OXFORD SILVER PLANS

OXFORD SILVER 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 SILVER EPO 50/100 ZD

Rates are for new and renewing groups effective 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,201.42
Employee/Spouse (DP)
$2,396.90
Employee/Child(ren)
$2,038.26
Family (DP)
$3,413.05

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$100
  • Deductible, Coinsurance: $0, 0%
  • Max OOP: $9,200/$18,400
  • Rx: $15/$65/$95 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER EPO 40/80

Rates are for new and renewing groups effective 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,070.01
Employee/Spouse (DP)
$2,134.07
Employee/Child(ren)
$1,814.85
Family (DP)
$3,038.52

PLAN HIGHLIGHTS

  • PCP/Specialist: $40/$80
  • Deductible, Coinsurance: $3,250/$6,500, 40%
  • Max OOP: $9,200/$18,400
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER EPO 30/60

Rates are for new and renewing groups effective 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,067.40
Employee/Spouse (DP)
$2,128.86
Employee/Child(ren)
$1,810.42
Family (DP)
$3,031.09

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$60
  • Deductible, Coinsurance: $4,500/$9,000, 50%
  • Max OOP: $9,200/$18,400
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER HSA 4000 PR

Rates are for new and renewing groups effective 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,012.08
Employee/Spouse (DP)
$2,018.21
Employee/Child(ren)
$1,716.36
Family (DP)
$2,873.41

PLAN HIGHLIGHTS

  • PCP/Specialist: Deductible then 20% coinsurance
  • Deductible, Coinsurance: $4,000/$8,000, 20%
  • Max OOP: $8,000/$16,000
  • Rx: Deductible then $10/$50/$90

OXFORD METRO SILVER EPO 50/100 ZD

Rates are for new and renewing groups effective 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$1,106.39
Employee/Spouse (DP)
$2,206.83
Employee/Child(ren)
$1,876.70
Family (DP)
$3,142.21

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$100
  • Deductible, Coinsurance: $0, 0%
  • Max OOP: $9,200/$18,400
  • Rx: $15/$65/$95 after $200/member Rx deductible (n/a Tier 1)

OXFORD METRO SILVER EPO 30/80

Rates are for new and renewing groups effective 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Employee
$980.53
Employee/Spouse (DP)
$1,955.09
Employee/Child(ren)
$1,662.72
Family (DP)
$2,783.48

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$80  
  • Deductible, Coinsurance: $3,750/$7,500, 40%
  • Max OOP: $9,200/$18,400
  • Rx: $10/$65/$95 after $200/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.