The EHP Classic Plan
The EHP Classic Plan is a dual option, Point-of-Service (POS) plan. That means you have the flexibility of using in- or out-of-network providers, but your out-of-pocket costs will be lower if you use providers in the network.
Here are your two options:
- Option 1: Refer yourself directly to another network doctor
- Option 2: See a doctor who is not in the EHP network
Here are highlights of how your benefits compare in the two Options:
| Option 1 | Option 2 | |
|---|---|---|
| You pay... | You pay... | |
| Annual Deductible | None | $250 per person $750 per family |
| Physician services (office visits) | 20% of cost | 30% of cost, after deductible |
| Physical service (medical and surgical) | 20% of cost | 30% of cost, after deductible |
| Physical exams (routine adult) | 20% of cost | Available under Option 1 only |
| Specialist care (office visits) | 20% of cost | 30% of cost, after deductible |
| Ambulance | 20% of cost | 30% of cost, after deductible |
| Prescription Drug Benefits | ||
| Retail Copay 30 - day Supply | Mail Order Copay 90-day supply | |
| Generic | $10 | $20 |
| Formulary Brand | $20 | $40 |
| Non - Formulary Brand | $35 | $70 |
| Option 1 | Option 2 | |
|---|---|---|
| Annual Maximum Benefit | Combined $5,000,000 per annual year | |
| Annual Out-of-Pocket Maximum | $1,500 per person $4,500 per family |
$3,000 per person $9,000 per family |
For a complete look at the features and benefits of the two Options under the EHP Classic Plan, be sure to visit the Health Plan Comparison Chart.
Medical Plan Contacts
