HMO Copayment 20, Gold, ST, INN, HMO Network, Dep25
CDPHP · 2026 plan year
Gold
- Ind. medical deductible
- $775
- Rx deductible (separate)
- Not listed
- Family deductible
- $1,550
- Ind. OOP max
- $10,150
- Family OOP max
- $20,300
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Compare with other Gold plans in NY
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More CDPHP plans in NY
HDHMO HSA Qualified 40 Bronze, ST, INN, HMO Network, Dep29HDHMO HSA Qualified 40 Child Only, Bronze, ST, INN, HMO NetworkHDHMO HSA Qualified 40 Bronze, ST, INN, HMO Network, Dep25HMO Copayment 30, Silver, ST, INN, HMO Network, Dep25HDHMO HSA Qualified 45, Bronze, NS, INN, HMO Network, Dep29, Adult Vision, Lasik, Wellness
Monthly premiums by age
Rating Area 6 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.
| Age | Individual |
|---|---|
| Under 15 | $1,376 |
| 21 | $1,376 |
| 30 | $1,376 |
| 40 | $1,376 |
| 50 | $1,376 |
| 60 | $1,376 |
| 64 and over | $1,376 |
Live premium estimate
Service area
This plan covers 39 geographic areas.
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