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Company

Plan Type

Plan ID

Plan Name

Deductibles

PCP Office Visit

Specialist Office Visit

ObGyn Wellness

Lifetime Max

Application

Aetna PPO - details 10495 MCOA 2500 2500.0000 / 5000 $40 copay, deductible waived $50 copay, deductible waived No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
PPO - details 11538 MCOA 2500 2500.0000 / 5000 $40 copay, deductible waived $50 copay, deductible waived No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
PPO - details 11539 MCOA 5000 5000.0000 / 10000 $40 copay, deductible waived $50 copay, deductible waived No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
PPO - details 10496 MCOA 5000 5000.0000 / 10000 $40 copay, deductible waived $50 copay, deductible waived No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
HSA - details 10493 MCOA High Deductible 3500 (HSA Compatible) 3500.0000 / 7000 10% after deductible 10% after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
HSA - details 11540 MCOA High Deductible 3500 (HSA Compatible) 3500.0000 / 7000 10% after deductible 10% after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
HSA - details 11541 MCOA High Deductible 5500 (HSA Compatible) 5500.0000 / 11000 No charge after deductible No charge after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
HSA - details 10494 MCOA High Deductible 5500 (HSA Compatible) 5500.0000 / 11000 No charge after deductible No charge after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
PPO - details 11544 MCOA Value 10000 10000.0000 / 20000 $40 copay for 1st 3 visits, deductible waived. Member pays 100% for subsequent visits but Aetna discount applies 20% after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
PPO - details 10497 MCOA Value 5000 5000.0000 / 10000 $40 copay for 1st 3 visits, deductible waived. Member pays 100% for subsequent visits but Aetna discount applies 20% after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
PPO - details 11542 MCOA Value 5000 5000.0000 / 10000 $40 copay for 1st 3 visits, deductible waived. Member pays 100% for subsequent visits but Aetna discount applies 20% after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
PPO - details 11543 MCOA Value 7500 7500.0000 / 15000 $40 copay for 1st 3 visits, deductible waived. Member pays 100% for subsequent visits but Aetna discount applies 20% after deductible No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
HSA - details 11545 Preventive and Hospital Care 2750 (HSA Compatible) 2750.0000 / 5500 Not covered Not covered No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
HSA - details 10492 Preventive and Hospital Care 2750 (HSA Compatible) 2750.0000 / 5500 Not covered Not covered No charge, deductible waived, no waiting period or calendar year max, Annual Pap/Mammogram N/A application
Anthem PPO - details 30420 Anthem Bronze Pathway 0% for HSA (1GJ5) 6550.0000 / 13100 Deductible, then 0% coinsurance Deductible, then 0% coinsurance No Charge application
PPO - details 30418 Anthem Bronze Pathway 20% for HSA (1GJ8) 4650.0000 / 9300 Deductible, then 20% coinsurance Deductible, then 20% coinsurance No Charge application
PPO - details 30419 Anthem Bronze Pathway 40% for HSA (1XAQ) 5000.0000 / 10000 Deductible, then 40% coinsurance Deductible, then 40% coinsurance No Charge application
PPO - details 30413 Anthem Bronze Pathway 4350/20% (1GJB) 4350.0000 / 8700 $35 copay for first 2 office visits, then deductible and 20% coinsurance Deductible, then 20% coinsurance No Charge application
PPO - details 30414 Anthem Bronze Pathway 4950/50% (1XB2) 4950.0000 / 9900 Deductible, then 50% coinsurance Deductible, then 50% coinsurance No Charge application
PPO - details 30415 Anthem Bronze Pathway 5450/30% (1XAT) 5450.0000 / 10900 Deductible, then 30% coinsurance Deductible, then 30% coinsurance No Charge application
PPO - details 30416 Anthem Bronze Pathway 5850/20% (1GHZ) 5850.0000 / 11700 $30 copay for first 2 office visits, then deductible and 20% coinsurance $60 copay for first 2 office visits, then deductible and 20% coinsurance No Charge application
