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 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,230.58
Employee/Spouse (DP)
$2,455.23
Employee/Child(ren)
$2,087.83
Family (DP)
$3,496.16

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 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,095.97
Employee/Spouse (DP)
$2,185.99
Employee/Child(ren)
$1,858.98
Family (DP)
$3,112.50

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 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,093.29
Employee/Spouse (DP)
$2,180.65
Employee/Child(ren)
$1,854.45
Family (DP)
$3,104.90

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 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,036.63
Employee/Spouse (DP)
$2,067.30
Employee/Child(ren)
$1,758.10
Family (DP)
$2,943.38

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 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,133.24
Employee/Spouse (DP)
$2,260.53
Employee/Child(ren)
$1,922.35
Family (DP)
$3,218.72

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 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,004.30
Employee/Spouse (DP)
$2,002.65
Employee/Child(ren)
$1,703.14
Family (DP)
$2,851.25

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.