Gold Plan
Personal Responsibility (PR) $1,000
Sharing Limit
$125,00 per illness
Sharing limit with Brother's Keeper
Unlimited covered amount per illness
Urgent Care / ER visit
Included
Hospitalization (in/out patient)
Included
Surgery (in and out patient)
Included
Doctor's Office/Specialist visits
Incident-related
Prescriptions
Incident-related
Physical therapy / Home Health care
Up to 45 visits per incident
Maternity
Unlimited coverage with Brother's Keeper
or $125,000 without Brother's Keeper
Alternative care
Not covered
Cost, per month
$240 You
$480 You + spouse
$720 Both of you + kids
Silver Plan
Sharing Limit
$125,00 per illness
Sharing limit with Brother's Keeper
An additional $100,000 per illness, per year, up to 1 million dollars
Urgent Care / ER visit
UC NOT Included, ER included
Hospitalization (in/out patient)
Included
Surgery in and out patient
Included
Doctor's Office/Specialist visits
NOT included
Prescriptions
NOT included
Physical therapy / Home Health care
NOT included
Maternity
Only hospital treatment (up to $125,000 per pregnancy) or up to $2,500 for midwife services per pregnancy
Alternative care
Not covered
Cost, per month
$138 You
$276 You + spouse
$414 Both of you + kids
Bronze Plan
Personal Responsibility (PR) $5,000
Sharing Limit
$125,00 per illness
Sharing limit with Brother's Keeper
An additional $100,000 per illness, per year, up to 1 million dollars
Urgent Care / ER visit
UC NOT Included, ER included
Hospitalization (in/out patient)
Included
Surgery in and out patient
Included
Doctor's Office/Specialist visits
NOT included
Prescriptions
NOT included
Physical therapy / Home Health care
NOT included
Maternity
Only hospital treatment (up to $125,000 per pregnancy) is eligible for sharing
Alternative345erst care
Not covered
Cost, per month
$92 You
$184 You + spouse
$276 Both of you + kids