer screening. Your doctor will help coordinate all your healthcare.

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Specialist Visits

A doctor who has extra training in an area of medicine, such as cardiology, dermatology, or pediatrics.

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Deductibles, copays, and coinsurance may be waived for American Indians/Native Alaskans if:

  • Annual income is at or below federal standards for cost-share waivers; or

  • Healthcare services are provided by a qualified Indian health care provider

If you are an American Indian/ Native Alaskan with an income that is at or below federal standards for cost-share waivers, click here to see what your benefits and the costs of services would look like.

Please note: If you are American Indian/ Native Alaskan who is NOT at or below the federal standards for cost share waivers, you can still have your cost-share waived if you get services from a qualified Indian healthcare provider.

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What is an HSA?

A Health Savings Account (HSA) is a savings product that allows you to pay for current qualified medical expenses and save toward future medical expenses on a tax-free basis. An HSA can be a valuable tool to help you save money for medical expenses for you and your family.

Learn how financial institutions administer HSAs with these Frequently Asked Questions.

How Can I Enroll in an HSA?

The Bancorp Bank is one of the top 10 financial institutions offering HSAs and one of your options. You can apply for an HSA with them online, by mail or over the phone

Please enter code BMCHSA for tracking purposes.

Close

Preventive Services

Preventive services are tests, screenings, immunizations and other services that can help you detect and address diseases or conditions when there is no diagnosis or symptoms.

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Specialist Visits

A doctor who has extra training in an area of medicine, such as cardiology, dermatology, or pediatrics.

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Deductible

The amount you have to pay for healthcare services before your plan starts to pay for medical care.

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Maximum out-of-pocket expenses

The most you could pay during a coverage period (usually one year) for your share of covered services, which include copayments, deductibles, and coinsurance.

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