Gold Individual and Family Plans

 

Our Gold plans have robust levels of coverage combined with low cost sharing.
We are happy to include a $250 Wellness Debit Card as an added benefit on all of our 2016 individual and family plans. This card can be used for many products and services including: gym memberships, massage therapy and nutritional supplements. Click here for more details on the Wellness Debit Card.

2016 Plans will be available for purchase beginning on 11/1/2015.   

All premiums listed represent coverage for dependents up to age 26.

The contracts on this page are generic versions. For a detailed version, specific to your plan, please log in to your member portal.
 
 

 

 

Q1 2016 Plan Information
Gold Standard Gold Radius
Region 1:
   
MONTHLY PREMIUM    
        Single $568.62 $552.32
        Single + Child $966.66 $938.94
        2 Person $1,137.24 $1,104.64
        Family $1,620.56 $1,574.12
Region 7:
   
MONTHLY PREMIUM    
        Single $636.31 Not offered
        Single + Child $1,081.73 Not offered
        2 Person $1,272.62 Not offered
        Family $1,813.48 Not offered
Primary Care Doctor/Specialist $25 / $40 after deductible $25 / $50
Deductible (single/family) $600 / $1,200 $500/ $1,000
Inpatient Hospital Stay $1,000 after deductible
20% after deductible
Prescription Drugs:    
        Tier 1/2/3 $10 / $35/  $70 Not subject to deductible
$4 / $35 / $70 Not subject to deductible
        Generic Oral Contraceptives Covered in full Covered in full
        Mail Order Drugs 2.5 Copays/90-day supply 2.5 Copays/90-day supply
     
     
  Shop Plans

Shop Plans

 

Summary of Benefits and Coverage

Summary of Benefits and Coverage

  View Contract View Contract
 

View Glossary of Medical Terms

View Glossary of Medical Terms

 

Region 1: Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, and Washington

Region 7: Clinton and Essex

Gold Radius are only available in Region 1 which consists of the following counties: Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, and Washington.