This chart reflects rates for 1st Quarter 2010: January 1st through March 31, 2010
Please note that this chart is for general use, for particulars on any plan please contact the provider directly |
| Non Group Plan |
Monthly Premium |
Deductible |
Co-insurance |
Prescription Drug Costs |
Office Visit Costs |
| Catamount Health |
$432 |
$250/yr |
After deductible is met, you pay 20% of all costs until you reach an $800/yr annual out of pocket maximum, everything afterwards is freev |
Co-pays of $10 for generic, $30 for preferred and $50 for non-preferred presxcription drugs. Prescription drug co-pays are NOT counted towards annual out of pocket limit |
Preventative free; other primary and specialty care $10/visit including naturopath, chiropractic & mental health |
| MVP ViiP |
$212-318 depends on age |
$3,500/yr |
After deductible is met, you pay 30% for diagnostic, x-rays, emergency hospital care, and hospital outpatient/ambulatory surgery. Other services free |
Prescription drug deductible of $250. Once deductible is met you pay 50% of all prescription drug costs; maximum benefit $5,000/yr |
100% out of pocket until deductible is met then free |
| BCBS VT Freedom Plan |
$559 |
$3,500/yr |
After deductible is met, you pay 20% of all costs until you reach an $9,500/yr out of pocket maximum, everything afterwards is free |
Prescription drug deductible of $275. Once deductible is met you pay $10 for generic, 50% for preferred and 60% for non-preferred prescription drugs; maximum benefit is $5,000/yr. Prescription drug co-pays are NOT counted towards annual out of pocket limit |
$30/visit |
| MVP ViiP |
$179-270 depends on age |
$5,000/yr |
After deductible is met, you pay 30% for diagnostic, x-rays, emergency hospital care, and hospital outpatient/ambulatory surgery. Other services free |
Prescription drug deductible of $250. Once deductible is met you pay 50% of all prescription drug costs; maximum benefit $5,000/yr |
100% out of pocket until deductible is met then free |
| BCBS VT Freedom Plan HSA |
$416 |
$5,000/yr |
After deductible is met, you pay 30% of all costs until you reach an $7,000/yr out of pocket maximum, everything afterwards is free |
100% of all prescription drug costs until deductible is met, then you pay $0, Prescription drug co-pays are NOT counted towards annual out of pocket limit |
$30/visit |
| BCBS VT Freedom Plan |
$440 |
$5,000/yr |
After deductible is met, you pay 20% of all costs until you reach an $11,000/yr out of pocket maximum, everything afterwards is free |
Prescription drug deductible of $275. Once deductible is met you pay $10 for generic, 50% for preferred and 60% for non-preferred prescription drugs; maximum benefit is $5,000/yr. Prescription drug co-pays are NOT counted towards annual out of pocket limit |
$30/visit |
| BCBS VT Freedom Plan |
$367 |
$7,500/yr |
After deductible is met, you pay 20% of all costs until you reach an $13,500/yr out of pocket maximum, everything afterwards is free |
Prescription drug deductible of $275. Once deductible is met you pay $10 for generic, 50% for preferred and 60% for non-preferred prescription drugs; maximum benefit is $5,000/yr. Prescription drug co-pays are NOT counted towards annual out of pocket limit |
$30/visit |
| MVP ViiP |
$143-215 depends on age |
$10,000/yr |
After deductible is met, you pay 30% for diagnostic, x-rays, emergency hospital care, and hospital outpatient/ambulatory surgery. Other services free |
Prescription drug deductible of $250. Once deductible is met you pay 50% of all prescription drug costs; maximum benefit $5,000/yr |
100% out of pocket until deductible is met then free |
| BCBS VT Freedom Plan |
$320 |
$10,000/yr |
After deductible is met, you pay 20% of all costs until you reach an $17,000/yr out of pocket maximum, everything afterwards is free |
Prescription drug deductible of $275. Once deductible is met you pay $10 for generic, 50% for preferred and 60% for non-preferred prescription drugs; maximum benefit is $5,000/yr. Prescription drug co-pays are NOT counted towards annual out of pocket limit |
$30/visit |
| MVP ViiP |
$58-87 depends on age |
$25,000/yr |
After deductible is met, you pay 30% for diagnostic, x-rays, emergency hospital care, and hospital outpatient/ambulatory surgery. Other services free |
Prescription drug deductible of $250. Once deductible is met you pay 50% of all prescription drug costs; maximum benefit $5,000/yr |
100% out of pocket until deductible is met. Then free |
| MVP ViiP |
$16-24
depends on age |
$100,000/yr |
After deductible is met, you pay 30% for diagnostic, x-rays, emergency hospital care, and hospital outpatient/ambulatory surgery. Other services free |
Prescription drug deductible of $250. Once deductible is met you pay 50% of all prescription drug costs; maximum benefit $5,000/yr |
100% out of pocket until deductible is met. Then free |
This chart reflects rates for 1st Quarter 2010: January 1st through March 31, 2010
Please note that this chart is for general use, for particulars on any plan please contact the provider directly |