PPO - details 30417 Anthem Bronze Pathway 6050/25% (1GJ2) 6050.0000 / 12100 $45 copay for first 2 office visits, then deductible and 25% coinsurance Deductible, then 25% coinsurance No Charge application
PPO - details 30428 Anthem Catastrophic Pathway 6850/0% (1GHW) 6850.0000 / 13700 $40 copay for first 3 office visits, then deductible and 0% coinsurance Deductible, then 0% coinsurance No Charge application
PPO - details 30427 Anthem Gold Pathway 1100/10% (1GKD) 1100.0000 / 2200 $30 copay Deductible, then 10% coinsurance No Charge application
PPO - details 30426 Anthem Silver Pathway 10% for HSA (1GJS) 3000.0000 / 6000 Deductible, then 10% coinsurance Deductible, then 10% coinsurance No Charge application
PPO - details 30421 Anthem Silver Pathway 1850/20% (1GJY) 1850.0000 / 3700 $35 copay for first 3 office visits, then deductible and 20% coinsurance $60 copay for first 3 office visits, then deductible and 20% coinsurance No Charge application
PPO - details 30422 Anthem Silver Pathway 2250/50% (1XB5) 2250.0000 / 4500 $20 copay Deductible, then 50% coinsurance No Charge application
PPO - details 30423 Anthem Silver Pathway 2500/10% (1GJL) 2500.0000 / 5000 $40 copay for first 3 office visits, then deductible and 10% coinsurance Deductible, then 10% coinsurance No Charge application
PPO - details 30424 Anthem Silver Pathway 2900/25% (1XAW) 2900.0000 / 5800 $20 copay Deductible, then 25% coinsurance No Charge application
PPO - details 30425 Anthem Silver Pathway 3750/0% (1GJE) 3750.0000 / 7500 $45 copay $75 copay No Charge application
Cigna EPO - details 30205 Cigna Connect Flex Bronze 6400 6400.0000 / 12800 $20 copay, deductible waived 40% coinsurance, after deductible No Charge application
EPO - details 30206 Cigna Connect Flex Silver 2500 2500.0000 / 5000 $10 copay, deductible waived $70 copay, deductible waived No Charge application
EPO - details 30207 Cigna Connect Flex Silver 3000 3000.0000 / 6000 $20 copay, deductible waived $60 copay, deductible waived No Charge application
EPO - details 30208 Cigna Connect Flex Silver 4000 4000.0000 / 8000 $25 copay, deductible waived $60 copay, deductible waived No Charge application
EPO - details 30203 Cigna Connect HSA Bronze 6000 6000.0000 / 12000 0% coinsurance, after deductible 0% coinsurance, after deductible No Charge application
EPO - details 30204 Cigna Connect HSA Silver 2700 2700.0000 / 5400 15% coinsurance, after deductible 15% coinsurance, after deductible No Charge application
Coventry Health Care PPO - details 30391 Bronze $25 Copay Carelink PD 6850.0000 / 13700 $25 copay, deductible waived 0% coinsurance No Charge application
PPO - details 30412 Bronze $25 Copay EPO PD 6850.0000 / 13700 $25 copay, deductible waived 0% coinsurance No Charge application
PPO - details 30411 Bronze $25 Copay PD 6850.0000 / 13700 $25 copay, deductible waived 0% coinsurance No Charge application
PPO - details 30392 Bronze $30 Copay FocusedCare HPN PD 6850.0000 / 13700 $30 copay, deductible waived 0% coinsurance No Charge application
PPO - details 30393 Bronze $30 Copay PD 6850.0000 / 13700 $30 copay, deductible waived 0% coinsurance No Charge application
PPO - details 30395 Bronze Ded Only HSA Eligible FocusedCare HPN PD 6450.0000 / 12900 0% coinsurance 0% coinsurance No Charge application
PPO - details 30394 Bronze Deductible Only HSA Eligible Carelink PD 6450.0000 / 12900 0% coinsurance 0% coinsurance No Charge application
PPO - details 30396 Bronze Deductible Only HSA Eligible PD 6450.0000 / 12900 0% coinsurance 0% coinsurance No Charge application
PPO - details 30409 Bronze Deductible Only HSA Eligible PD 6450.0000 / 12900 0% coinsurance 0% coinsurance No Charge application
PPO - details 30410 Bronze DeductibleOnly HSAEligible EPO PD 6450.0000 / 12900 0% coinsurance 0% coinsurance No Charge application
PPO - details 30397 Gold $10 Copay Carelink PD 1400.0000 / 2800 $10 copay, deductible waived $35 copay, deductible waived No Charge application
PPO - details 30408 Gold $10 Copay EPO PD 1400.0000 / 2800 $10 copay, deductible waived $40 copay, deductible waived No Charge application
PPO - details 30407 Gold $10 Copay PD 1400.0000 / 2800 $10 copay, deductible waived $40 copay, deductible waived No Charge application
