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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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Oxford - Freedom (HSA)
- option #6 -
Click here for the detailed
plan summary. |
| This policy is an HSA
(Health Saving Account) with no out of network coverage,
no referrals needed. There is a $2,850 (single) and a
$5,700 (family) in-network deductible with a 100%
coinsurance. Primary office visits, specialist office
visits, in-patient hospital, & emergency room visits are
all covered 100% after meeting the deductible. There is
a 10/25/50 prescription drug card that is subject to the
deductible. |
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Monthly |
Monthly |
Quarterly |
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Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee |
$287.73 |
$330.14 |
$990.42 |
| Employee + Spouse |
$627.00 |
$720.30 |
$2,160.90 |
| Employee + Child(ren) |
$528.05 |
$606.51 |
$1,819.53 |
|
Family |
$881.47 |
$1,012.94 |
$3,038.82 |
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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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Student Verification Form |
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Oxford - Freedom Metro (EPO)
Option #: 10 Click here for the detailed
plan summary. |
| This policy is an EPO
(Exclusive Provider Organization) with no out of network
coverage, no referrals needed. There is $25 primary & a
$50 specialist office visit co-pay. The In-patient
hospital has a $300 co-pay per day 5 days maximum per
calendar year. There's a 15/30/60 prescription drug card
with a $100 deductible and a $3,000 maximum. |
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Monthly |
Monthly |
Quarterly |
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Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$423.60 |
N/A |
N/A |
| Employee
+ Spouse |
$931.92 |
N/A |
N/A |
| Employee + Child(ren) |
$783.66 |
N/A |
N/A |
|
Family |
$1,313.16 |
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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Oxford - Freedom Metro (POSc)
Option
#:8 -
Click here for the detailed
plan summary. |
| This
policy is a POS (Point of Service) cost share plan (it
has in & out of network deductibles). With in & out of
network coverage, & no referrals needed. There is an
In-network deductible $1,000 (single) & $2,000 (family)
with a 100% co-insurance. There is a $25 primary & $40
specialist office visit co-pay. With the in-patient
hospital you must meet the deductible & co-insurance.
The plan has $100 emergency room co-pay and the
prescription drug card is 15/30/60 with a $100
deductible and a $3,000 maximum. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$466.71 |
N/A |
N/A |
| Employee
+ Spouse |
$1026.76 |
N/A |
N/A |
| Employee + Child(ren) |
$863.42 |
N/A |
N/A |
|
Family |
$1,474.80 |
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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Oxford - Freedom Metro (EPO) Option
#:9
Click here for the detailed
plan summary. |
| This plan is an EPO
(Exclusive Provider Organization) with no out of network
coverage, & no referrals needed. There is a $20 primary
& a $40 specialist office visit co-pay. The Hospital
co-pay is a $200 with a $75 emergency room co-pay and
the prescription drug card is 10/25/50 with a $100
deductible. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$486.83 |
N/A |
N/A |
| Employee
+ Spouse |
$1071.03 |
N/A |
N/A |
| Employee + Child(ren) |
$900.64 |
N/A |
N/A |
|
Family |
$1,509.17 |
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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Oxford - Liberty (EPO) Option
#4 -
Click here for the detailed
plan summary. |
| This
policy is an EPO (Exclusive Provider Organization) with
no out of network coverage, no referrals needed. There
is a $25 primary & a $50 specialist office visit co-pay.
The In-patient hospital is a $300 co-pay per day 5 days
max per calendar year. There's a 10/25/50 prescription
drug card with a $50 deductible. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
|
Employee
|
$425.08 |
$488.09 |
$1,464.27 |
| Employee
+ Spouse |
$929.18 |
$1,067.81 |
$3,203.43 |
| Employee + Child(ren) |
$782.16 |
$898.73 |
$2,696.19 |
|
Family |
$1,307.26 |
$1,502.60 |
$4,507.80 |
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Plan Selection |
Plan Selection |
Plan Selection |
| |
Instructions |
Instructions |
Instructions |
| |
Application |
Application |
Application |
| |
Student Verification Form |
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Oxford - Liberty Direct (POSc) Plan
#7 -
Click here for the detailed
plan summary. |
| This policy is a POS (Point
of Service) cost share plan (with in & out of network
deductibles). The plan has in & out of network coverage,
& no referrals needed. There is an in-network deductible
$500 (single) & $1,000 (family) with a 90% co-insurance.
A primary & specialist office visits, in-patient
hospital stays & emergency room visits are all covered
at 90% after deductible for in-network doctors. The
prescription drug card is 15/30/60 with a $100
deductible and a $3,000 maximum. |
| |
Monthly |
Monthly |
Quarterly |
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Small Group |
Sole Proprietor |
Sole Proprietor |
| Employee
|
$432.06 |
$496.12 |
$1,488.36 |
| Employee
+ Spouse |
$944.53 |
$1,085.46 |
$3,256.38 |
| Employee + Child(ren) |
$795.06 |
$913.57 |
$2,740.71 |
|
Family |
$1,328.89 |
$1,527.47 |
$4,582.41 |
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Plan Selection |
Plan Selection |
Plan Selection |
| |
Instructions |
Instructions |
Instructions |
| |
Application |
Application |
Application |
| |
Student Verification Form |
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Oxford
- Freedom Metro (EPO) Plan #8
-
Click here for the detailed
plan summary. |
| This policy is an EPO
(Exclusive Provider Organization) with no out of network
coverage, & no referrals needed. This plan has a $25
primary & a $50 specialist office visit co-pay. The
Hospital co-pay is a $300 co-pay per day up to 5 days
max per calendar year with a $75 emergency room co-pay.
