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Oxford 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 Oxford Freedom (POS) - 25-40/250/G

Click here for the detailed plan summary.

This policy is a POS (Point of Service) plan with in & out of network coverage, & referrals are required. There is an out of network deductible of $1,000 (single) & $3,000 (family) with a 70% co-insurance. There is a $25 primary & $40 specialist office visit co-pay. The in-patient hospital is a $250 per day ($1,250 per calendar year max), & emergency room visits are a $75 co-pay. The prescription drug card is 10/25/50 with a $50 deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$666.53 $765.01 $2,295.03

Individual + Spouse

$1,454.37 $1,671.03 $5,013.09

Individual + Child(ren)

$1,224.57 $1,406.76 $4,220.28

Family

$2,045.24 $2,350.53 $7,081.59
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#2 Oxford Freedom (POS) - 30-50/500/NG

Click here for the detailed plan summary.

This policy is a POS (Point of Service) plan with in & out of network coverage & no referrals needed. There is an out of network deductible of $3,000 (single) & $9,000 (family) with a 70% co-insurance. This plan has a $30 primary & $50 specialist office visit co-pay. In-patient hospital is $500 per admission, & emergency room visits are a $150 co-pay. The prescription drug card is 15/30/60 with a $100 deductible and a $3,000 maximum.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$580.62 $666.21 $1,998.63

Individual + Spouse

$1,265.37 $1,453.68 $4,361.04

Individual + Child(ren)

$1,065.65 $1,224.00 $3,672.00

Family

$1,778.91 $2,044.25 $6,132.75
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#3 Oxford Freedom (HSA) - E 3/100%/NG

Click here for the detailed plan summary.

This policy is an HSA (Health Saving Account) with no out of network coverage, no referrals needed. There is a $2,850 (single) and a $5,700 (family) in-network deductible with a 100% coinsurance. Primary office visits, specialist office visits, in-patient hospital, & emergency room visits are all covered 100% after meeting the deductible. There is a 10/25/50 prescription drug card that is subject to the deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$343.65 $393.70 $1,181.10

Individual + Spouse

$744.03 $854.13 $2,562.30

Individual + Child(ren)

$627.25 $719.84 $2,159.52

Family

$1,044.32 $1,199.47 $3,598.41
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#4 Oxford Freedom (HSA) - 15-25/100/G

Click here for the detailed plan summary.

This policy is an HSA (Health Savings Account) with no out of network coverage, referrals needed. There is a $1250 (single) & a $2500 (family) in network deductible with a 100% coinsurance. Primary office visits, specialist office visits, in-patient hospital, & emergency room visits are all covered 100% after meeting the deductible. There is a 10/25/50 prescription drug card that is subject to the deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$463.82 $531.89 $1,595.67

Individual + Spouse

$1,008.41 $1,158.17 $3,474.51

Individual + Child(ren)

$849.57 $975.51 $2,926.53

Family

$1,416.84 $1,627.87 $4,883.61
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#5 Oxford Liberty (EPO) - 25-50/300/NG

Click here for the detailed plan summary.

This policy is an EPO (Exclusive Provider Organization) with no out of network coverage, no referrals needed. There is a $25 primary & a $50 specialist office visit co-pay. In-patient hospital visits have a $300 co-pay per day, 5 days max per calendar year. There is a 10/25/50 prescription drug card with a $50 deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$500.18 $573.71 $1,721.13

Individual + Spouse

$1,088.38 $1,250.14 $3,750.42

Individual + Child(ren)

$916.84 $1,052.87 $3,158.61

Family

$1,529.56 $1,757.49 $5,272.47
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#6 Oxford Liberty (HMO)

Click here for the detailed plan summary.

This policy is an HMO (Health Maintenance Organization) plan with in network coverage only, & referrals are required. It has a $30 primary & $50 specialist office visit co-pay. In-patient hospital visits have a $500 co-pay and there is a $150 co-pay for emergency room visits. The prescription coverage is 15/35/75 with a $100 deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$389.13 $446.00 $1,338.00

Individual + Spouse

$844.08 $969.19 $2,907.57

Individual + Child(ren)

$711.39 $816.60 $2,449.80

Family

$1,185.30 $1,361.60 $4,084.80
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#7 Oxford Liberty Direct (POSc) - 90/10/500/NG

Click here for the detailed plan summary.

