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844-655-0355Saver Bronze 6500
Saver Bronze 6500
Plan Overview
An HSA-eligible HDHP with a deductible level that balances affordable premium and coverage.
Key benefit
- HSA eligible plan
- Higher deductible level that balances affordable premium and coverage
- In-network preventive services—including flu shots, mammograms and dozens more— for $0
Benefits
| Benefit Item | Value | |
|---|---|---|
| Single Deductible | $6,500 | |
| Family Deductible | $13,000 | |
| Coinsurance | 50% | |
| Single Out-of-Pocket Max | $7,000 | |
| Family Out-of-Pocket Max | $14,000 | |
| Access to Spira Care | No | |
| Spira Visits | N/A | |
| Virtual Care | Ded/Coins | |
| PCP Network Visits1 | Ded/Coins | |
| Urgent Care | Ded/Coins | |
| Specialist Visits | Ded/Coins | |
| Hospital | Ded/Coins | |
| Emergency Room | Ded/Coins | |
| Prescription Drugs3 RxSelect Network | ||
| Generic Drug | Ded & 50% | |
| Preferred Drug | Ded & 50% | |
| Non-Preferred Drug | Ded & 50% | |
| Generic Specialty Drug and Preferred Specialty Drug | Ded & 50% | |
| Non-Preferred Specialty Drug | Ded & 50% | |
1 Primary Care Physicians include General Practice, Family Practice, Internal Medicine and Pediatrics.
3 Specialty medications should be filled at an Optum Specialty Pharmacy to receive the lowest member cost-sharing. You may pay more if filling a specialty prescription at a retail location.
