Transcription of 2018 High Deductible Health Plans with Health Savings ...
1 2018 high Deductible Health Plans with Health Savings Accounts/ Health Reimbursement Arrangements Your Monthly Premium The plan 's Monthly Contribution to Your In-Network Calendar Year Deductible Out-of-Network Calendar Year In-Network - Catastrophic Limit Out-of-Network - Catastrophic Limit HSA Deductible In-Network In-Network - Out-of-Network - PreventiveServices plan (Carrier Service Doctor's Primary Doctor's Primary Before Deductible codes) Area(s) Self Family Self + 1 Self Family Self + 1 Self Family Self + 1 Self Family Self + 1 Self Family Self + 1 Self Family Self + 1 Care Visit You Pay Care Visit You Pay You Pay GEHA (34) Nationwide $ $ $ $ $ $ $1, $3, $3, $1, $3, $3, $5, $10, $10, $7, $12, $12, 5% 25% plus difference Nothing MHBP - Consumer Nationwide Option (48). $ $ $ $ $ $ $2, $4, $4, $2, $4, $4, $6, $12, $12, $7, $15, $15, $15 40% plus difference Nothing Altius Health Plans UT, ID WY.
2 (9K) $ $ $ $ $ $ $1, $2, $2, N/A N/A N/A $5, $6, $6, N/A N/A N/A $20 N/A Nothing Kaiser Permanente WA. Washington Options Federal (L1). $ $ $ $ $ $ $1, $3, $3, $1, $3, $3, $5, $10, $10, $5, $10, $10, 20% 40% plus difference Nothing UPMC Health plan PA. $ (8W) $ $ $ $ $ $2, $4, $4, $2, $4, $4, $6, $12, $12, $8, $16, $16, 15% 40% Nothing TakeCare (KX) Guam, $ $ $ $ $ $ $3, $6, $3, $3, $6, $3, $3, $6, $3, $3, $6, $3, 20% 30% plus difference Nothing CareFirst DC, MD, VA. BlueChoice (B6) $ $ $ $ $ $ $1, $2, $2, $3, $6, $6, $4, $6, $6, $6, $12, $12, $0 $80 Nothing Independent NY. Health Assoc (QA). $ $ $ $ $ $ $2, $4, $4, $2, $4, $4, $6, $13, $13, $10, $20, $20, $20 40% plus difference Nothing AultCare HMO (3A) OH. $ $ $ $ $ $ $2, $4, $4, $4, $8, $8, $4, $8, $8, $8, $16, $16, 20% 40% plus difference Nothing Aetna HealthFund All 50 States HDHP with HSA and DC. and Aetna Direct (22) $ $ $ $ $ $ $1, $3, $3, $2, $5, $5, $4, $6, $6, $5, $10, $10, 10% 30% plus difference Nothing UnitedHealthcare LA, NC, AR, Insurance FL, MS, AL, Company, Inc.
3 TN. Choice Plus HDHP. (LS) $ $ $ $ $ $ $1, $3, $3, $2, $5, $5, $4, $6, $6, $6, $10, $10, $15 30% plus difference Nothing UnitedHealthcare IA, KY. Insurance Company, Inc. Choice Plus HDHP. (N7) $ $ $ $ $ $ $1, $3, $3, $2, $5, $5, $4, $6, $6, $6, $10, $10, $15 30% plus difference Nothing UnitedHealthcare DC, MD, VA, Insurance PA. Company, Inc. Choice Plus HDHP. (V4) $ $ $ $ $ $ $1, $3, $3, $2, $5, $5, $4, $6, $6, $6, $10, $10, $15 30% plus difference Nothing UnitedHealthcare CO, WA, Insurance AZ, OR, NV. Company, Inc. Choice Plus HDHP. (LU) $ $ $ $ $ $ $1, $3, $3, $2, $5, $5, $4, $6, $6, $6, $10, $10, $15 30% plus difference Nothing Kaiser Foundation ID, WA. Health plan of Washington (PT) $ $ $ $ $ $ $1, $3, $3, N/A N/A N/A $3, $7, $7, N/A N/A N/A 20% N/A Nothing
