Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7

Health Insurance Plan Details (2025 Plan)

SBC doc

doctor lookup

drug list

HMO

Gold

Deductible (per individual)	$895 /yr
Deductible (per family)	$1,790 /yr
Max Out-of-Pocket (per individual)	$9,195 /yr
Max Out-of-Pocket (per family)	$18,390 /yr
Drug Deductible (per individual)	Included in Medical
Drug Deductible (per family)	Included in Medical
Drug Max Out-of-Pocket (per individual)	Included in Medical
Drug Max Out-of-Pocket (per family)	Included in Medical
Plan Type	HMO
Includes Child Dental?	No
Includes Adult Dental?	No

Medical Services
Preventive Care	No Charge
Primary Care Visit	$15 Copay
Specialist Visit	$35 Copay
Emergency Room	45% Coinsurance after deductible
Inpatient Facility	45% Coinsurance after deductible
Inpatient Physician	45% Coinsurance after deductible

Drug Costs
Generic Drugs	$3 Copay
Preferred Brand Drugs	$40 Copay
Non-preferred Brand Drugs	40% Coinsurance after deductible
Specialty Drugs	50% Coinsurance after deductible

Summary of Benefits and Coverage	SBC doc
Provider Directory	Doctor lookup
Drug Formulary List	drug list

* Figures shown are only for in-network medical costs

** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible

Obamacare Plans

Off-Exchange Plans

Get advice from Licensed Insurance Agents

Looking for Other Options?

Short Term Health Insurance Plans

Call for a free quote & benefits review

Find the right short term coverage for your needs.