OXFORD PLATINUM PLAN

Oxford partners with more than 1.3 million physicians and care professionals, and 6,500 hospitals and other care facilities nationwide . Together with health care professionals, they help people access the right care at the right time.

OXFORD FREEDOM PLATINUM EPO

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Area of Coverage

Employee

$1,550.39

Employee/Spouse (DP)

$3,094.82

Employee/Child(ren)

$2,631.48

Family (DP)

$4,407.60

PLAN HIGHLIGHTS

PCP/Specialist: $10/$25
Deductible, Coinsurance: $250/$500, 10%
Max OOP: $2,750/$5,500
Rx: $5/$35/$70 after $100/member Rx deductible (n/a Tier 1)

Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.
All plans above include $5.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing and administrative fee.