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 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,176.36
Employee/Spouse (DP)
$2,346.76
Employee/Child(ren)
$1,995.63
Family (DP)
$3,341.61

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 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,041.79
Employee/Spouse (DP)
$2,077.64
Employee/Child(ren)
$1,766.89
Family (DP)
$2,958.10

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 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,005.61
Employee/Spouse (DP)
$2,005.28
Employee/Child(ren)
$1,705.37
Family (DP)
$2,854.99

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 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$957.92
Employee/Spouse (DP)
$1,909.89
Employee/Child(ren)
$1,624.30
Family (DP)
$2,719.06

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 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$1,069.29
Employee/Spouse (DP)
$2,132.63
Employee/Child(ren)
$1,813.63
Family (DP)
$3,036.46

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 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$911.35
Employee/Spouse (DP)
$1,816.74
Employee/Child(ren)
$1,545.13
Family (DP)
$2,586.33

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.