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