This chart reflects rates for 1st Quarter 2012: January 1st through March 31, 2012
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 |
$454 (Catamount Blue)
or
$513 (MVP Catamount Choice)
|
$500/yr |
After deductible is met, you pay 20% of all costs until you reach an $1,050/yr annual out of pocket maximum, everything afterwards is free |
Co-pays of $10 for generic, $35 for preferred and $55 for non-preferred prescription 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 |
$260-390 |
$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. |
100% out of pocket until deductible is met then free |
| MVP ViiP |
$224-336 |
$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. |
100% out of pocket until deductible is met then free |
| BCBS VT Freedom Plan |
$443 |
$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 $12.50 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 |
First three non-preventive primary care office visits are $15, after that you pay 100% until deductible is met, after which you pay 20% until out of pocket limit is met. |
| MVP ViiP |
$185-277 |
$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. |
100% out of pocket until deductible is met then free |
| BCBS VT Freedom Plan |
$298 |
$10,000/yr |
After deductible is met, you pay 30% of all costs until you reach an $23,500/yr out of pocket maximum, everything afterwards is free |
Prescription drug deductible of $300. Once deductible is met you pay $15 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 |
First three non-preventive primary care office visits are $15, after that you pay 100% until deductible is met, after which you pay 30% until out of pocket limit is met. |
| MVP ViiP |
$91-137 |
$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. |
100% out of pocket until deductible is met. Then free |
| MVP ViiP |
$49-74 |
$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. |
100% out of pocket until deductible is met. Then free |
This chart reflects rates for 1st Quarter 2012: January 1st through March 31, 2012
Please note that this chart is for general use, for particulars on any plan please contact the provider directly |
