Compare Plans

You deserve the freedom to choose what’s best for you, especially when it comes to your health. Explore our health plans to find one that fits your needs.

Here are a few things to know about our individual plans:

  • You can’t enroll in an ACA plan if you have a Medicare plan.
  • Premiums are determined by your age when your plan starts and may be adjusted based on tobacco use.
  • Prices and benefits are for one person. If you’re shopping for a family, total price will vary based on each family member’s age.
  • The benefits shown below are for services received from participating providers. Your costs may be higher when visiting non-participating providers.
  • Services are subject to the deductible unless noted.
  • Go to ACA plan resources to learn how to submit claims, get a preauthorization, and more.
  • View the medical drug rates [PDF]. These drugs are usually covered under medical benefits and not by the drug rider. The cost share for these drugs may differ based on your plan. To find out the cost of your drugs, call Customer Relations at 1-800-776-4672.
  • All the latest Coronavirus/COVID-19 related benefit changes.

The deadline to enroll in or make changes to 2024 individual plans (major medical) is Jan. 15, 2024, but you may qualify for a special enrollment period. If you qualify, you have 60 days before or after a qualifying life event to enroll in or make changes to your plan. For more information on SEPs, visit HealthCare.gov.

If you enroll or make changes to your health plan by Dec. 15, 2023, your plan will start Jan. 1, 2024. If you enroll or make changes to your health plan between Dec. 16, 2023, and Jan. 16, 2024, your plan will start Feb. 1, 2024.

Note: If you’re shopping for a new dental plan, you don’t need to wait for the next open enrollment period or qualify for a special enrollment period. However, waiting periods may apply to some benefits and services.

Dental plans

Get covered for teeth cleanings, exams, and more.

View plans

Pediatric dental benefits are required by the ACA. Although our medical plans don’t include pediatric dental benefits, you may choose an HMSA dental plan to get covered.

Earliest effective date for these plans is January 1, 2024.

Plan

Plan Benefits

  (amount you pay)

DeductibleMax out– of–pocketCoinsuranceDoctor visit copaymentSpecialist visit copaymentPremiums
based on age:
Platinum PPO

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $5 
  • Tier 2 - mostly preferred drugs: $10 
  • Tier 3 - mostly other brand name drugs: $50 4
  • Tier 4 - mostly preferred specialty drugs: $150 
  • Tier 5 – mostly other brand name specialty drugs: $150
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

Acupuncture, massage therapy, and fitness benefit [PDF].

$0 $3,20010% $10 $20 $374.22 / month $407.49 / month $420.21 / month $432.92 / month $446.62 / month $460.32 / month $474.50 / month $489.18 / month $489.18 / month $489.18 / month $489.18 / month $491.14 / month $500.92 / month $512.66 / month $531.74 / month $547.39 / month $555.22 / month $566.96 / month $578.70 / month $586.04 / month $593.86 / month $597.78 / month $601.69 / month $605.60 / month $609.52 / month $617.35 / month $625.17 / month $636.91 / month $648.16 / month 663.82 / month $683.38 / month $706.38 / month $733.77 / month $764.59 / month $799.81 / month $834.54 / month $873.68 / month $912.32 / month $954.88 / month $997.93 / month $1,044.40 / month $1,090.87 / month $1,141.26 / month $1,192.13 / month $1,246.43 / month $1,273.34 / month $1,327.63 / month $1,374.60 / month $1,405.41 / month $1,444.06 / month $1,467.54 / month
Gold PPO I

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $15 
  • Tier 2 - mostly preferred drugs: $30 
  • Tier 3 - mostly other brand name drugs: $50 4
  • Tier 4 - mostly preferred specialty drugs: $200 
  • Tier 5 – mostly other brand name specialty drugs: $200
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$500 $8,70020% 1$30 $60 $320.96 / month $349.49 / month $360.39 / month $371.30 / month $383.05 / month $394.80 / month $406.96 / month $419.55 / month $419.55 / month $419.55 / month $419.55 / month $421.23 / month $429.62 / month $439.69 / month $456.05 / month $469.48 / month $476.19 / month $486.26 / month $496.33 / month $502.62 / month $509.33 / month $512.69 / month $516.05 / month $519.40 / month $522.76 / month $529.47 / month $536.18 / month $546.25 / month $555.90 / month $569.33 / month $586.11 / month $605.83 / month $629.33 / month $655.76 / month $685.96 / month $715.75 / month $749.32 / month $782.46 / month $818.96 / month $855.88 / month $895.74 / month $935.60 / month $978.81 / month $1,022.44 / month $1,069.01 / month $1,092.09 / month $1,138.66 / month $1,178.94 / month $1,205.37 / month $1,238.51 / month $1,258.65 / month
Gold PPO II

