Standard Plans – 2024

Key coverage you can count on.

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  • Flexible copay options.
  • Premiums are typically lower.
  • Higher deductible plans.
  • Does not include kids dental options.
  • No cost for preventative services.

Good option if...

You’d like a straightforward plan to cover large medical expenses.


Gold Plan Silver Plan
HSA Eligible

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No No
Participant deductible $1,500 $5,900
Family deductible $3,000 $11,800
Participant out-of-pocket $8,700 $9,100
Family out-of-pocket $17,400 $18,200


Participant Pays







Preventive Care Paid at 100% of maximum allowable amount at appropriate intervals when services are rendered by a network provider.
Primary Care





Prescription Drugs
Tier 1: Generic Drugs $15 copay $20 copay
 Tier 2: Preferred Brand drugs $30 copay $40 copay
Summary of Benefits and Coverage (SBC) View SBC
View SBC

*This plan does not include kid’s dental coverage.

At-a-Glance is intended to be a condensed overview of some plan benefits and does not cover all benefits or information contained in the Benefit Booklet.  Limitations and exclusions do exist.  At-a-Glance is not a contract.  For exact benefits and limitations, please request a copy of the Benefit Booklet.

Cost Assistance

Based on certain income requirements, you may qualify for assistance, through government subsidies, with your monthly premiums. 

Rx Tools

Find important information on your prescriptions, including how to select a pharmacy, request prescription benefits, and more.

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