Plan Options

Plan Options

Exclusively through your NYSSO membership, you now have access to three comprehensive EPO medical plans, all including prescription drug coverage. This flexibility allows you to design a benefits package that works for you, your family and your employees.  The chart below provides a comparison of some key benefit features for the three EPO plan options. 

To view a more detailed benefit summary of each plan option, visit the Benefit Details tab to the left.  Or download the  NYSSO Health Plan Benefits Guide for more information 

 Benefits         NYSSO Premier EPO $25     NYSSO Plus 
       EPO $30		         NYSSO  
  Comprehensive  
        EPO $40
 Office Visits  $25 Copay  $30 Copay  $40 Copay
 Annual Deductible  $500/individual;
 $1,000/family		  $750/individual;
 $1,500/family		  $1,500/individual; 
 $3,000/family
 Coinsurance MVP Covers 100% After Deductible  MVP Covers 80% 
 After Deductible		  MVP Covers 80%
 After Deductible
 Lifetime Maximum  Unlimited  Unlimited  Unlimited
 Annual Out of Pocket  $2,000/individual;
 $4,000/family 		 $2,500/individual;
 $5,000/family 		 $5,000/individual;
 $10,000/family
 Preventive Care  $25 Copay (Well Child Services Covered in Full)  Covered in Full  Covered in Full
 Hospital Inpatient  $500 Copay (1st
 admission only)		  Deductible &
 Coinsurance		  Deductible &
 Coinsurance
 Labwork (Outpatient)  Covered in Full  Covered in Full  Covered in Full
 Therapy Services
 (Office Setting)		  $25 Copay  $30 Copay  $40 Copay
 Prescription Drug  $10/30/50 Unlimited Rx  $10/25/40 to $2,500 Annual Max then 50% coverage  $10 Unlimited Generic Drugs; MVP Brand Discount Only