PPO options utilize a broader network provided through HealthEOS. For those enrolled in a PPO option, the plan pays a greater percentage of your covered expenses after the deductible than if you use a non-network provider.
|
PPO Basic
|
PPO Select
|
|
|---|---|---|
Deductible Single Family |
In / Out
$700 / $1,400 $1,400 / $2,800 |
In / Out
$300 / $600 $600 / $1,200 |
Co-Insurance % Single Family |
In / Out
20% / 40% 20% / 40% |
In / Out
20% / 40% 20% / 40% |
Co-Insurance Single Family |
In / Out
$1,000 / $4,000 $2,000 / $8,000 |
In / Out
$500 / $2,000 $1,000 / $4,000 |
Out-of-Pocket Maximum Single Family |
In / Out
$1,700 / $5,400 $3,400 / $10,800 |
In / Out
$800 / $2,600 $1,600 / $5,200 |
