|  |  |  |
| Plan | Value Alliance HMO BR-TW 40%/7200 ded | Bronze 8150 EPO Option 1 | Bronze 60 HDHP 6900/0 (shop) |
| Metal | Bronze | Bronze | Bronze |
| Network | Value Alliance HMO | Oscar EPO | Kaiser Permanente |
| Deductible | $7200/$14,400 family | $8150/$16,300 family | $6900/$13,800 family |
| Coinsurance | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage for most services |
| Out of Pocket Mzx | $8150 ($16,300 family) | $8150 ($16,300 fam) | $6900/$13,800 family |
| Ambulance | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Chiropractor | Not covered | Not covered | Not covered |
| Durable Med Equip | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Emergency Room | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Hospital | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Infertility | Optional | Optional | Optional |
| Lab & X-Ray | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Office Visit | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Specialist | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Outpatient Surgery | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Physical Therapy | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Inpatient Psych | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Outpatient Psych | 60% coverage (after deductible) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Rx Tier 1 | 60% coverage after med ded (max $500) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Rx Tier 2 | 60% coverage after med ded (max $500) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Rx Tier 3 | 60% coverage after med ded (max $500) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Rx Tier 4 | 60% coverage after med ded (max $500) | 100% coverage (after ded) | 100% coverage (after deductible) |
| Links | Brochure Formulary Providers | Brochure Formulary Providers | Brochure Formulary Providers |
| Barney Rubble | 349.12 | 352.07 | 353.14 |
| Bhatia, Jenny | 228.99 | 230.93 | 231.63 |
| Jane Doe | 436.91 | 440.6 | 441.95 |
| Joe Blow | 295.5 | 298 | 298.91 |
| Manohar Lal | 604.1 fam 1265.09 | 609.2 fam 1275.78 | 611.06 fam 1279.67 |
| Tiny Tim | 245.16 | 247.23 | 247.99 |
| Total | 2159.78 w deps 2820.77 | 2178.03 w deps 2844.61 | 2184.68 w deps 2853.29 |