This policy is a POS (Point of Service) cost share plan (with in & out of network deductibles). The plan has in & out of network coverage, & no referrals needed. There is an in-network deductible of $500 (single) & $1,000 (family) with a 90% co-insurance. Primary & specialist office visits, in-patient hospital stays & emergency room visits are all covered at 90% after deductible for in-network doctors. The prescription drug card is 15/30/60 with a $100 deductible and a $3,000 maximum.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$520.90 $597.54 $1,792.62

Individual + Spouse

$1,133.98 $1,302.58 $3,907.74

Individual + Child(ren)

$955.17 $1,096.95 $3,290.85

Family

$1,624.45 $1,866.62 $5,599.86
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#8 Oxford Freedom Metro (POSc) - Option #8

Click here for the detailed plan summary.

This policy is a POS (Point of Service) cost share plan (it has in & out of network deductibles) with in & out of network coverage, & no referrals needed. There is an in-network deductible of $1,000 (single) & $2,000 (family) with a 100% co-insurance. There is a $25 primary & $40 specialist office visit co-pay. With the in-patient hospital you must meet the deductible & co-insurance. The plan has $100 emergency room co-pay and the prescription drug card is 15/30/60 with a $100 deductible and a $3,000 maximum.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$565.97 N/A N/A

Individual + Spouse

$1,245.13 N/A N/A

Individual + Child(ren)

$1,047.04 N/A N/A

Family

$1,788.47 N/A N/A
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form


#9 Oxford Freedom Metro (EPO) - Option #9

Click here for the detailed plan summary.

This plan is an EPO (Exclusive Provider Organization) with no out of network coverage, & no referrals needed. There is a $20 primary & a $40 specialist office visit co-pay. The hospital co-pay is $200 with a $75 emergency room co-pay and the prescription drug card is 10/25/50 with a $100 deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$588.33 N/A N/A

Individual + Spouse

$1,294.33 N/A N/A

Individual + Child(ren)

$1,088.42 N/A N/A

Family

$1,823.82 N/A N/A
  Plan Selection Plan Selection Plan Selection
  Instructions
  Application
  Student Verification Form


#10 Oxford Freedom Metro (EPO) - Option #10

Click here for the detailed plan summary.

This policy is an EPO (Exclusive Provider Organization) with no out of network coverage, no referrals needed. There is $25 primary & a $50 specialist office visit co-pay. In-patient hospital visits have a $300 co-pay per day, 5 days maximum per calendar year. There is a 15/30/60 prescription drug card with a $100 deductible and a $3,000 maximum.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$513.95 N/A N/A

Individual + Spouse

$1,130.69 N/A N/A

Individual + Child(ren)

$950.81 N/A N/A

Family

$1,593.24 N/A N/A
  Plan Selection Plan Selection Plan Selection
  Instructions
  Application
  Student Verification Form


#11 Oxford Freedom Metro (EPO) - 25-50/300/NG

Click here for the detailed plan summary.

This policy is an EPO (Exclusive Provider Organization) with no out of network coverage, & no referrals needed. This plan has a $25 primary & a $50 specialist office visit co-pay. The hospital co-pay is $300 per day up to 5 days max per calendar year with a $75 emergency room co-pay. The prescription drug card is 10/25/50 with a $100 deductible.


 

Monthly

Monthly

Quarterly

  Small Group Sole Proprietor Sole Proprietor

Individual

$526.95 $604.49 $1,813.47

Individual + Spouse

$1,147.29 $1,317.88 $3,953.64

Individual + Child(ren)

$966.36 $1,109.81 $3,329.43

Family

$1,612.56 $1,852.94 $5,558.82
  Plan Selection Plan Selection Plan Selection
  Instructions Instructions Instructions
  Application Application Application
  Student Verification Form