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 LIBERTY GOLD EPO 25/50 ZD

Rates are for new and renewing groups effective 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,327.57
Employee/Spouse (DP)
$2,649.18
Employee/Child(ren)
$2,252.70
Family (DP)
$3,772.55

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 G

Rates are for new and renewing groups effective 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,203.57
Employee/Spouse (DP)
$2,401.19
Employee/Child(ren)
$2,041.91
Family (DP)
$3,419.17

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$60  
  • Deductible, Coinsurance: $1,250/$2,500, 0%
  • Max OOP: $7,000/$14,000
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY GOLD HSA 1600 M

Rates are for new and renewing groups effective 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,151.68
Employee/Spouse (DP)
$2,297.41
Employee/Child(ren)
$1,953.69
Family (DP)
$3,271.28

PLAN HIGHLIGHTS

  • PCP/Specialist: Deductible then 10% coinsurance
  • Deductible, Coinsurance: $1,600/$3,200, 10%
  • Max OOP: $5,750/$11,500
  • Rx: Deductible then $10/$50/$90

OXFORD METRO GOLD EPO 25/40 G

Rates are for new and renewing groups effective 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,088.64
Employee/Spouse (DP)
$2,171.34
Employee/Child(ren)
$1,846.53
Family (DP)
$3,091.62

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.