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $15 
  • Tier 2 - mostly preferred drugs: $30 
  • Tier 3 - mostly other brand name drugs: $60 5
  • Tier 4 - mostly preferred specialty drugs: $250 
  • Tier 5 – mostly other brand name specialty drugs: $250
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$1,500 $8,70025% 1 $30 $60 $292.15 / month $318.11 / month $328.04 / month $337.97 / month $348.67 / month $359.36 / month $370.43 / month $381.89 / month $381.89 / month $381.89 / month $381.89 / month $383.42 / month $391.06 / month $400.22 / month $415.11 / month $427.33 / month $433.45 / month $442.61 / month $451.78 / month $457.50 / month $463.61 / month $466.67 / month $469.72 / month $472.78 / month $475.83 / month $481.95 / month $488.06 / month $497.22 / month $506.00 / month $518.22 / month $533.50 / month $551.45 / month $572.84 / month $596.89 / month $624.39 / month $651.50 / month $682.06 / month $712.22 / month $745.45 / month $779.06 / month $815.34 / month $851.61 / month $890.95 / month $930.67 / month $973.06 / month $994.06 / month $1,036.45 / month $1,073.11 / month $1,097.17 / month $1,127.34 / month $1,145.67 / month
Silver PPO Direct

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $20 
  • Tier 2 - mostly preferred drugs: $40 
  • Tier 3 - mostly other brand name drugs: $80 1,6
  • Tier 4 - mostly preferred specialty drugs: $350 1
  • Tier 5 – mostly other brand name specialty drugs: $3501
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$5,900 $9,10040% 1 $40 $80 $260.77 / month $283.95 / month $292.82 / month $301.68 / month $311.22 / month $320.77 / month $330.65 / month $340.88 / month $340.88 / month $340.88 / month $340.88 / month $342.24 / month $349.06 / month $357.24 / month $370.54 / month $381.44 / month $386.90 / month $395.08 / month $403.26 / month $408.37 / month $413.83 / month $416.56 / month $419.28 / month $422.01 / month $424.74 / month $430.19 / month $435.64 / month $443.83 / month $451.67 / month $462.57 / month $476.21 / month $492.23 / month $511.32 / month $532.80 / month $557.34 / month $581.54 / month $608.81 / month $635.74 / month $665.40 / month $695.40 / month $727.78 / month $760.16 / month $795.27 / month $830.72 / month $868.56 / month $887.31 / month $925.15 / month $957.87 / month $979.35 / month $1,006.28 / month $1,022.64 / month
Silver PPO

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $20 
  • Tier 2 - mostly preferred drugs: $40 
  • Tier 3 - mostly other brand name drugs: $80 1,6
  • Tier 4 - mostly preferred specialty drugs: $350 1
  • Tier 5 – mostly other brand name specialty drugs: $3501
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$5,900 $9,10040% 1 $40 $80 $330.04 / month $359.38 / month $370.60 / month $381.82 / month $393.90 / month $405.98 / month $418.49 / month $431.43 / month $431.43 / month $431.43 / month $431.43 / month $433.16 / month $441.78 / month $452.14 / month $468.96 / month $482.77 / month $489.67 / month $500.03 / month $510.38 / month $516.85 / month $523.76 / month $527.21 / month $530.66 / month $534.11 / month $537.56 / month $544.46 / month $551.37 / month $561.72 / month $571.64 / month $585.45 / month $602.71 / month $622.98 / month $647.15 / month $674.33 / month $705.39 / month $736.02 / month $770.53 / month $804.62 / month $842.15 / month $880.12 / month $921.10 / month $962.09 / month $1,006.53 / month $1,051.39 / month $1,099.28 / month $1,123.01 / month $1,170.90 / month $1,212.32 / month $1,239.50 / month $1,273.58 / month $1,294.29 / month
Bronze PPO I

