ODS medical plans at a glance
Click on deductible amount to see benefit summary for that plan.
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| Rates Maximizer (PPO) |
| The Maximizer plan is ideal for individuals who want broad coverage for a range of services, including pharmacy benefits. |
| Deductible optionsThe portion of an individual's applicable healthcare expenses that must be paid by the member in a given year before the insurance plan will start paying for treatment. |
Office visit |
Pharmacy |
$1,000
$2,500
$5,000 |
First 6 at $20 |
$2 value tier, $15 generics, 50% brand |
| Rates Beneficial Rx (PPO) |
| The Beneficial Rx plan is best for those looking for a higher level of benefits and a lower total out-of-pocket costA specified amount of applicable claims expenses in a plan year that must be met before benefits are paid in full. Once the member has met his or her out-ofpocket maximum, the plan begins covering eligible expenses at 100 percent. The out-of-pocket maximum starts over every plan year.. |
| Deductible optionsThe portion of an individual's applicable healthcare expenses that must be paid by the member in a given year before the insurance plan will start paying for treatment. |
Office visit |
Pharmacy |
$1,000
$2,500
$5,000 |
First 3 at $15 |
$2 value tier, $15 generics, 50% brand |
| Rates Beneficial Value (PPO) |
| The Beneficial Value plan is suited to individuals shopping for a lower premium cost. |
| Deductible optionsThe portion of an individual's applicable healthcare expenses that must be paid by the member in a given year before the insurance plan will start paying for treatment. |
Office visit |
Pharmacy |
$1,000
$2,500
$5,000
$7,500 |
First 3 at $25 |
Optional1 |
| 1If selected, prescription rider provides $2 value tier, $15 generics, 50% brand name. View Rx rider rates |
| Rates Health Savings Account (HSA) 3000 |
| HSA plans offer lower insurance premiums through a high deductibleThe portion of an individual's applicable healthcare
expenses that must be paid by the member in a given
year before the insurance plan will start paying for
treatment. health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met. More about HSAs |
| Deductible optionsThe portion of an individual's applicable healthcare
expenses that must be paid by the member in a given
year before the insurance plan will start paying for
treatment. |
Office visit |
Pharmacy |
$3,000 (individual)
$6,000 (family) |
0% |
0% |
| Rates Health Savings Account (HSA) Value |
| HSA plans offer lower insurance premiums through a high deductibleThe portion of an individual's applicable healthcare
expenses that must be paid by the member in a given
year before the insurance plan will start paying for
treatment. health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met. More about HSAs |
| Deductible optionsThe portion of an individual's applicable healthcare
expenses that must be paid by the member in a given
year before the insurance plan will start paying for
treatment. |
Office visit |
Pharmacy |
$2,800 (individual)
$5,600 (family) |
50% |
50% |
Enrollment for applicants under age 19
Beginning August 1, 2011, ODS will resume accepting applications for children under age 19 each month. The first effective date for these applications will be September 1, 2011.
