First Choice Health Plan logo
Back to Plan Overview
← Back to All Plans HSA-Qualified

3500 HSA

A lower deductible than the 8300 HSA with the same HSA eligibility, for members who expect to use more care during the year.

Annual Deductible (Ind / Family)
$3,500 / $7,000
Out-of-Pocket Max (Ind / Family)
$8,500 / $17,000
Network
In- and out-of-network coverage
BenefitWhat You Pay
Primary Care & Specialist VisitsDeductible & coinsurance (no flat copay)
Urgent CareDeductible & coinsurance
Telemedicine (MYMDNOW)$0 copay
Preventive Care$0 copay / $0 deductible
Emergency RoomDeductible & coinsurance
Inpatient Hospital CareDeductible & coinsurance

Prescription Drug Benefits

Drug TierWhat You Pay
Generic Rx — Maintenance & Preventive$0 copay (must be on plan formulary)
All Other PrescriptionsSubject to deductible & coinsurance
Out-of-network care is covered at a higher deductible and 50% coinsurance.

Want the Full Plan Details?

This page summarizes the key benefits only. For the complete Summary of Benefits, exclusions, and plan documentation, return to your plan overview page and schedule time with the benefits advisor affiliated with your association.

Back to Plan Overview to Schedule a Call