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175 HIP HMO Generic Rx

Dual network: HIP HMO in NY · Cigna PPO outside NY (no referral)

No-deductible HIP HMO. $30 office copay, $60 specialist, no referrals needed. Generic drugs $25 for 30 days or $37.50 by mail for 90 — brand-name drugs are not covered on this plan. $1,500 inpatient and $500 outpatient surgery copays, $300 emergency room, $30 urgent care. $7,350 / $14,700 out-of-pocket maximum.

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Monthly premiums

Member: $1,672.00/mo
Member & Family: $3,899.00/mo

The lowest-priced Local 175 plan with no deductible at all — generic drugs only, so it suits somebody who takes nothing or takes generics

Plan details

Deductible (Individual): $0
Deductible (Family): $0
Out-of-Pocket Max (Individual): $7,350
Out-of-Pocket Max (Family): $14,700
Coinsurance (In-Network): 0%
Primary Care Copay: $30
Specialist Copay: $60
Urgent Care Copay: $30
ER Copay: $300

Plan documents

Summary of Benefits and Coverageadmin_upload

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