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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 Health Net - (EPO) Option #: 6
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Click here for the detailed
plan summary. |
| This plan is an EPO
(Exclusive Provider Organization) with no out of network
coverage & no referrals needed. This plan has a $30
primary & $50 specialist office visit co-pay. In-patient
hospital is a $300 co-pay per day up to $1,500. The
emergency room co-pay is $100. The prescription drug
card is 15/25/40 with no deductible. |
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Monthly |
Monthly |
Quarterly |
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Small Group |
Sole Proprietor |
Sole Proprietor |
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Employee |
$468.83 |
N/A |
N/A |
| Employee + Spouse |
$1,044.13 |
N/A |
N/A |
| Employee + Child(ren) |
$867.39 |
N/A |
N/A |
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Family |
$1,395.71 |
N/A |
N/A |
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Plan Selection |
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Instructions |
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Application |
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Student Verification Form |
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#2 Health Net - (EPO) Option #: 5
- Click here for the detailed
plan summary. |
| This plan is an EPO
(Exclusive Provider Organization) with no 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 per 90 day
benefit period, emergency room co-pay is $100. The
prescription drug card is 15/25/40 with no deductible. |
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Monthly |
Monthly |
Quarterly |
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Small Group |
Sole Proprietor |
Sole Proprietor |
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Employee |
$436.45 |
N/A |
N/A |
| Employee + Spouse |
$972.01 |
N/A |
N/A |
| Employee + Child(ren) |
$807.48 |
N/A |
N/A |
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Family |
$1,299.31 |
N/A |
N/A |
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Plan Selection |
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Instructions |
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Application |
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Student Verification Form |
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#3 Health Net - (POS) Option #: 7
-
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 $30 primary & $50
specialist office visit co-pay. In-patient hospital is a
$750 co-pay per admission per 90 day benefit period,
emergency room co-pay is $75. The out of network
deductible of $1,000 (single) & $2,000 (family) and
coinsurance is 70%. The prescription drug card is
15/25/40 with no deductible. |
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Monthly |
Monthly |
Quarterly |
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Small Group |
Sole Proprietor |
Sole Proprietor |
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Employee |
$525.03 |
N/A |
N/A |
| Employee + Spouse |
$1,169.28 |
N/A |
N/A |
| Employee + Child(ren) |
$971.36 |
N/A |
N/A |
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Family |
$1,563.01 |
N/A |
N/A |
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Plan Selection |
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Instructions |
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Application |
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Student Verification Form |
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