Gersh Plan Example HDHP vs Traditional
Open Access Plus HDHP / HSA Plan
Services
New - Open Access Plus PPO Plan
Plan Pays 90% / You Pay 10%
Coinsurance
Plan Pays 70% / Your Pay 30%
$2,000 / $4,000 Individual in a Family Max: $3,300
Deductible
$2,500 / $5,000
$4,000 / $8,000
Out-of-Pocket Max (Individual/Family)
$5,000 / $10,000
No Charge
Preventative Care
No Charge
10% after Deductible
Office Visit PCP / Specialist
$30 Copay / $50 Copay
10% after Deductible
Emergency Room
$350 Copay then 30% after deductible
$10 / $40 / $60
Rx Copays
$15 / $35 / $70
For illustrative purposes only. Please refer to your plan documents for all plan details
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