HMO Copayment 10, Platinum, ST, INN, HMO Network, Dep29

CDPHP · 2026 plan year

Platinum
Ind. medical deductible
$0
Rx deductible (separate)
Not listed
Family deductible
$0
Ind. OOP max
$2,000
Family OOP max
$4,000

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Compare with other Platinum plans in NY

Side by side: deductibles, out-of-pocket limits and copays.

More CDPHP plans in NY

Monthly premiums by age

Rating Area 6 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.

AgeIndividual
Under 15$1,683
21$1,683
30$1,683
40$1,683
50$1,683
60$1,683
64 and over$1,683

Live premium estimate

$

Service area

This plan covers 39 geographic areas.

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