Plan Options


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PPO Plans
Preferred Provider Organization PPO Plans provide in- and out-of-network benefits with no referrals required.

EPO Plans
Exclusive Provider Organization EPO Plans provide in-network only benefits with no referrals required.

Coordinated Care Plan
In-network plan delivered at physician group practices, offering multiple services in one convenient location, or by solo practitioners. Primary care physician (PCP) referrals required or recommended depending on plan selection. Includes preventive dental coverage.


PPO Plans

PPO Overview

No copays for kids for office visits and diagnostics

No copay for generic drugs

In- and out-of-network benefits

Access to more than 106,000 physicians and other health care professionals at nearly 172,000 locations in the tristate area in addition to a nationwide network of practitioners

InBalance PPO Overview

No copays for kids for office visits and diagnostics

No copay for generic drugs

In- and out-of-network benefits

An affordable plan with special cost-sharing features

Access to more than 106,000 physicians and other health care professionals at nearly 172,000 locations in the tristate area in addition to a nationwide network of practitioners

ConsumerDirect PPO Overview

Lower premiums based on a higher than usual annual deductible

Optional Health Savings Account (HSA)

In- and out-of-network benefits

Access to more than 106,000 physicians and other health care professionals at nearly 172,000 locations in the tristate area in addition to a nationwide network of practitioners

EPO Plans

EPO Overview

No copays for kids for office visits and diagnostics

No copay for generic drugs

In-network only coverage

Access to more than 106,000 physicians and other health care professionals at nearly 172,000 locations in the tristate area in addition to a nationwide network of practitioners

InBalance EPO Overview

No copays for kids for office visits and diagnostics

No copay for generic drugs

In-network only coverage

An affordable plan with special cost-sharing features

Access to more than 106,000 physicians and other health care professionals at nearly 172,000 locations in the tristate area in addition to a nationwide network of practitioners

ConsumerDirect EPO Overview

Lower premiums based on a higher than usual annual deductible.

Optional Health Savings Account (HSA)

In-network only coverage

Access to more than 106,000 physicians and other health care professionals at nearly 172,000 locations in the tristate area in addition to a nationwide network of practitioners

Coordinated Care

CompreHealth Overview

No copays for kids for office visits and diagnostics

No copay for generic drugs available

In-network only coverage

PCP referrals required for specialists

Convenience of receiving multiple services in one location

Includes preventive dental coverage


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