Summary of Coverage
Coverage Details |
HDHP(NS-EEH System) |
HDHP(Cigna Network) |
|---|---|---|
Annual Deductible |
$1,600 individual $3,200 family |
$4,000 individual $8,000 family |
Annual Out-of-Pocket Maximum |
$7,000/person $14,000/family |
$8,050/person $16,100/family |
Coinsurance |
You pay 10% |
You pay 30% |
Employer HSA Funding |
Yes, Endeavor Health matches your HSA annual contributions up to $600 individual/$1,200 family |
Yes, Endeavor Health matches your HSA annual contributions up to $600 individual/$1,200 family |
Service Costs |
HDHP(NS-EEH System) |
HDHP(Cigna Network) |
|---|---|---|
Well Child Exam |
No cost |
No cost |
Routine Adult Physical Exam |
No cost |
No cost |
Primary Care Office Visit |
You pay 10% |
You pay 30% |
Specialist Office Visit |
You pay 10% |
You pay 30% |
Hospital Inpatient/Outpatient |
You pay 10% |
You pay 30% |
Urgent Care |
You pay 10% |
You pay 30% |
Emergency Department |
You pay 10% |
You pay 10% |
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