New 2025 Medical Plans
Plan Information
DMBA PPO 90 Plan Single: S9XDMBA Family: T9XDMBA |
DMBA PPO 70 Plan Single: S7XDMBA Family: T7XDMBA |
DMBA HSA 80 Plan Single: S8XDMBA Family: T8XDMBA |
DMBA HSA 60 Plan Single: S6XDMBA Family: T6XDMBA |
|
Deductible1 | None | None | Single: $1,650 Two-party/Family: $3,300 |
Single: $3,000 Two-party/Family: $6,000 |
Coinsurance | 10% | 30% | 20% | 40% |
Copayments | Preventive care: $0 Primary care physician: $25 Specialist: $35 |
Preventive care: $0 Primary care physician: $25 Specialist: $35 |
None | None |
Out-of-pocket maximum | Per person: $3,000 Per family: $6,000 |
Per person: $5,000 Per family: $8,000 |
Per person: $4,500 Per family: $8,000 |
Per person: $7,500 Per family: $15,000 |
1 Single deductible applies when plan covers one person; Two-party/Family deductible applies when plan covers more than one person.
Notable Benefit Changes
Provider Network: All new plans have the same provider network. All contracted providers are contracted for all plans.
Preventive Care: Now includes physician prenatal services on all plans. For HSA plans, in-network physician maternity services and certain (IRS) preventive services are paid pre-deductible.
Coordination of Benefits: DMBA no longer supports coordination of benefits between two DMBA plans. Benefits will continue to be coordinated between DMBA plans and non-DMBA plans.