|
HIRSP Federal 500 |
HIRSP Federal 1,000 |
HIRSP Federal 2,500 |
HIRSP Federal 3,500 |
|
|---|---|---|---|---|
| Premiums | ||||
|
Medical deductible (you pay) |
$500 per year |
$1,000 per year |
$2,500 per year |
$3,500 per year |
| Medical Coinsurance | 20% of allowed amount up to $1,000 total per year | 20% of allowed amount up to $1,000 total per year | 20% of allowed amount up to $1,000 total per year | 20% of allowed amount up to $1,000 total per year |
| Medical Out-of-Pocket Maximum | $1,500 | $2,000 | $3,500 | $4,500 |
| Drug Copay (you pay) |
$5 Tier 1 /
$45 Tier 2
|
|||
| Drug Out-of-Pocket Maximum |
$2,000 per year |
$2,000 per year |
$2,000 per year |
$1,750 per year |
| Total Out-of-Pocket | $3,500 | $4,000 | $5,500 | $6,250 |
Higher deductible plans have lower premiums and lower deductible plans have higher premiums.
HIRSP Federal Plan Premium Rates: The premiums for the HIRSP Federal Plan will be based on standard market rates for individual health insurance.
The premium rates for the HIRSP Federal Plan will generally be lower than the full HIRSP premium rates for plans with the same deductible.
However, if your household income is below $34,000, you may be eligible for a premium reduction on the other HIRSP plans. This may make your premium lower than the HIRSP Federal Plan premium.