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Asuris logoHealth Plans for Individuals and Families  - Outside the Exchange
 

Plans available beginning January 1, 2014

There are three Asuris Northwest Health Individual Direct Plans available: Individual Direct Gold, Individual Direct Silver, and Individual Direct Bronze HSA. Each plan is also available with optional Adult Dental/Adult Vision/Individual Assistance Plan (IAP) benefits.   

All plans include the 10 essential benefits.  The main differences between the plans are the annual deductible and the amount of out-of-pocket costs you pay when you receive medical care.

Direct Gold Highlights Direct Silver Highlights Direct Bronze HSA Highlights
  • Annual Deductible:  $1000
  • 20% Coinsurance
  • Out-of-Pocket Maximum: $3300
  • Office Visits: Deductible waived, then 20% coinsurance
  • Prescription Drugs:
    • $10 Generics (deductible waived)
  • Deductible, then coinsurance:

    • 30% Category 1 Brand
    • 50% Category 2 Brand
    • 40% Specialty Drugs
  • Annual Deductible:  $3000
  • 20% Coinsurance
  • Out-of-Pocket Maximum: $4900
  • Office Visits: Deductible waived, then 20%coinsurance
  • Prescription Drugs:
    • $10 Generics (deductible waived)
  • Deductible, then coinsurance:

    • 30% Category 1 Brand
    • 50% Category 2 Brand
    • 40% Specialty Drugs
  • Annual Deductible:  $5000
  • 30% Coinsurance
  • Out-of-Pocket Maximum: $6250
  • Office Visits: Deductible waived, then 30% coinsurance
  • Prescription Drugs:
  • Deductible, then coinsurance:

    • 25% Generics
    • 35% Category 1 Brand
    • 50% Category 2 Brand
    • 40% Specialty Drugs

Some of the highlights for all plans include:

  • Large network of doctors, dentists & hospitals with access to out of state medical care
  • Pediatric dental & vision care is included with all Asuris Northwest Health plans
  • 24-hr coverage for all enrolled family members for occupational conditions not covered by workers' compensation
  • Member-only discounts on fitness clubs, weight loss programs, and more!

Of all the plans Asuris NW Health has to offer, by far the most popular is Bronze HSA 5000.


Back to Individual Medical Home Page

Back to Individual Dental Home Page

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