Anthem Blue Cross – “Blue Preferred” Copay Plan
$25 Copay – Doctor’s Office Visit
$15/$40/$60 Copay – Prescription Drugs
$500 of “1st Dollar” Accident Coverage (No Deductible Required)
$25 Copay – Vision Exam / Eyewear
$2,000,000 of Protection per Person

Anthem Blue Cross – “Tonik” Copay Plan
$20 / $30 / $40 Copay – Doctor’s Office Visit
$10 Copay – Generic Prescriptions Only
Annual Physicals Included
$100 Copay – Emergency Room (No Deductible Required)
Dental and Vision Included
$5,000,000 of Protection per Person

Anthem Blue Cross - HSA Plan
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Health Savings Account Qualified
$2,000,000 of Protection per Person

Assurant / Time – “PPO X-tra” Copay Plan
$25 Copay – Doctor’s Office Visit
$250 Deductible – $10/$25 Copay – Prescriptions
Annual Physicals
$7,000,000 of Protection per Person
Nationwide Coverage           

Assurant / Time - HSA Plan
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Health Savings Account Qualified
$8,000,000 of Protection per Person

"CeltiCare II" Copay Plan
$15 Copay – Doctor’s Office Visit
$20/$40/$75 Copay – Prescriptions
$500 of “1st Dollar” Accident Coverage (No Deductible Required)
Annual Physicals
$7,000,000 of Protection per Person

HSA Plan
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Health Savings Account Qualified
$500 of “1st Dollar” Accident Coverage (No Deductible Required)
$5,000,000 of Protection per Person

Select Choice “Comprehensive” Copay Plan
$25 Copay – Doctor’s Office Visit
$150 Lab and X-ray covered in Doc’s office (before deducible)
$15/$30/$40 Copay after $250 Annual Deductible - Prescriptions
$150 Benefit for Annual Physicals every 2 years (Lab work included)
$5,000,000 of Protection per Person

Select Choice “Popular” Copay Plan
$45 Copay – Doctor’s Office Visit
$15/$30/$40 Copay after $500 Annual Deductible - Prescriptions
$150 Benefit for Annual Physicals every 2 years (Lab work included)
$5,000,000 of Protection per Person
Additional Service Deductible of $200 per Inpatient or Outpatient Visit

Select Choice “Economical” Copay Plan
$45 Copay – Doctor’s Office Visit
$15/$30/$40 Copay after $500 Annual Deductible - Prescriptions
$150 Benefit for Annual Physicals every 2 years (Lab work included)
$5,000,000 of Protection per Person
Additional Service Deductible of $300 per Inpatient or Outpatient Visit

Copay Select Plan
$25 Copay – Doctor’s Office Visit
$15/$30/$60 Copay – Prescriptions
Annual Physicals
$3,000,000 of Protection per Person
Nationwide Coverage           

HSA Plan
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Health Savings Account Qualified
$3,000,000 of Protection per Person

Copay Plan
$25 Copay – Doctor’s Office Visit
$10/$30/$50 Copay – Prescriptions
Annual Physicals
$5,000,000 of Protection per Person
Nationwide Coverage

HSA Plan
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Annual Physicals – 100% up to $300/yr.
Health Savings Account Qualified
$5,000,000 of Protection per Person

Copay Plan
$40 Copay – Doctor’s Office Visit
$10 Copay – Generic Prescriptions
$150 Copay – Emergency Room (100% up to $1000)
Annual Physicals
$3,000,000 of Protection per Person
Nationwide Coverage           

HSA Plan
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Health Savings Account Qualified
$3,000,000 of Protection per Person

Choice PPO
$25 or $50 Copay – Doctor’s Office Visits
$15 Copay – Generic Prescriptions
$30/$45 Copay, then 50% - Brand Name Prescriptions
Annual Physicals
$5,000,000 of Protection per Person

Freedom PPO High Deductible Plan
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Health Savings Account Qualified (certain deductibles)
Deductibles from $2,000 up to $25,000
$5,000,000 of Protection per Person

$30 Copay Plan
$30 Copay – Doctor’s Office Visit
Prescription Drugs Not Covered
$150 Copay Emergency Room
No Copay Annual Physicals
No Lifetime Maximum
HMO – Out of Network coverage Emergency Only

$2000 Deductible Plan
$30 Copay – Doctor’s Office Visit
Prescription Drugs not covered
30% Co-Insurance for Emergency Room
No Copay for Annual Physicals
No Lifetime Maximum
HMO – Out of Network coverage for Emergency Only

Solo – Copay Plan
$20 Copay – Doctor’s Office Visit
$15/$40/$55 Copay – Prescriptions
Annual Physicals
$2,000,000 of Protection per Person
Rocky Mountain Healthcare PPO

Solo HSA
Doctor’s Office Visits – 100% after Deductible
Prescription Drugs – 100% after Deductible
Hospital & Surgery – 100% after Deductible
Health Savings Account Qualified
$2,000,000 of Protection per Person