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For groups of 101+ employees


We offer a 3-tier plan design specifically for employer groups located in Adams, Franklin, Lebanon, Lehigh, Northampton and York counties.

  • Employees have the lowest out-of-pocket costs when they select designated Performance Plus (PP) in-network providers.
  • A middle tier of benefits applies to Performance Select (PS) in-network providers.
  • The highest out-of-pocket costs are incurred when employees use out-of-network providers.

D = Deductible

D/20% = Deductible applies first, then 20% coinsurance

D/$ = Deductible applies first, then a copay

2021 plans1

Plan HRA option Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
Performance PPO 1000/0/20 No

PP - $1,000

PS - $2,000

PP - 0%

PS - 20%

$8,550

PP - $20

PS - $40

PP - $40

PS - $60

$250
Performance PPO 3000/0/20 Yes

PP - $3,000

PS - $6,000

PP - 0%

PS - 20%

$8,550

PP - $20

PS - $40

PP - $40

PS - $60

$250
Performance PPO 4000/0/20 Yes

PP - $4,000

PS - $8,000

PP - 0%

PS - 20%

$8,550

PP - $20

PS - $40

PP - $40

PS - $60

$250
QHDHP Performance PPO 2000/0/0 No

PP - $2,000

PS - $4,000

PP - 0%

PS - 20%

$7,000

PP - D

PS - D/20%

PP - D

PS - D/20%

D/$250
QHDHP Performance PPO 2750/0/0 No

PP - $2,750

PS - $5,500

PP - 0%

PS - 20%

$7,000

PP - D

PS - D/20%

PP - D

PS - D/20%

D/$250
QHDHP Performance PPO 3250/0/0 No

PP - $3,250

PS - $6,500

PP - 0%

PS - 20%

$7,000

PP - D

PS - D/20%

PP - D

PS - D/20%

D/$250

1 Available 4/1/21.