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $25 
  • Tier 2 - mostly preferred drugs: $50 1
  • Tier 3 - mostly other brand name drugs: $100 3
  • Tier 4 - mostly preferred specialty drugs: $500 1
  • Tier 5 – mostly other brand name specialty drugs: $500 1
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$7,500 $9,40050% 1 $50 $100 $247.98 / month $270.03 / month $278.45 / month $286.88 / month $295.96 / month $305.03 / month $314.44 / month $324.16 / month $324.16 / month $324.16 / month $324.16 / month $325.46 / month $331.94 / month $339.72 / month $352.36 / month $362.74 / month $367.92 / month $375.70 / month $383.48 / month $388.34 / month $393.53 / month $396.12 / month $398.72 / month $401.31 / month $403.90 / month $409.09 / month $414.28 / month $422.06 / month $429.51 / month $439.89 / month $452.85 / month $468.09 / month $486.24 / month $506.66 / month $530.00 / month $553.02 / month $578.95 / month $604.56 / month $632.76 / month $661.29 / month $692.08 / month $722.88 / month $756.27 / month $789.98 / month $825.96 / month $843.79 / month $879.77 / month $910.89 / month $931.31 / month $956.92 / month $972.48 / month
Bronze PPO II HSA

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $0 1
  • Tier 2 - mostly preferred drugs: $0 1
  • Tier 3 - mostly other brand name drugs: $0 1
  • Tier 4 - mostly preferred specialty drugs: $0 1
  • Tier 5 – mostly other brand name specialty drugs: $0 1
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$7,100 $7,1000% 1 $0 1$0 1$256.46 / month $279.25 / month $287.97 / month $296.69 / month $306.07 / month $315.46 / month $325.18 / month $335.24 / month $335.24 / month $335.24 / month $335.24 / month $336.58 / month $343.29 / month $351.33 / month $364.41 / month $375.13 / month $380.50 / month $388.54 / month $396.59 / month $401.62 / month $406.98 / month $409.66 / month $412.35 / month $415.03 / month $417.71 / month $423.07 / month $428.44 / month $436.48 / month $444.19 / month $454.92 / month $468.33 / month $484.09 / month $502.86 / month $523.98 / month $548.12 / month $571.92 / month $598.74 / month $625.22 / month $654.39 / month $683.89 / month $715.74 / month $747.59 / month $782.11 / month $816.98 / month $854.19 / month $872.63 / month $909.84 / month $942.02 / month $963.14 / month $989.63 / month $1,005.72 / month
Catastrophic Plan

This is single coverage for individuals under 30 years of age OR who have a hardship exemption from healthcare.gov.

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $0 1
  • Tier 2 - mostly preferred drugs: $0 1
  • Tier 3 - mostly other brand name drugs: $0 1
  • Tier 4 - mostly preferred specialty drugs: $0 1
  • Tier 5 – mostly other brand name specialty drugs: $0 1
Additional benefits
$9,450 $9,4500% 1 $35 2$0 1$126.83 / month $138.10 / month $142.41 / month $146.72 / month $151.37 / month $156.01 / month $160.82 / month $165.79 / month $165.79 / month $165.79 / month $165.79 / month $166.45 / month $169.77 / month $173.75 / month $180.21 / month $185.52 / month $188.17 / month $192.15 / month $196.13 / month $198.62 / month $201.27 / month $202.60 / month $203.92 / month $205.25 / month $206.57 / month $209.23 / month $211.88 / month $215.86 / month $219.67 / month $224.98 / month $231.61 / month $239.40 / month $248.69 / month $259.13 / month $271.07 / month $282.84 / month $296.10 / month $309.20 / month $323.62 / month $338.21 / month $353.96 / month $369.71 / month $386.79 / month $404.03 / month $422.43 / month $431.55 / month $449.95 / month $465.87 / month $476.31 / month $489.41 / month $497.37 / month

1 Member’s cost after the deductible is met.
2 First three visits are covered before you reach the deductible.
3 $50 copayment plus $50 other brand name cost share.
4 $25 copayment plus $25 other brand cost share.
5 $30 copayment plus $30 other brand cost share.
6 $40 copayment plus $40 other brand cost share.

