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Enhanced Copay 80% Plan

Copays for doctor's office visits, plus Rx coverage

  • Annual medical deductible options (per covered member): $1,000 | $1,500 | $2,000 | $2,500 | $3,500 | $5,000
  • For family coverage, once three family members meet their individual deductibles, the family deductible will be met for all other family members
  • Diagnostic illness/injury in-network doctor's office visits, and urgent care visits for a copay per visit
  • Preventive care services covered at 100%, when you use an in-network provider
  • In-network inpatient and outpatient hospital services are paid at 80% after deductible for most covered medical expenses
  • Includes prescription coverage

In some states, to be eligible to apply for this plan a membership in the Association, Peoples' Benefit Alliance is required at an additional cost. For more information, or to see if this applies in your state, view our Association FAQs.

Copay 80% Plan

Copays for up to six doctor's office visits, plus Rx coverage

  • Annual medical deductible options (per covered member): $3,500 | $5,000
  • For family coverage, once three family members meet their individual deductibles, the family deductible will be met for all other family members
  • Up to six diagnostic illness/injury in-network doctor's office visits, and urgent care visit for a copay per visit
  • Preventive care services covered at 100%, when you use an in-network provider
  • In-network inpatient and outpatient hospital services are paid at 80% after deductible for most covered medical expenses
  • Includes prescription coverage

In some states, to be eligible to apply for this plan a membership in the Association, Peoples' Benefit Alliance is required at an additional cost. For more information, or to see if this applies in your state, view our Association FAQs.

Copay 70% Plan

Copays for up to three doctor's office visits, plus Rx coverage

  • Annual medical deductible (per covered member): $ 1,500 | $ 2,500 | $5,000 | $7,500
  • For family coverage, once three family members meet their individual deductibles, the family deductible will be met for all other family members
  • Up to three diagnostic illness/injury in-network doctor's office visits, and urgent care visit for a copay per visit
  • Preventive care services covered at 100%, when you use an in-network provider
  • In-network inpatient and outpatient hospital services are paid at 70% after deductible for most covered medical expenses
  • Includes prescription coverage

In some states, to be eligible to apply for this plan a membership in the Association, Peoples' Benefit Alliance is required at an additional cost. For more information, or to see if this applies in your state, view our Association FAQs.

Note: The benefits listed above are for covered expenses for in-network providers only. Other out-of-pocket costs may apply, such as access fees or copayments. Services provided by out-of-network providers are processed at a lower level or may not be covered. Other deductibles may apply, including but not limited to prescription drug, mental health, and condition-specific deductibles. For details about out-of-network coverage, limitations, and exclusions, view the plans' Summary of Benefits.

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