What are the 2017 plan choices?

Vista360health gives you multiple plans to consider. Compare them side by side.


Gold Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$1,000 INDIVIDUAL
$2,000 FAMILY
COINSURANCE
10% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$3,500 INDIVIDUAL
$7,000 FAMILY
PRIMARY CARE OFFICE VISIT
Covered at 100% (no ded or coins applies)
SPECIALIST OFFICE VISIT
$40 Copay
PRESCRIPTION DRUGS(30-DAY SUPPLY)
$0 Copay (Preferred Generic)
$10 Copay (Non-Preferred Generic)
$35 Copay (Preferred Brand)
$55 Copay (Non-Preferred Brand)
25% Coinsurance (Specialty)
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Silver Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$3,000 INDIVIDUAL
$6,000 FAMILY
COINSURANCE
20% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$6,500 INDIVIDUAL
$13,000 FAMILY
PRIMARY CARE OFFICE VISIT
Covered at 100% (no ded or coins applies)
SPECIALIST OFFICE VISIT
20% Coinsurance after Ded
PRESCRIPTION DRUGS(30-DAY SUPPLY)
$0 Copay (Preferred Generic)
$15 Copay (Non-Preferred Generic)
$40 Copay (Preferred Brand)
$75 Copay (Non-Preferred Brand)
30% Coinsurance (Specialty)
Benefit summary / Plan Information
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Bronze Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$6,900 INDIVIDUAL
$13,800 FAMILY
COINSURANCE
50% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$7,150 INDIVIDUAL
$14,300 FAMILY
PRIMARY CARE OFFICE VISIT
$50 Copayment applies
SPECIALIST OFFICE VISIT
50% Coinsurance after Ded
PRESCRIPTION DRUGS(30-DAY SUPPLY)
$0 Copay after Ded(Preferred Generic)
$15 Copay after Ded(Non-Preferred Generic)
$50 Copay after Ded(Preferred Brand)
$100 Copay after Ded(Non-Preferred Brand)
35% Coinsurance after Ded(Specialty)
Benefit summary
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Gold Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$1,500 INDIVIDUAL
$3,000 FAMILY
COINSURANCE
10% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$5,000 INDIVIDUAL
$10,000 FAMILY
PRIMARY CARE OFFICE VISIT
$15 Copayment
SPECIALIST OFFICE VISIT
$40 Copay
PRESCRIPTION DRUGS(30-DAY SUPPLY)
$0 Copay (Preferred Generic)
$10 Copay (Non-Preferred Generic)
$35 Copay (Preferred Brand)
$55 Copay (Non-Preferred Brand)
25% Coinsurance (Specialty)
Benefit summary
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Silver Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$3,000 INDIVIDUAL
$6,000 FAMILY
COINSURANCE
20% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$7,150 INDIVIDUAL
$14,300 FAMILY
PRIMARY CARE OFFICE VISIT
$25 Copayment
SPECIALIST OFFICE VISIT
$50 Copay
PRESCRIPTION DRUGS(30-DAY SUPPLY)
$0 Copay (Preferred Generic)
$15 Copay (Non-Preferred Generic)
$40 Copay (Preferred Brand)
$55 Copay (Non-Preferred Brand)
30% Coinsurance (Specialty)
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Bronze Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$5,000 INDIVIDUAL
$10,000 FAMILY
COINSURANCE
40% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$7,150 INDIVIDUAL
$14,300 FAMILY
PRIMARY CARE OFFICE VISIT
$40 Copayment after Ded
SPECIALIST OFFICE VISIT
40% Coinsurance after Ded
PRESCRIPTION DRUGS(30-DAY SUPPLY)
$0 Copay after Ded(Preferred Generic)
$15 Copay after Ded(Non-Preferred Generic)
$50 Copay after Ded(Preferred Brand)
$100 Copay after Ded(Non-Preferred Brand)
40% Coinsurance after Ded(Specialty)
Benefit summary
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Gold Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$1,500 INDIVIDUAL
$3,000 FAMILY
COINSURANCE
10% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$4,500 INDIVIDUAL
$9,000 FAMILY
PRIMARY CARE OFFICE VISIT
10% Copayment after Ded
SPECIALIST OFFICE VISIT
10% Coinsurance after Ded
PRESCRIPTION DRUGS(30-DAY SUPPLY)
10% Coinsurance after Ded (Preferred Generic)
10% Coinsurance after Ded (Non-Preferred Generic)
10% Coinsurance after Ded (Preferred Brand)
10% Coinsurance after Ded (Non-Preferred Brand)
10% Coinsurance after Ded (Specialty)
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Silver Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$3,700 INDIVIDUAL
$7,400 FAMILY
COINSURANCE
0% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$3,700 INDIVIDUAL
$7,400 FAMILY
PRIMARY CARE OFFICE VISIT
0% Copayment after Ded
SPECIALIST OFFICE VISIT
0% Coinsurance after Ded
PRESCRIPTION DRUGS(30-DAY SUPPLY)
0% Coinsurance after Ded (Preferred Generic)
0% Coinsurance after Ded (Non-Preferred Generic)
0% Coinsurance after Ded (Preferred Brand)
0% Coinsurance after Ded (Non-Preferred Brand)
0% Coinsurance after Ded (Specialty)
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Bronze Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
$6,550 INDIVIDUAL
$13,100 FAMILY
COINSURANCE
0% Coinsurance after the annual deductible
OUT OF POCKET MAXIMUM PER CALENDAR YEAR
$6,550 INDIVIDUAL
$13,100 FAMILY
PRIMARY CARE OFFICE VISIT
0% Copayment after Ded
SPECIALIST OFFICE VISIT
0% Coinsurance after Ded
PRESCRIPTION DRUGS(30-DAY SUPPLY)
0% Coinsurance after Ded (Preferred Generic)
0% Coinsurance after Ded (Non-Preferred Generic)
0% Coinsurance after Ded (Preferred Brand)
0% Coinsurance after Ded (Non-Preferred Brand)
0% Coinsurance after Ded (Specialty)
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Gold Level
INSURED RESPONSIBILITY
ANNUAL DEDUCTIBLE PER PLAN YEAR / EMBEDDED ANNUAL DEDUCTIBLE PER CALENDAR YEAR
There is no deductible on this plan.
COINSURANCE
20% Coinsurance
OUT OF POCKET MAXIMUM PER PLAN YEAR
$7,150 INDIVIDUAL
$14,300 FAMILY
PRIMARY CARE OFFICE VISIT
$30 Copay
SPECIALIST OFFICE VISIT
$60 Copay
PRESCRIPTION DRUGS(30-DAY SUPPLY)
$0 Copay(Preferred Generic)
$10 Copay (Non-Preferred Generic)
$50 Copay (Preferred Brand)
50% Coinsurance (Non-Preferred Brand)
50% Coinsurance (Specialty)
Benefit summary
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