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 7/1/2024 — 9/1/2024

PLAN RATES (MONTHLY)

Employee
$1,205.90
Employee/Spouse (DP)
$2,405.85
Employee/Child(ren)
$2,045.86
Family (DP)
$3,425.80

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$100
  • Deductible, Coinsurance: $0, 0%
  • Max OOP: $9,450/$18,900
  • 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 7/1/2024 — 9/1/2024

PLAN RATES (MONTHLY)

Employee
$1,067.93
Employee/Spouse (DP)
$2,129.91
Employee/Child(ren)
$1,811.32
Family (DP)
$3,032.59

PLAN HIGHLIGHTS

  • PCP/Specialist: $40/$80
  • Deductible, Coinsurance: $3,250/$6,500, 40%
  • Max OOP: $9,450/$18,900
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER EPO 30/60 G

Rates are for new and renewing groups effective 7/1/2024 — 9/1/2024

PLAN RATES (MONTHLY)

Employee
$1,030.84
Employee/Spouse (DP)
$2,055.74
Employee/Child(ren)
$1,748.27
Family (DP)
$2,926.90

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$60
  • Deductible, Coinsurance: $4,500/$9,000, 50%
  • Max OOP: $9,450/$18,900
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER HSA 4000 M

Rates are for new and renewing groups effective 7/1/2024 — 9/1/2024

PLAN RATES (MONTHLY)

Employee
$981.95
Employee/Spouse (DP)
$1,957.94
Employee/Child(ren)
$1,665.14
Family (DP)
$2,787.54

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 7/1/2024 — 9/1/2024

PLAN RATES (MONTHLY)

Employee
$1,096.13
Employee/Spouse (DP)
$2,186.32
Employee/Child(ren)
$1,859.26
Family (DP)
$3,112.97

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$100
  • Deductible, Coinsurance: $0, 0%
  • Max OOP: $9,450/$18,900
  • Rx: $15/$65/$95 after $200/member Rx deductible (n/a Tier 1)

OXFORD METRO SILVER EPO 30/80 G

Rates are for new and renewing groups effective 7/1/2024 — 9/1/2024

PLAN RATES (MONTHLY)

Employee
$934.20
Employee/Spouse (DP)
$1,862.45
Employee/Child(ren)
$1,583.97
Family (DP)
$2,651.47

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$80  
  • Deductible, Coinsurance: $3,750/$7,500, 40%
  • Max OOP: $9,450/$18,900
  • 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.