STANDARD 2019

STANDARD: Lowest-priced, health savings account qualified, Bronze plan offered through HealthSource RI that offers high-quality health coverage with our full network of doctors, facilities, and hospitals. Preventative services are covered at 100%.

Who is Eligible?

Qualifying small employers with 2-50 employees.

Deductible: $5,600 (Individual) / $11,200 (Family)

Out of Pocket Max:  $6,650 (Individual) / $13,300 (Family)

Primary Care/Behavioral Health Office Visits: 20% co-insurance*

Specialist/Urgent Care Visits: 20% co-insurance*

Inpatient/Imaging/Lab Services: 20% co-insurance*

Pharmacy (Tiers 1-6): $10*/$15*/$40*/$55*/20%*/20%*

*after deductible

What do you need help with today?

Where can I learn about my benefits?

Read the latest issue of our quarterly member newsletter, Healthy You.

Questions about STANDARD? We’re happy to help.
Call us today at 1-855-321-9244.