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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,329.23
Employee/Spouse (DP)
$2,652.53
Employee/Child(ren)
$2,255.54
Family (DP)
$3,777.32

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,416.60
Employee/Spouse (DP)
$2,827.24
Employee/Child(ren)
$2,404.04
Family (DP)
$4,026.28

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,275.31
Employee/Spouse (DP)
$2,544.68
Employee/Child(ren)
$2,163.87
Family (DP)
$3,623.65

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,224.06
Employee/Spouse (DP)
$2,442.16
Employee/Child(ren)
$2,076.73
Family (DP)
$3,477.55

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,181.56
Employee/Spouse (DP)
$2,357.18
Employee/Child(ren)
$2,004.49
Family (DP)
$3,356.46

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.