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Explore y compare planes de salud para 2025 que satisfagan las necesidades de su negocio y de sus empleados. Vea nuestros planes 2024
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Resumen del plan
- Premium savings making this plan ideal for cost-sensitive employers
- Care coordinated by a medical home team
- Ultimate plan design flexibility
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Designation of Medical Home required
- No referrals required for in-network specialty care
- Premium savings making this plan ideal for cost-sensitive employers
- Care coordinated by a medical home team
- Ultimate plan design flexibility
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Designation of Medical Home required
- No referrals required for in-network specialty care
- Live 24/7 customer service
- Online access to account information anytime–from paying providers to viewing claims
- Integrated plan setup, enrollment, claims administration and billing so that health plan and member accounts are set up in one convenient place
- A fully-equipped employer portal for all your contribution and reporting needs
- Free HealthEquity mobile app gives members on-the-go access to account information
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Lowest premiums of all Option Advantage plans
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Most benefits subject to the deductible
- Deductible waived on in-network PCP visits, including Naturopaths, preventative services, ExpressCare, and prescription drugs only.
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Deductible waived on in-network PCP, specialists, urgent care visits, allergy shots and outpatient physical therapy
- First $500 of in-network lab and X-ray services covered in full; deductible waived
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Deductible waived on in-network PCP, specialists, ER, urgent care, allergy shots, outpatient physical therapy and lab and X-ray, and imaging services (PET, CT, MRI)
- Deductible waived on in-network delivery, postnatal and routine newborn nursery care; delivery is 10x PCP copay
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Comprehensive, robust coverage
- Predictable costs
- Ultimate plan design flexibility
- Many services are not subject to the deductible
- Coverage to in-network providers only
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
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Servicios gratuitos dentro de la red
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
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Opciones dentro de la red de proveedores
Choice Networks
Tailored network medical home model
No referrals required for in-network specialty care
Connect Networks
Tailored network medical home model
No referrals required for in-network specialty care
Connect + Signature + Extend PPO Networks
Options include medical home model and Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
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Diseño del plan
Cannot combine in- and out-of-network deductible and out-of-pocket maximum
Cannot combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Rich coverage with deductible waived on most services
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Beneficios del plan
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered after the deductible is met
Deductible applies for in-network PCP and specialist visits
Deductible applies for in-network urgent care visits
Specialist coinsurance is the same as the PCP coinsurance
Option to pair plan with an integrated health account
Most services covered after the deductible is met
Deductible is waived for in-network PCP, applies for specialist visits
Deductible applies for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
Most services covered before deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
Choice es bueno. Tenemos las opciones que se merece.
Oferta de múltiples planes
Más informaciónPlanes autofinanciados
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Más informaciónGrupos de empleadores +51
Nuestros planes para grandes grupos ofrecen integración de cuentas, asistencia a los empleados y la máxima flexibilidad para su negocio.
Obtener cotizaciónNuestros planes ofrecen una serie de ventajas diseñadas para apoyar a sus empleados
Protección de ID
Goce de tranquilidad con el sistema de supervisión, advertencia y resolución de fraudes de Assist America Identity Theft Protection.
Coaching de salud
Los asesores de salud de Providence están aquí para ayudarle en su camino hacia una vida más saludable y feliz.
Travel Assistance
Obtenga ayuda médica de emergencia mientras viaja a más de 160 km de su casa, o a otros países, con Assist America.
LifeBalance
Disfrute de descuentos en las cosas que más le gustan, desde ver una película hasta viajar con menos, gracias a los paquetes vacacionales únicos.
One Pass Select™
One Pass Select™ facilita el acceso a una red nacional de gimnasios y entrenamientos bajo demanda, así como la entrega de alimentos para una alimentación saludable.