Health benefits

These benefits are included in all HMSA individual plans and others are available when you enroll:

  • HMSA’s Online Care.
  • An annual preventive exam with no copayment.
  • Generic drug coverage*.
  • Adult vision coverage.

*All plans except the Bronze PPO II HSA plan and the Catastrophic plan cover generic drugs before you meet the deductible.

Pediatric dental benefits are required by the ACA. Although our medical plans don’t include pediatric dental benefits, you may choose an HMSA dental plan to get covered.

Earliest effective date for these plans is January 1, 2023.

Plan

Plan Benefits

  (amount you pay)

Deductible Max out– of–pocket Coinsurance Doctor visit copayment Specialist visit copayment Premiums
based on age:
Platinum PPO

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $5 
  • Tier 2 - mostly preferred drugs: $10 
  • Tier 3 - mostly other brand name drugs: $50 4
  • Tier 4 - mostly preferred specialty drugs: $150 
  • Tier 5 – mostly other brand name specialty drugs: $300 or 30% whichever is greater
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

Acupuncture, massage therapy, and fitness benefit [PDF].

$0 $3,000 10% $10 $20 $335.58 / month $365.41 / month $376.82 / month $388.22 / month $400.51 / month $412.79 / month $425.51 / month $438.67 / month $438.67 / month $438.67 / month $438.67 / month $440.42 / month $449.20 / month $459.73 / month $476.83 / month $490.87 / month $497.89 / month $508.42 / month $518.95 / month $525.53 / month $532.55 / month $536.05 / month $539.56 / month $543.07 / month $546.58 / month $553.60 / month $560.62 / month $571.15 / month $581.24 / month $595.28 / month $612.82 / month $633.44 / month $658.01 / month $685.64 / month $717.23 / month $748.37 / month $783.46 / month $818.12 / month $856.28 / month $894.89 / month $936.56 / month $978.23 / month $1,023.42 / month $1,069.04 / month $1,117.73 / month $1,141.86 / month $1,190.55 / month $1,232.66 / month $1,260.30 / month $1,294.95 / month $1,316.01 / month
Gold PPO I

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $25 
  • Tier 2 - mostly preferred drugs: $50 
  • Tier 3 - mostly other brand name drugs: $100 3
  • Tier 4 - mostly preferred specialty drugs: $200 or 20% whichever is greater 
  • Tier 5 – mostly other brand name specialty drugs: $400 or 30% whichever is greater
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$0 $8,550 30% $40 $40 $289.42 / month $315.15 / month $324.99 / month $334.82 / month $345.42 / month $356.01 / month $366.98 / month $378.33 / month $378.33 / month $378.33 / month $378.33 / month $379.84 / month $387.41 / month $396.49 / month $411.24 / month $423.35 / month $429.40 / month $438.48 / month $447.56 / month $453.24 / month $459.29 / month $462.32 / month $465.35 / month $468.37 / month $471.40 / month $477.45 / month $483.51 / month $492.59 / month $501.29 / month $513.39 / month $528.53 / month $546.31 / month $567.50 / month $591.33 / month $618.57 / month $645.43 / month $675.70 / month $705.59 / month $738.50 / month $771.79 / month $807.73 / month $843.68 / month $882.64 / month $921.99 / month $963.98 / month $984.79 / month $1,026.79 / month $1,063.11 / month $1,086.94 / month $1,116.83 / month $1,134.99 / month
Gold PPO II

