Plan
UPMC Advantage Silver HSA $2,600/20% - Partner Network
|
Deductible
$2,600 |
Coinsurance Not applicable |
Out of Pocket
$4,100 |
Plan
UPMC Advantage Platinum $250/$20 - Select Network
|
Deductible
$250 |
Coinsurance Not applicable |
Out of Pocket
$1,500 |
Plan
UPMC Advantage Silver $0/$50 - Premium Network
|
Deductible
$0 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Gold $750/$10 - Select Network
|
Deductible
$750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
UPMC Advantage Silver $1,750/$30 - Partner Network
|
Deductible
$1,750 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $3,500/$30 - Partner Network
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver HSA $2,600/20% - Premium Network
|
Deductible
$2,600 |
Coinsurance Not applicable |
Out of Pocket
$4,100 |
Plan
UPMC Advantage Silver $3,500/$30 - Select Network
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver HSA $2,600/20% - Select Network
|
Deductible
$2,600 |
Coinsurance Not applicable |
Out of Pocket
$4,100 |
Plan
UPMC Advantage Gold $750/$10 - Premium Network
|
Deductible
$750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
UPMC Advantage Bronze $6,950/$35 – Premium Network
|
Deductible
$6,950 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $0/$50 - Partner Network
|
Deductible
$0 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $1,750/$30 - Premium Network
|
Deductible
$1,750 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $0/$50 - Select Network
|
Deductible
$0 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $3,250/$10 - Partner Network
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Gold $750/$10 - Partner Network
|
Deductible
$750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
UPMC Advantage Silver $1,750/$30 - Select Network
|
Deductible
$1,750 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Bronze $6,950/$35 – Partner Network
|
Deductible
$6,950 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Platinum $250/$20 - Premium Network
|
Deductible
$250 |
Coinsurance Not applicable |
Out of Pocket
$1,500 |
Plan
UPMC Advantage Catastrophic $7,150/$0 - Premium Network
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Catastrophic $7,150/$0 - Partner Network
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $3,250/$10 - Premium Network
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $3,500/$30 - Premium Network
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Silver $3,250/$10 - Select Network
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Bronze $6,950/$35 – Select Network
|
Deductible
$6,950 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
UPMC Advantage Platinum $250/$20 - Partner Network
|
Deductible
$250 |
Coinsurance Not applicable |
Out of Pocket
$1,500 |