Skip to content

Your Saved Plans

  • No saved plans

View plan benefits

Summary

Network coverage

{selectedOption.summaryNetworkCoverage.copy}

Primary care provider

{selectedOption.primaryCarePhysician.copy}

Savings account options

{selectedOption.summaryTopic4Option1.copy}

{selectedOption.summaryTopic4Option2.copy}

{selectedOption.summaryTopic4Option3.copy}

Prescription Coverage

Finding out if your prescriptions are covered is easy when you use Prescription Search.

Prescription search

Copays and cost sharing

Most health plans share the same idea: there's how much you pay for the cost of care, when you pay for it, and what percentage of those costs you and your plan share. It can all be a little confusing, especially when you add in words like "deductible" and "copay".

To make it easier, here's an example of how health plans work.

At the start of your health plan year...

You're responsible for paying 100% of the costs for covered health care, up until you reach your deductible. The deductible is the amount you pay before the plan starts sharing costs. Age appropriate preventive care is covered 100% as long as you use a network provider.

About COPAYS...

Some health plans have a copay, which is a fixed amount you pay each time you see a provider or purchase a prescription. Because copays don't count toward your deductible, you're responsible for paying 100% of your copay up until you reach your out-of-pocket limit.

When you reach your DEDUCTIBLE

Coinsurance kicks in and your health plan starts sharing a percentage of these costs with you, up until you reach your out-of-pocket limit.

When you reach your OUT‑OF‑POCKET LIMIT

The most you'll have to pay for the costs of health care in a plan year is your out-of-pocket limit. Once this limit is reached, your health plan covers you at 100% for the rest of the plan year.