For groups of 51-99 employees
Enjoy the peace of mind that comes from PPO Choice Select—a health plan accepted by most doctors and hospitals with extra savings when you get care from certain healthcare providers. For greater savings and lower out-of-pocket costs, visit Choice 1 providers when you need medical services. Choice 2 providers offer you more access to care, giving you flexibility and convenience to choose doctors and hospitals without referrals.
Choice 1 providers
UPMC Central PA's robust provider network is the anchor of your Choice 1 option. For the lowest cost share, you can select providers from among UPMC Central PA's many settings and Specialties.
Choice 2 providers
You have the freedom to select any provider in our PPO network. Many providers from local health systems - including Penn Sate Health and WellSpan Health - are available with Choice 2.
D = no charge after deductible.
D/20% = Deductible applies first, then 20% coinsurance.
D/$ = Deductible applies first, then a copay.
2024 plans
|
Plan
|
HRA option |
Deductible1 |
Coinsurance |
Out-of-pocket max |
PCP |
Specialist |
Emergency room |
| PPO Choice Select 1000/0/20 |
No |
C1 - $1,000
C2 - $2,000
|
C1 – 0%
C2 – 20%
|
$8,550 |
C1 - $20
C2 - $40
|
C1 - $40
C2 - $60
|
$250
|
| PPO Choice Select 3000/0/20 |
Yes |
C1 - $3,000
C2 - $2,000
|
C1 – 0%
C2 – 20%
|
$8,550 |
C1 - $20
C2 - $40
|
C1 - $40
C2 - $60
|
$250
|
| PPO Choice Select 6000/0/20 |
Yes |
C1 - $6,000
C2 - $9,000
|
C1 – 0%
C2 – 20%
|
$9,100 |
C1 - $20
C2 - $40
|
C1 - $40
C2 - $60
|
$250
|
| QHDHP PPO Choice Select 2000/0/02 |
No |
C1 - $2,000
C2 - $4,000
|
C1 – 0%
C2 – 20%
|
$7,000 |
C1 - D
C2 - D/20%
|
C1 - D
C2 - D/20%
|
D/$250
|
| QHDHP PPO Choice Select 3500/0/02 |
No |
C1 - $3,500
C2 - $7,000
|
C1 – 0%
C2 – 20%
|
$7,500 |
C1 - D
C2 - D/20%
|
C1 - D
C2 - D/20%
|
D/$250
|
1Deductibles shown are for a single plan. Family deductible is two times the single deductible.
2The deductible on the family plan is non-embedded. If there is only one person enrolled on the plan, the Single deductible amount applies. If there are two or more members on the plan, the full Family deductible must be met before the plan begins to pay.