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $15 
  • Tier 2 - mostly preferred drugs: $30 
  • Tier 3 - mostly other brand name drugs: $60 5
  • Tier 4 - mostly preferred specialty drugs: $250 
  • Tier 5 – mostly other brand name specialty drugs: $400 or 30% whichever is greater
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$2,000 $8,700 25% 1 $30 $60 $262.88 / month $286.24 / month $295.18 / month $304.11 / month $313.73 / month $323.36 / month $333.32 / month $343.63 / month $343.63 / month $343.63 / month $343.63 / month $345.00 / month $351.88 / month $360.12 / month $373.53 / month $384.52 / month $390.02 / month $398.27 / month $406.51 / month $411.67 / month $417.17 / month $419.92 / month $422.66 / month $425.41 / month $428.16 / month $433.66 / month $439.16 / month $447.41 / month $455.31 / month $466.31 / month $480.05 / month $496.20 / month $515.45 / month $537.09 / month $561.84 / month $586.23 / month $613.72 / month $640.87 / month $670.77 / month $701.01 / month $733.65 / month $766.29 / month $801.69 / month $837.43 / month $875.57 / month $894.47 / month $932.61 / month $965.60 / month $987.25 / month $1,014.40 / month $1,030.89 / month
Silver PPO Direct

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $20 
  • Tier 2 - mostly preferred drugs: $40 
  • Tier 3 - mostly other brand name drugs: $80 1,6
  • Tier 4 - mostly preferred specialty drugs: $350 1
  • Tier 5 – mostly other brand name specialty drugs: $400 or 30% whichever is greater 1
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$5,800 $8,900 40% 1 $40 $80 $231.96 / month $252.58 / month $260.47 / month $268.35 / month $276.84 / month $285.33 / month $294.12 / month $303.22 / month $303.22 / month $303.22 / month $303.22 / month $304.43 / month $310.50 / month $317.77 / month $329.60 / month $339.30 / month $344.15 / month $351.43 / month $358.71 / month $363.26 / month $368.11 / month $370.53 / month $372.96 / month $375.39 / month $377.81 / month $382.66 / month $387.52 / month $394.79 / month $401.77 / month $411.47 / month $423.60 / month $437.85 / month $454.83 / month $473.93 / month $495.76 / month $517.29 / month $541.55 / month $565.51 / month $591.89 / month $618.57 / month $647.37 / month $676.18 / month $707.41 / month $738.95 / month $772.60 / month $789.28 / month $822.94 / month $852.05 / month $871.15 / month $895.11 / month $909.66 / month
Silver PPO

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $25 
  • Tier 2 - mostly preferred drugs: $50 
  • Tier 3 - mostly other brand name drugs: $100 1,6
  • Tier 4 - mostly preferred specialty drugs: $200 or 20% whichever is greater 1
  • Tier 5 – mostly other brand name specialty drugs: $400 or 30% whichever is greater 1
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$5,800 $8,900 40% 1 $40 $80 $294.50 / month $320.68 / month $330.69 / month $340.70 / month $351.48 / month $362.26 / month $373.42 / month $384.97 / month $384.97 / month $384.97 / month $384.97 / month $386.51 / month $394.21 / month $403.45 / month $418.46 / month $430.78 / month $436.94 / month $446.18 / month $455.42 / month $461.19 / month $467.35 / month $470.43 / month $473.51 / month $476.59 / month $479.67 / month $485.83 / month $491.99 / month $501.23 / month $510.09 / month $522.40 / month $537.80 / month $555.90 / month $577.46 / month $601.71 / month $629.43 / month $656.76 / month $687.56 / month $717.97 / month $751.46 / month $785.34 / month $821.91 / month $858.48 / month $898.14 / month $938.17 / month $980.90 / month $1,002.08 / month $1,044.81 / month $1,081.77 / month $1,106.02 / month $1,136.43 / month $1,154.91 / month
Bronze PPO