The prescription drug card is 10/25/50 with a $100
deductible. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
| Employee
|
$447.37 |
$513.73 |
$1,541.19 |
| Employee
+ Spouse |
$978.22 |
$1,124.20 |
$3,372.60 |
| Employee + Child(ren) |
$823.39 |
$946.15 |
$2,838.45 |
|
Family |
$1,376.35 |
$1,582.05 |
$4,746.15 |
| |
Plan Selection |
Plan Selection |
Plan Selection |
| |
Instructions |
Instructions |
Instructions |
| |
Application |
Application |
Application |
| |
Student Verification Form |
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Oxford - Freedom (POS)
Plan #5 -
Click here for the detailed
plan summary. |
| This policy is a POS (Point
of Service) plan with in & out of network coverage & no
referrals needed. There is an out of network deductible
of $3,000 (single) & $9,000 (family) with a 70%
co-insurance. This plan has a $30 primary & $50
specialist office visit co-pay. In-patient hospital is
$500 per admission, emergency room visits are a $150
co-pay. The prescription drug card is 15/30/60 with a
$100 deductible and a $3,000 maximum. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
| Employee
|
$498.06 |
$572.02 |
$1,716.06 |
| Employee
+ Spouse |
$1,089.73 |
$1,252.44 |
$3,757.32 |
| Employee + Child(ren) |
$917.17 |
$1,054.00 |
$3,162.00 |
|
Family |
$1,533.49 |
$1,762.76 |
$5,288.28 |
| |
Plan Selection |
Plan Selection |
Plan Selection |
| |
Instructions |
Instructions |
Instructions |
| |
Application |
Application |
Application |
| |
Student Verification Form |
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Oxford
- Freedom Direct
(POS)
Plan
#3 -
Click here for the detailed
plan summary. |
| This policy is a POS (Point
of Service) plan with in & out of network coverage, & no
referrals needed. There is an in-network deductible of
$500 (single) & $1,000 (family) with a 90% co-insurance.
This plan has a $15 primary & $25 specialist office
visit co-pay. With the in-patient hospital you must meet
the deductible & coinsurance and the emergency room
co-pay is $100. The prescription drug card is 10/25/50
with a $50 deductible. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
| Employee
|
$556.23 |
$638.91 |
$1,916.73 |
| Employee
+ Spouse |
$1,217.70 |
$1,399.61 |
$4,198.83 |
| Employee + Child(ren) |
$1,024.77 |
$1,177.74 |
$3,533.22 |
|
Family |
$1,713.82 |
$1,970.14 |
$5,910.42 |
| |
Plan Selection |
Plan Selection |
Plan Selection |
| |
Instructions
|
Instructions |
Instructions |
| |
Application |
Application |
Application |
| |
Student Verification Form |
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Oxford
- Freedom (POS)
Plan
#2 -
Click here for the detailed
plan summary. |
| This policy is a POS (Point
of Service) plan with in & out of network coverage, &
referrals are required. There is an out of network
deductible of $1,000 (single) & $3,000 (family) with a
70% co-insurance. There is a $25 primary & $40
specialist office visit co-pay. The in-patient hospital
is a $250 per day ($1,250 calendar year max), emergency
room visits are a $75 co-pay. The prescription drug card
is 10/25/50 with a $50 deductible. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
| Employee
|
$560.66 |
$644.01 |
$1,932.03 |
| Employee
+ Spouse |
$1,227.46 |
$1,410.83 |
$4,232.49 |
| Employee + Child(ren) |
$1,032.97 |
$1,187.17 |
$3,561.51 |
|
Family |
$1,727.55 |
$1,985.93 |
$5,957.79 |
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Plan Selection |
Plan Selection |
Plan Selection |
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Instructions |
Instructions |
Instructions |
|
Application |
Application |
Application |
|
Student Verification Form |
|
Oxford
- Freedom (POS)
Plan
#1 -
Click here for the detailed
plan summary. |
| This policy is a POS (Point
of Service) plan with in & out of network coverage, &
referrals are required. There is an out of network
deductible of $1,000 (single) & $3,000 (family) with a
70% co-insurance. The plan has a $15 primary & $25
specialist office visit co-pay. The in-patient hospital
co-pay is $100 & emergency room visits are a $75 co-pay.
The prescription drug card is 10/25/50 with a $50
deductible. |
| |
Monthly |
Monthly |
Quarterly |
|
Small Group |
Sole Proprietor |
Sole Proprietor |
| Employee
|
$608.05 |
$698.51 |
$2,095.53 |
| Employee
+ Spouse |
$1,331.72 |
$1,530.73 |
$4,592.19 |
| Employee + Child(ren) |
$1,120.65 |
$1,288.00 |
$3,864.00 |
|
Family |
$1,874.45 |
$2,154.87 |
$6,464.61 |
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Plan Selection |
Plan Selection |
Plan Selection |
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Instructions |
Instructions |
Instructions |
|
Application |
Application |
Application |
|
Student Verification Form |
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