As an agent, this powerpoint is intended as a tool for improving your appointment skills in presenting the SIMPLE BALANCED
LOADED nature of health insurance plans.
As an agent, this powerpoint is intended as a tool for improving your appointment skills in presenting the SIMPLE BALANCED
LOADED nature of health insurance plans.
• Give your client an understanding of plan choices within the health insurance marketplace
As an agent, this powerpoint is intended as a tool for improving your appointment skills in presenting the SIMPLE BALANCED
LOADED nature of health insurance plans.
• Give your client an understanding of plan choices within the health insurance marketplace• They can tell you want they want, or what particular type of plan they are leaning towards for themselves
As an agent, this powerpoint is intended as a tool for improving your appointment skills in presenting the SIMPLE BALANCED
LOADED nature of health insurance plans.
• Give your client an understanding of plan choices within the health insurance marketplace• They can tell you want they want, or what particular type of plan they are leaning towards for themselves• Gives you credibility and integrity for addressing the low quality, scaled back plans that many people buy unknowingly
As an agent, this powerpoint is intended as a tool for improving your appointment skills in presenting the SIMPLE BALANCED
LOADED nature of health insurance plans.
• Give your client an understanding of plan choices within the health insurance marketplace• They can tell you want they want, or what particular type of plan they are leaning towards for themselves• Gives you credibility and integrity for addressing the low quality, scaled back plans that many people buy unknowingly• Protects your sold business from people who come to your client after you have completed the sale
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20
50/50 70/30
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % Coverage
Comprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
$1000 month
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits
• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family / Per Person / Per event
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000) 3x Per Family / Per Person / Per event
3. 100 % CoverageSmall annual limits Scheduled Benefits
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1. One Deductible for Entire Family
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
One Deductible Plan
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
No more co-pays for doctor visits or prescriptions
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
No more co-pays for doctor visits or prescriptions
Discounted,
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
No more co-pays for doctor visits or prescriptions
Discounted, count towards deductible
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
No more co-pays for doctor visits or prescriptions
Discounted, count towards deductible
Covered at 100% once deductible is met
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
No more co-pays for doctor visits or prescriptions
Discounted, count towards deductible
Covered at 100% once deductible is met
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
$250 month
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
No more co-pays for doctor visits or prescriptions
Discounted, count towards deductible
Covered at 100% once deductible is met
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
$250 month
$250
Day-to-Day
Doctor Visit Co-pays $15, $25, $35• unlimited # of visits• unlimited in scope• includes preventative & wellness
Prescription Rx Card• $10 Generic $25 Brand Name
Looks the same as a Loaded Plan
Scaled back to reduce costs
Doctor Visit Co-pays $25, $40, $50• limited # of visits (2 per year)• limited in scope
Prescription Rx Card• $15 Generic $35 Brand Name•(after $500 deductible)
Day to Day is done differently
becoming more cost effective
No more co-pays for doctor visits or prescriptions
Discounted, count towards deductible
Covered at 100% once deductible is met
Hospitalization/Outpatient
1.Deductible $500, $1000, $1500
2x Per Family
2. Co-insurance 80/20 ($1000)
50/50 ($1250) 70/30 ($2000) 2X
3. 100 % CoverageComprehensive High quality
Few limitations Expectations Met
Looks the same as a Loaded Plan
Scaled back to reduce costs
1.Deductible $500, $1000, $1500
3x Per Family
2. Co-insurance 80/20 ($2000)
50/50 ($2550) 70/30 ($4000)
3. 100 % Coverage
up to smaller lifetime or annual amounts
Comprehensive Coverage
1.One Deductible Plan
$2200, $3200, $4000, $5600
1x Per Family
2. 100% Coverage
between Three to Eight Million $ per person
LoadedBalancedSimple
3 General Approaches
$1000 month
$500
$500
$600 month
$300
$300
$250 month
$250
$0