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $25 
  • Tier 2 - mostly preferred drugs: $50 1
  • Tier 3 - mostly other brand name drugs: $100 3
  • Tier 4 - mostly preferred specialty drugs: $500 1
  • Tier 5 – mostly other brand name specialty drugs: $700 1
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$7,500 $9,000 50% 1 $50 $100 $221.26 / month $240.93 / month $248.45 / month $255.97 / month $264.07 / month $272.17 / month $280.55 / month $289.23 / month $289.23 / month $289.23 / month $289.23 / month $290.39 / month $296.17 / month $303.11 / month $314.39 / month $323.65 / month $328.28 / month $335.22 / month $342.16 / month $346.50 / month $351.13 / month $353.44 / month $355.75 / month $358.07 / month $360.38 / month $365.01 / month $369.64 / month $376.58 / month $383.23 / month $392.49 / month $404.05 / month $417.65 / month $433.85 / month $452.07 / month $472.89 / month $493.43 / month $516.56 / month $539.41 / month $564.58 / month $590.03 / month $617.51 / month $644.98 / month $674.77 / month $704.85 / month $736.96 / month $752.87 / month $784.97 / month $812.74 / month $830.96 / month $853.81 / month $867.69 / month
Bronze PPO HSA

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $0 1
  • Tier 2 - mostly preferred drugs: $0 1
  • Tier 3 - mostly other brand name drugs: $0 1
  • Tier 4 - mostly preferred specialty drugs: $0 1
  • Tier 5 – mostly other brand name specialty drugs: $0 1
Additional benefits

Fitness membership [PDF]
$75 annual membership fee. Monthly fees may apply depending on the fitness center you choose.

$6,900 $6,900 0% 1 $0 1 $0 1 $228.19 / month $248.48 / month $256.23 / month $263.99 / month $272.34 / month $280.69 / month $289.34 / month $298.29 / month $298.29 / month $298.29 / month $298.29 / month $299.48 / month $305.45 / month $312.61 / month $324.24 / month $333.79 / month $338.56 / month $345.72 / month $352.88 / month $357.35 / month $362.12 / month $364.51 / month $366.90 / month $369.28 / month $371.67 / month $376.44 / month $381.21 / month $388.37 / month $395.23 / month $404.78 / month $416.71 / month $430.73 / month $447.44 / month $466.23 / month $487.70 / month $508.88 / month $532.75 / month $556.31 / month $582.26 / month $608.51 / month $636.85 / month $665.19 / month $695.91 / month $726.93 / month $760.04 / month $776.45 / month $809.56 / month $838.19 / month $856.99 / month $880.55 / month $894.87 / month
Catastrophic Plan

This is single coverage for individuals under 30 years of age OR who have a hardship exemption from healthcare.gov.

Prescription drugs (30-day supply)

  • Tier 1 - mostly generic drugs: $0 1
  • Tier 2 - mostly preferred drugs: $0 1
  • Tier 3 - mostly other brand name drugs: $0 1
  • Tier 4 - mostly preferred specialty drugs: $0 1
  • Tier 5 – mostly other brand name specialty drugs: $0 1
Additional benefits
$9,100 $9,100 0% 1 $35 2 $0 1 $106.22 / month $115.66 / month $119.27 / month $122.88 / month $126.77 / month $130.66 / month $134.68 / month $138.85 / month $138.85 / month $138.85 / month $138.85 / month $139.41 / month $142.18 / month $145.51 / month $150.93 / month $155.37 / month $157.59 / month $160.93 / month $164.26 / month $166.34 / month $168.56 / month $169.67 / month $170.79 / month $171.90 / month $173.01 / month $175.23 / month $177.45 / month $180.78 / month $183.98 / month $188.42 / month $193.97 / month $200.50 / month $208.28 / month $217.02 / month $227.02 / month $236.88 / month $247.99 / month $258.96 / month $271.04 / month $283.25 / month $296.44 / month $309.64 / month $323.94 / month $338.38 / month $353.79 / month $361.43 / month $376.84 / month $390.17 / month $398.92 / month $409.89 / month $416.55 / month

1 Member’s cost after the deductible is met.
2 First three visits are covered before you reach the deductible.
3 $50 copayment plus $50 other brand name cost share.
4 $25 copayment plus $25 other brand cost share.
5 $30 copayment plus $30 other brand cost share.
6 $40 copayment plus $40 other brand cost share.

Health benefits

These benefits are included in all HMSA individual plans and others are available when you enroll:

  • HMSA’s Online Care.
  • An annual preventive exam with no copayment.
  • Generic drug coverage*.
  • Adult vision coverage.

*All plans except the Bronze PPO HSA plan and the Catastrophic plan cover generic drugs before you meet the deductible.

medicare eligibility trigger