PPO - details 30398 Gold $15 Copay FocusedCare HPN PD 1400.0000 / 2800 $15 copay, deductible waived $35 copay, deductible waived No Charge application
PPO - details 30399 Gold $15 Copay PD 1400.0000 / 2800 $15 copay, deductible waived $35 copay, deductible waived No Charge application
PPO - details 30406 Silver $10 Copay 2900 EPO PD 2900.0000 / 5800 $10 copay, deductible waived $75 copay, deductible waived No Charge application
PPO - details 30405 Silver $10 Copay 2900 PD 2900.0000 / 5800 $10 copay, deductible waived $75 copay, deductible waived No Charge application
PPO - details 30400 Silver $10 Copay Carelink PD 3750.0000 / 7500 $10 copay, deductible waived $75 copay, deductible waived No Charge application
PPO - details 30404 Silver $10 Copay EPO PD 3750.0000 / 7500 $10 copay, deductible waived $75 copay, deductible waived No Charge application
PPO - details 30403 Silver $10 Copay PD 3750.0000 / 7500 $10 copay, deductible waived $75 copay, deductible waived No Charge application
PPO - details 30401 Silver $15 Copay FocusedCare HPN PD 3500.0000 / 7000 $15 copay, deductible waived $75 copay, deductible waived No Charge application
PPO - details 30402 Silver $15 Copay PD 3500.0000 / 7000 $15 copay, deductible waived $75 copay, deductible waived No Charge application
Humana PPO - details 12502 Humana Basic 6350/ChoiceCare PPO + Children's Dental 6350.0000 / 12700 For the first 3 visits, $35 Copay before deductible. Then No Charge after deductible. No charge after deductible No charge application
PPO - details 29251 Humana Basic 6600/Kansas City PPOx + Children's Dental 6600.0000 / 13200 $35 copay per visit; 3 per calendar year No Charge No Charge Unlimited application
PPO - details 29246 Humana Basic 6600/S. W. Missouri PPOx + Children's Dental 6600.0000 / 13200 $35 copay per visit; 3 per calendar year No Charge No Charge Unlimited application
PPO - details 29694 Humana Basic 6850/S. W. Missouri PPOx + Children's Dental 6850.0000 / 13700 $25 copay per visit for the first 3 visits; then plan pays 100% after you pay your deductible 0% after deductible No Charge application
PPO - details 12504 Humana Bronze 4850/ChoiceCare PPO + Children's Dental 4850.0000 / 9700 For the first 3 visits, $55 Copay before deductible. Then 20% after deductible. This combined copay limit of 3 per member per year includes PCP or Specialist or Urgent Care. For the first 3 visits, $80 Copay before deductible. Then 20% after deductible. This combined copay limit of 3 per member per year includes PCP or Specialist or Urgent Care No charge application
PPO - details 12503 Humana Bronze 6300/ChoiceCare PPO + Children's Dental 6300.0000 / 12600 No charge after deductible No charge after deductible No charge application
PPO - details 29252 Humana Bronze 6300/Kansas City PPOx + Children's Dental 6300.0000 / 12600 No Charge No Charge No Charge Unlimited application
PPO - details 29247 Humana Bronze 6300/S. W. Missouri PPOx + Children's Dental 6300.0000 / 12600 No Charge No Charge No Charge Unlimited application
PPO - details 29695 Humana Bronze 6450/S. W. Missouri PPOx + Children's Dental 6450.0000 / 12900 0% after deductible 0% after deductible No Charge application
PPO - details 29254 Humana Gold 2500/Kansas City PPOx + Children's Dental 2500.0000 / 5000 $25 copay per visit $35 copay per visit No Charge Unlimited application
PPO - details 29249 Humana Gold 2500/S. W. Missouri PPOx + Children's Dental 2500.0000 / 5000 $25 copay per visit $35 copay per visit No Charge Unlimited application
PPO - details 29255 Humana Platinum 1000/Kansas City PPOx + Children's Dental 1000.0000 / 2000 $25 copay per visit $35 copay per visit No Charge Unlimited application
PPO - details 29250 Humana Platinum 1000/S. W. Missouri PPOx + Children's Dental 1000.0000 / 2000 $25 copay per visit $35 copay per visit No Charge Unlimited application
PPO - details 12506 Humana Silver 3650/ChoiceCare PPO + Children's Dental 3650.0000 / 7300 No charge after deductible No charge after deductible No charge application
PPO - details 12505 Humana Silver 4250/ChoiceCare PPO + Children's Dental 4250.0000 / 8500 $35 copay $60 copay No charge application
