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Medical Plan Design

Source

Average

Individual

Deductible

Average Individual

OOP

Average In-Network

Coinsurance

Average Copays

POAH Buy-up PPO

$625

$2,000

80%

$30/$25

POAH Base PPO

$1,250

$3,600

80%

$35/$30

Mercer – Services

$500

$3,500

80%

$25

Mercer – Small

Employers

$1,500

$4,000

80%

$25

Kaiser – PPO

$1,028

N/A

20%

$24/$39

PCP/Specialist

NOTES:

1. Mercer National Survey Employer Sponsored Health Plans (2016) – Services Industry

2. Mercer reflects median data

3. Kaiser Family Foundation Employer Health Benefits 2016 Survey

4. POAH offers copays that are discounted by $5 if employees use a Blue Distinction facility.

5. Mercer defines small employers as < 500 employees. Kaiser defines large employers as >

200 employees.

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