Performance PPO

New for 2022—A 3-tier plan for employer groups located in Adams, Franklin, Lebanon, Lehigh, Northampton and York counties.

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For groups of 1-50 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 Preferred (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.
  • Our products have pediatric vision and pediatric dental services embedded.

D/$ = Deductible applies first, then a copay

2022 plans

Plan Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
Gold Performance PPO 1000/0/20

PP - $1,000

PS - $2,000

PP - 0%

PS - 20%

$8,550

PP - $20

PS - $40

PP - $40

PS - $60

D/$250
Silver QHDHP Performance PPO 2750/0/15

PP - $2,750

PS - $5,500

PP - 0%

PS - 20%

$7,000

PP - $15

PS - $30

PP - $30

PS - $45

D/$350
Silver Performance 4000/0/25

PP - $4,000

PS - $8,000

PP - 0%

PS - 20%

$8,550

PP - $25

PS - $50

PP - $50

PS - $70

D/$400