PPO - details 29253 Humana Silver 4600/Kansas City PPOx + Children's Dental 4600.0000 / 9200 $25 copay per visit $35 copay per visit No Charge Unlimited application
PPO - details 29248 Humana Silver 4600/S. W. Missouri PPOx + Children's Dental 4600.0000 / 9200 $35 copay per visit $60 copay per visit No Charge Unlimited application
UnitedHealthcare Life Insurance Company PPO - details 12263 Bronze Copay Select 5500.0000 / 5500 $50 copay, deductible does not apply. 4 visit limit - Per covered person, per calendar year. Additional visits subject to deductible and coinsurance $100 copay, deductible does not apply No charge, 100% covered in network application
PPO - details 28843 Bronze Copay Select 1 5000.0000 / 10000 $50 Copay for first 4 visits then 20% Coinsurance after deductible $100 copay No Charge application
PPO - details 30267 Bronze Copay Select 1 5000.0000 / 10000 $50 copay for first 2 visits $150 copay No Charge application
PPO - details 29912 Bronze Copay Select 1 Navigate Plus 5000.0000 / 10000 $50 copay for first 2 visits $150 copay No Charge application
PPO - details 28844 Bronze Copay Select 2 5000.0000 / 10000 $50 copay $100 copay No Charge application
PPO - details 30268 Bronze Copay Select 2 6000.0000 / 12000 $50 copay $150 copay No Charge application
PPO - details 29913 Bronze Copay Select 2 Navigate Plus 6000.0000 / 12000 $50 copay $150 copay No Charge application
PPO - details 28845 Bronze HSA 100 6300.0000 / 12600 0% Coinsurance after deductible 0% Coinsurance after deductible No Charge application
PPO - details 12262 Bronze HSA 100 6350.0000 / 6350 No charge after deductible No charge after deductible No charge, 100% covered in network application
PPO - details 30266 Bronze HSA 100 6500.0000 / 13000 No charge, after deductible No charge, after deductible No Charge application
PPO - details 29911 Bronze HSA 100 Navigate Plus 6500.0000 / 13000 No charge, after deductible No charge, after deductible No Charge application
PPO - details 12264 Catastrophic Select Saver 6350.0000 / 6350 $0 copay, deductible does not apply. 3 visit limit - Per covered person, per calendar year. Additional visits subject to deductible No charge after deductible No charge, 100% covered in network application
PPO - details 28846 Gold Copay Select 1 1000.0000 / 2000 $25 copay $30 copay No Charge application
PPO - details 12257 Gold Copay Select 1 1000.0000 / 1000 $25 copay, deductible does not apply $30 copay, deductible does not apply No charge, 100% covered in network application
PPO - details 12256 Gold Copay Select 2 1500.0000 / 1500 $15 copay, deductible does not apply $30 copay, deductible does not apply No charge, 100% covered in network application
PPO - details 28847 Gold Copay Select 2 1500.0000 / 3000 $15 copay $30 copay No Charge application
PPO - details 28849 Select Saver 6600.0000 / N/A $35 Copay for first 3 visits then 0% Coinsurance after deductible 0% Coinsurance after deductible No Charge application
PPO - details 30265 Select Saver 6850.0000 / N/A $35 copay for first 3 visits No charge, after deductible No Charge application
PPO - details 29910 Select Saver Navigate Plus 6850.0000 / N/A $35 copay for first 3 visits No charge, after deductible No Charge application
PPO - details 30270 Silver Copay Select 1 5000.0000 / 10000 $20 copay $40 copay No Charge application
PPO - details 29915 Silver Copay Select 1 Navigate Plus 5000.0000 / 10000 $20 copay $40 copay No Charge application
PPO - details 30271 Silver Copay Select 2 2500.0000 / 5000 $35 copay for first 4 visits $70 copay No Charge application
PPO - details 29916 Silver Copay Select 2 Navigate Plus 2500.0000 / 5000 $35 copay for first 4 visits $70 copay No Charge application
PPO - details 30272 Silver Copay Select 3 3500.0000 / 7000 $20 copay $40 copay No Charge application
PPO - details 29917 Silver Copay Select 3 Navigate Plus 3500.0000 / 7000 $20 copay $40 copay No Charge application
PPO - details 30269 Silver HSA 100 4000.0000 / 8000 No charge, after deductible No charge, after deductible No Charge application
PPO - details 29914 Silver HSA 100 Navigate Plus 4000.0000 / 8000 No charge, after deductible No charge, after deductible No Charge application