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Below are Choice Plan Selections from Cafaro Insurance Agency for the First Quarter of 2012 for Downstate New York. We have selected plans that we feel are worth taking a look at.
For more information, please us at 631-321-6165.
Emblem Health EPO
In Balance EPO 50/2500/70(EPOc)
IN-NETWORK ONLY
Deductible Ind/Fam - $2,500/$7,500
Co-insurance - 70%
Out-of-pocket - $5,000/$15,000 (incl ded)
Office Co-pay - $50 Copay$0 dep child
DXL/Lab Fees - 40% coins$150 max/$50 Copay
Specialist Copay - $50 Copay/$0 dep child
Lifetime Max - Unlimited
Hospital In-Patient - Ded & Co-ins
ER Copay - $200 (waived if admit)
RX - $15 Generic Only
Single - $362.46
EE/SP - $866.90
EE/CH - $675.99
Family - $1,127.40 |
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Emblem Health CompreHealth
Plan 2 HMO $30/50/1000(HMO)
In NETWORK ONLY
Deductible Ind/Fam - N/A
Co-insurance - 100%
Out-of-pocket - N/A
Office Co-pay - $30 Copay/$0 Child
DX/Lab Fees - No Charge
Specialist Copay - $50 Copay/$0 Child
Lifetime Max - Unlimited
Hospital In-Patient - $1,000 copay
ER Copay - $150 (waived if admit)
RX - $15 Generic Only
Single - $316.92
EE/SP - $744.83
EE/CH - $608.58
Family - $986.89 |
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Oxford Liberty
Liberty HMO 30/50/500(HMO)
IN NETWORK ONLY
Deductible Ind/Fam - N/A
Co-insurance - N/A
Out-of-pocket - N/A
Office Co-pay - $30 Copay
DX/Lab Fees - Lab-no charge; DXL-20% Coins up to $100/procedure
Specialist Copay - $50 Copay/$0 Child
Lifetime Max - Unlimited
Hospital In-Patient - $500/day; $1,000 max/conf
ER Co-pay - $150(waived if admit)
RX - None
Single - $375.93
EE/SP - $827.05
EE/CH - $699.04
Family - $1,171.37 |
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Empire BC/BS
HMO 12(HMO)
IN NETWORK
Deductible Ind/Fam - N/A
Coinsurance - N/A
Out of Pocket - N/A
Office Co-pay - $30
DXL/Lab Fees - $30copay/Lab No charge
Specialist Copay - $50
Lifetime Max - Unlimited
Hospital In-Patient- $1,000/admis; $2,500/cal yrbr />
RX-$10 Generic
Single - $559.27
EE/SP - $1,118.54
EE/CH - $1,006.69
Family - $1,677.81 |
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Aetna Health Inc.
OA EPO 6-11 (EPOc)
IN NETWORK
Deductible Ind/Fam - $3,000/$9,000
Coinsurance - 70% of $16,666
Out of Pocket - $8,000/$24,000 (incl ded)
Office Co-pay - $50copay
DXL/Lab Fees - 70% after ded/$75 Copay
Specialist Copay - $75copay
Lifetime Max - Unlimited
Hospital In-Patient - Ded & Co-ins
ER - $150/Ded waived
RX- $15/35/70
Single - $406.00
EE/SP - $970.00
EE/CH - $852.00
Family - $1,319.00 |
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HIP Prime
EPO Select 60 30/50/2000/80%(EPOc)
IN NETWORK ONLY
Deductible Ind/Fam - $2,000/$4,000
Co-insurance - 80%
Out-of-pocket - $5,500/$11,000 (incl. ded)
Office Co-pay - $30
DX/Lab Fees - $30 co-pay
Specialist Copay - $50
Lifetime Max - Unlimited
Hospital In-Patient - Ded & Coins
ER Copay - $50
RX - $15 Generic
Single - $356.01
EE/SP - $844.12
EE/CH - $683.90
Family - $1,110.22 |
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Rates and Benefits are for comparative purposes only.
Actual rate and benefit information must come directly from the insurance carrier.
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