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HealthPass Insurance Plans | The Business Council of Westchester Insurance Providers

If you have any questions about any of the plans, please feel free to call us at (914) 948-2110.


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#1 HealthPass/Oxford - Liberty (HMO)

This plan is an HMO (Health Maintenance Organization) with no out of network coverage & referrals needed. It has a $30 primary & $50 specialist office visit co-pay. The inpatient hospital is $500/day an emergency room visit is a $150 co-pay. The prescription coverage is 15/35/75 with a $100 annual deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$490.00 N/A N/A

Individual + Spouse

$1,070.00 N/A N/A

Individual + Child(ren)

$907.00 N/A N/A

Family

$1,514.00 N/A N/A
 
 
 
 


#2 HealthPass/Emblem – CompreHealth (HMO) (POS)

This plan is an HMO (Health Maintenance Organization) with no out of network coverage & referrals needed. It has a $30 primary & $50 specialist office visit co-pay. The inpatient hospital is a $1,000 co-pay for an emergency room visit is a $150 co-pay. The prescription coverage is 15 generic only.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$320.00 N/A N/A

Individual + Spouse

$748.00 N/A N/A

Individual + Child(ren)

$612.00 N/A N/A

Family

$990.00 N/A N/A
 
 
 
 


#3 HealthPass/Oxford - Freedom Ease (EPO)

This plan is EPO (Exclusive Provider Organization) with no out of network coverage & referrals needed. It has a $50 primary & $50 specialist office visit co-pay. The inpatient hospital is $500/day; an emergency room visit is a $200 co-pay. The prescription coverage is 15/35/75 with a $100 annual deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$599.00 N/A N/A

Individual + Spouse

$1,310.00 N/A N/A

Individual + Child(ren)

$1,108.00 N/A N/A

Family

$1,852.00 N/A N/A
 
 
 
 


#4 HealthPass/Oxford USA (PPOc)

This plan is PPOc (Preferred Provider Organization) with in and out of network coverage & referrals needed. It has a $25 primary & $40 specialist office visit co-pay(for In network). There is an in-network deductible ($1,000/$2500) and out of network deductible ($2000/$5000) The in network coinsurance is 80% and out of network Coinsurance is 60%. The prescription coverage is 15/50%/50% with a $100 annual deductible for in network, out of network-UCR=140% of Medicare%.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$657.00 N/A N/A

Individual + Spouse

$1,439.00 N/A N/A

Individual + Child(ren)

$1,217.00 N/A N/A

Family

$2,072.00 N/A N/A
 
 
 
 


#5 HealthPass/HIP (EPOc)

This plan is EPO (Exclusive Provider Organization) with no out of network coverage & referrals needed. It has a $30 primary & $50 specialist office visit co-pay. There is In-network Deductible $1500/$3000 and 90% coinsurance. The inpatient hospital is subject to deductible and coinsurance The prescription coverage is 20/30/20 with a $100 annual deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$599.00 N/A N/A

Individual + Spouse

$1,310.00 N/A N/A

Individual + Child(ren)

$1,108.00 N/A N/A

Family

$1,852.00 N/A N/A
 
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