OXFORD GOLD PLANS

OXFORD GOLD PLANS

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 GOLD HSA 1650

Rates are for new and renewing groups effective 10/1/2025 — 12/1/2025

PLAN RATES (MONTHLY)

Employee
$1,361.51
Employee/Spouse (DP)
$2,717.09
Employee/Child(ren)
$2,310.42
Family (DP)
$3,869.32

PLAN HIGHLIGHTS

  • PCP/Specialist: Deductible then 10% coinsurance
  • Deductible, Coinsurance: $1,650/$3,300, 10%
  • Max OOP: $5,750/$11,500
  • Rx: Deductible then $10/$40/$80

OXFORD LIBERTY GOLD EPO 25/50 ZD

Rates are for new and renewing groups effective 10/1/2025 — 12/1/2025

PLAN RATES (MONTHLY)

Employee
$1,451.01
Employee/Spouse (DP)
$2,896.05
Employee/Child(ren)
$2,462.54
Family (DP)
$4,124.36

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$50
  • Deductible, Coinsurance: $0, 0%
  • Max OOP: $7,000/$14,000
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY GOLD EPO 30/60/1800

Rates are for new and renewing groups effective 10/1/2025 — 12/1/2025

PLAN RATES (MONTHLY)

Employee
$1,306.29
Employee/Spouse (DP)
$2,606.62
Employee/Child(ren)
$2,216.52
Family (DP)
$3,711.90

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$60
  • Deductible, Coinsurance: $1,800/$3,600, 30%
  • Max OOP: $7,500/$15,000
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD METRO GOLD EPO 25/40

Rates are for new and renewing groups effective 10/1/2025 — 12/1/2025

PLAN RATES (MONTHLY)

Employee
$1,253.77
Employee/Spouse (DP)
$2,501.58
Employee/Child(ren)
$2,127.24
Family (DP)
$3,562.24

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$40                                    
  • Deductible, Coinsurance: $1,250/$2,500, 20%
  • Max OOP: $6,500/$13,000
  • Rx: $10/$65/$95 after $150/member Rx deductible (n/a Tier 1)

OXFORD METRO GOLD EPO 25/40 G

Rates are for new and renewing groups effective 10/1/2025 — 12/1/2025

PLAN RATES (MONTHLY)

Employee
$1,210.24
Employee/Spouse (DP)
$2,414.53
Employee/Child(ren)
$2,053.24
Family (DP)
$3,438.18

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$40
  • Deductible, Coinsurance: $1,250/$2,500, 20%
  • Max OOP: $6,500/$13,000
  • Rx: $10/$65/$95 after $150/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.