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If you have any questions about any of the
plans,
please feel free to call us at (914) 948-2110.
Click here to find a provider
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#1 Atlantis (HMO)
- Plan #: A
Click here for the detailed
plan summary. |
| This policy is an HMO with
no out of network coverage, no referrals needed. Primary
office visits have a $25 co-pay, specialist office
visits have a $40 co-pay, in-patient hospital visits
have a $500 co-pay per admission, & emergency room
visits have a $50 co-pay. There is no co-pay for generic
only with a $250 deductible, & a $2,000 maximum. |
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Monthly |
Monthly |
Quarterly |
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Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee |
$310.01 |
$302.69 |
$908.07 |
| Employee + Spouse |
$610.01 |
$595.38 |
$1,786.14 |
| Employee + Child(ren) |
$613.32 |
$598.60 |
$1,795.80 |
|
Family |
$933.42 |
$910.90 |
$2,732.70 |
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Plan Selection |
Plan Selection |
Plan Selection |
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Instructions |
Instructions |
Instructions |
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Application |
Application |
Application |
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#2 Atlantis (POS)
Plan #: D Click here for the detailed
plan summary. |
| This plan is a POS (Point of
Service) with an in & out of network coverage & no
referrals needed. This plan has a $25 primary & $40
specialist office visit co-pay. In-patient hospital is a
$500 co-pay per admission, emergency room co-pay is $50.
The out of network deductible of $2,000 (single) &
$4,000 (family) and coinsurance is 70%. There is no
co-pay for generic only with a $250 deductible, & a
$2,000 maximum. |
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Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$381.97 |
$372.90 |
$1,118.70 |
| Employee
+ Spouse |
$753.94 |
$735.80 |
$2,207.40 |
| Employee + Child(ren) |
$758.03 |
$739.79 |
$2,219.37 |
|
Family |
$1,154.92 |
$1,127.00 |
$3,381.00 |
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Plan Selection |
Plan Selection |
Plan Selection |
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Instructions |
Instructions |
Instructions |
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Application |
Application |
Application |
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#3 Atlantis (HMO) Plan
#: B
Click here for the detailed
plan summary. |
| This policy is a HMO with no
out of network coverage, no referrals needed. Primary
office visits have a $25 co-pay, specialist office
visits have a $40 co-pay, in-patient hospital visits are
covered in full, & emergency room visits have a $50
co-pay. There is a $0/$30/$50 prescription drug card. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$391.13 |
$382.02 |
$1,146.06 |
| Employee
+ Spouse |
$772.62 |
$754.03 |
$2,262.09 |
| Employee + Child(ren) |
$776.82 |
$758.12 |
$2,274.36 |
|
Family |
$1,183.68 |
$1,155.06 |
$3,465.18 |
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Plan Selection |
Plan Selection |
Plan Selection |
| |
Instructions |
Instructions |
Instructions |
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Application |
Application |
Application |
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#4 Atlantis (HMO) Plan
#: C
Click here for the detailed
plan summary. |
| This policy is a HMO with no
out of network coverage, no referrals needed. Primary &
Specialist office visits have a $20 co-pay, in-patient
hospital visits have a $250 co-pay per admission, &
emergency room visits have a $50 co-pay. There is a
$0/$30/$50 prescription drug card. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$351.93 |
$342.03 |
$1,026.09 |
| Employee
+ Spouse |
$693.86 |
$674.06 |
$2,022.18 |
| Employee + Child(ren) |
$697.62 |
$677.71 |
$2,033.13 |
|
Family |
$1,062.50 |
$1,031.98 |
$3,095.94 |
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Plan Selection |
Plan Selection |
Plan Selection |
| |
Instructions |
Instructions |
Instructions |
| |
Application |
Application |
Application |
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#5 Atlantis (POS)
Plan #: F -
Click here for the detailed
plan summary. |
| This plan is a POS (Point of
Service) with in & out of network coverage & no
referrals needed. This plan has a $25 primary & $40
specialist office visit co-pay. In-patient hospital
visits are covered in full, emergency room co-pay is
$50. The out of network deductible of $1,000 (single) &
$2,500 (family) and coinsurance is 70%. The prescription
drug card is 20/30/40 with no deductible. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$432.27 |
$420.18 |
$1,260.54 |
| Employee
+ Spouse |
$854.54 |
$830.33 |
$2,490.99 |
| Employee + Child(ren) |
$859.19 |
$834.86 |
$2,504.58 |
|
Family |
$1,309.75 |
$1,272.52 |
$3,817.56 |
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Plan Selection |
Plan Selection |
Plan Selection |
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Instructions |
Instructions |
Instructions |
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Application |
Application |
Application |
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#6 Atlantis (POS) Plan
#: E
Click here
for the detailed
plan summary. |
| This plan is a POS (Point of
Service) with in & out of network coverage & no
referrals needed. Primary & Specialist office visits
have a $20 co-pay. In-patient hospital visits have a
$250 co-pay per admission, & emergency room visits have
a $50 co-pay. The out of network deductible of $2,000
(single) & $4,000 (family) and coinsurance is 70%. There
is a $0/$30/$50 prescription drug card. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
| Employee
|
$431.28 |
$419.19 |
$1,257.57 |
| Employee
+ Spouse |
$852.56 |
$828.39 |
$2,485.17 |
| Employee + Child(ren) |
$857.20 |
$832.89 |
$2,498.67 |
|
Family |
$1,306.70 |
$1,269.50 |
$3,808.50 |
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Plan Selection |
Plan Selection |
Plan Selection |
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Instructions |
Instructions |
Instructions |
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Application |
Application |
Application |
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