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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