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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,260.47
Employee/Spouse (DP)
$2,514.98
Employee/Child(ren)
$2,138.62
Family (DP)
$3,581.31

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,122.56
Employee/Spouse (DP)
$2,239.18
Employee/Child(ren)
$1,904.19
Family (DP)
$3,188.29

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,119.83
Employee/Spouse (DP)
$2,233.70
Employee/Child(ren)
$1,899.54
Family (DP)
$3,180.50

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,061.77
Employee/Spouse (DP)
$2,117.59
Employee/Child(ren)
$1,800.84
Family (DP)
$3,015.03

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,160.75
Employee/Spouse (DP)
$2,315.53
Employee/Child(ren)
$1,969.10
Family (DP)
$3,297.10

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 7/1/2025 — 9/1/2025

PLAN RATES (MONTHLY)

Employee
$1,028.65
Employee/Spouse (DP)
$2,051.36
Employee/Child(ren)
$1,744.55
Family (DP)
$2,920.65

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.