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 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,266.96
Employee/Spouse (DP)
$2,527.97
Employee/Child(ren)
$2,149.67
Family (DP)
$3,599.83

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 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,350.19
Employee/Spouse (DP)
$2,694.45
Employee/Child(ren)
$2,291.16
Family (DP)
$3,837.05

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 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,215.58
Employee/Spouse (DP)
$2,425.21
Employee/Child(ren)
$2,062.32
Family (DP)
$3,453.39

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 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,166.72
Employee/Spouse (DP)
$2,327.50
Employee/Child(ren)
$1,979.26
Family (DP)
$3,314.14

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 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,126.23
Employee/Spouse (DP)
$2,246.52
Employee/Child(ren)
$1,910.43
Family (DP)
$3,198.75

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.