Compare 2025 Health Plans
Review up to 4 plans side-by-side to find the best coverage for your needs and budget.
Select Plans to Compare
| Feature |
Platinum
Platinum 90
|
|---|---|
| Deductibles | |
| Individual Medical Deductible | $0 |
| Individual Pharmacy Deductible | $0 |
| Family Medical Deductible | $0 |
| Family Pharmacy Deductible | $0 |
| Care Visits | |
| Preventive Care | no charge |
| Primary Care Visit | $15 |
| Urgent Care Visit | $15 |
| Specialty Care Visit | $30 |
| Mental Health Therapy | $15 |
| Tests & Therapy | |
| Other Therapy | $15 |
| Lab Testing | $15 |
| X-Ray | $30 |
| Advanced Imaging (CT/MRI) | $75 or 10% |
| Hospital & Emergency | |
| Outpatient Services | $95 or 10% |
| Emergency Room | $150 |
| Emergency Transport | $150 |
| Prenatal Care | no charge |
| Inpatient Hospital | $225 per day up to 5 days or 10% |
| Hospital Physician | $0 or 10% |
| Prescription Drugs | |
| Tier 1 (Generic) | $7 |
| Tier 2 (Preferred Brand) | $16 |
| Tier 3 (Non-Preferred) | $25 |
| Tier 4 (Specialty) | 10% up to $250 |
| Out-of-Pocket Maximums | |
| Individual OOP Maximum | $4,500 |
| Family OOP Maximum | $9,000 |
Tips for Choosing a Plan
- Bronze Plans: Best if you're healthy and want lower monthly premiums.
- Silver Plans: Good balance of premiums and out-of-pocket costs. May qualify for extra savings.
- Gold Plans: Better if you use healthcare services frequently.
- Platinum Plans: Highest premiums but lowest costs when you need care.