Compare health plan details

Check out what’s covered — and the benefit amounts — with  each different  plan. 

Compare plans:
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Plan highlights

Basic Plan (Choice Plus CDHP)
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Premier Plan (Choice Plus CDHP)
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Select Plan (NexusACO OA)
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Network coverage

Does this plan cover both network and out-of-network providers?

Yes — covers both network and out-of-network doctors and providers

Yes — covers both network and out-of-network doctors and providers

No — covers network doctors and facilities only

Primary Care Provider

Is a Primary Care Provider (PCP) required with this plan?

No — this plan does not require a PCP    

No — this plan does not require a PCP    

Yes — this plan requires you to choose a PCP

Savings account option

Does this plan offer a savings or reimbursement account that can be used toward health expenses?

Yes — health savings account (HSA)

Yes — health savings account (HSA)

No

Search for providers or prescriptions

Basic Plan (Choice Plus CDHP)
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Premier Plan (Choice Plus CDHP)
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Select Plan (NexusACO OA)
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Search for providers

Find out if your doctor, clinic or facility is in the network

Medical annual deductibles and out-of-pocket limits

Basic Plan (Choice Plus CDHP)
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Premier Plan (Choice Plus CDHP)
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Select Plan (NexusACO OA)
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Deductible amounts

Individual

Network

$3,100
$1,750
$2,600

Out-of-network

$5,000
$3,000
Not Applicable

Family

Network

$6,200
$3,500
$5,200

Out-of-network

$10,000
$6,000
Not Applicable

Out-of-pocket limits

Individual

Tier 1 / Designated network

Not Applicable
Not Applicable
$3,500

Network

$5,200
$3,500
$6,800

Out-of-network

$9,000
$6,900
Not Applicable

Family

Tier 1 / Designated network

Not Applicable
Not Applicable
$7,000

Network

$10,400
$7,000
$13,600

Out-of-network

$18,000
$13,800
Not Applicable

Medical costs - copays ($) and coinsurance (%)

Basic Plan (Choice Plus CDHP)
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Premier Plan (Choice Plus CDHP)
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Select Plan (NexusACO OA)
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Doctors and specialists

Preventive care visit

Tier 1 / Designated network

Not Applicable
Not Applicable
$0

Network

$0
$0
$0

Primary care visit (illness or injury)

Tier 1 / Designated network

Not Applicable
Not Applicable
$20

Network

20%
10%
20%

Out-of-network

40%
40%
Not Applicable

Specialist visit

Tier 1 / Designated network

Not Applicable
Not Applicable
$40

Network

20%
10%
20%

Out-of-network

40%
40%
Not Applicable

Virtual, urgent and emergency care

24/7 Virtual Visit (online doctor)

Tier 1 / Designated network

Not Applicable
Not Applicable
$20

Network

20%
10%
$20

Urgent care visit

Tier 1 / Designated network

Not Applicable
Not Applicable
$60

Network

20%
10%
$60

Out-of-network

40%
40%
Not Applicable

Emergency room

Tier 1 / Designated network

Not Applicable
Not Applicable
$250

Network

20%
10%
$250

Out-of-network

20%
10%
$250