| Medical | Major Medical Plan | Enhanced Major Medical Plan (HSA Qualified) | ||
| In-network | Out-of-network | In-network | Out-of-network | |
| Annual Deductible (Individual/Family) |
$6,750/$13,500 | $13,300/$26,600 | $3,000/$6,000 | $6,000/$12,000 |
| Out-of-Pocket Maximum (Individual/Family) |
$6,750/$13,500 | $26,600/$53,200 | $6,750/$13,500 | $26,600/$53,200 |
| Preventive Care | Plan pays 100% before ded. | 50% after deductible | Plan pays 100% | 50% after deductible |
| Primary Physician Office Visit | Plan pays 100% before ded. | 50% after deductible | 20% coinsurance | 50% after deductible |
| Specialist Office Visit | Plan pays 100% before ded. | 50% after deductible | 20% coinsurance | 50% after deductible |
| Inpatient Hospital Services | 0% after deductible | 50% after deductible | 20% after deductible | 50% after deductible |
| Outpatient Hospital Services (lab, x-ray, diagnostic) |
0% after deductible | 50% after deductible | 20% after deductible | 50% after deductible |
| Urgent Care | 0% after deductible | 50% after deductible | 20% after deductible | 50% after deductible |
| Emergency Room Care | 0% after deductible | 0% after deductible | 20% after deductible | 50% after deductible |


