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Products

The Physicians’ ASSURANCE Corporation (TPAC) offers a wide range of benefit plans, including Traditional PPO Plans, High Deductible Health Plans (HDHP), Health Savings Accounts (HSA) and Health Reimbursement Accounts (HRA), along with several Pharmacy options. With this much to choose from, you’ll have no trouble selecting the right plan for your employees.

Traditional PPO Plans
Network deductibles are waived for Preventive Services

Medical Plans		Deductible		Coinsurance		Out of Pocket                                           (includes deductible and coinsurance)		OV copay	ER	UC	Details
Plan #	Plan Code	network ind/fam	non-network ind/fam	network	non-network	network ind/fam	non-network ind/fam	PCP/SCP	copay	copay
1	0a	$0/$0	$500/$1,000	20%	40%	$1,500/$3,000	$3,000/$6,000	$15/$15	$150/20%	$50
2	0b	$0/$0	$500/$1,000	20%	40%	$3,000/$6,000	$6,000/$12,000	$25/$50	$150/20%	$50
3	250a	$250/$500	$500/$1,000	10%	30%	$500/$1,000	$2,000/$4,000	$15/$15	$150/10%	$50
4	250b	$250/$500	$500/$1,000	10%	30%	$1,000/$2,000	$2,000/$4,000	$15/$30	$150/10%	$50
5	250c	$250/$500	$500/$1,000	20%	40%	$1,500/$3,000	$3,000/$6,000	$15/$30	$150/20%	$50
6	250d	$250/$500	$500/$1,000	20%	40%	$2,000/$4,000	$4,000/$8,000	$25/$50	$150/20%	$50
7	250e	$250/$500	$500/$1,000	20%	40%	$2,500/$5,000	$5,000/$10,000	$30/$60	$150/20%	$75
8	500a	$500/$1,000	$1,000/$2,000	10%	30%	$1,000/$2,000	$2,000/$4,000	$15/$15	$150/10%	$50
9	500b	$500/$1,000	$1,000/$2,000	20%	40%	$1,000/$2,000	$2,000/$4,000	$25/$50	$150/20%	$50
10	500c	$500/$1,000	$1,000/$2,000	10%	30%	$1,500/$3,000	$3,000/$6,000	$15/$30	$150/10%	$50
11	500d	$500/$1,000	$1,000/$2,000	20%	40%	$1,500/$3,000	$3,000/$6,000	$25/$50	$150/20%	$50
12	500e	$500/$1,000	$1,000/$2,000	20%	40%	$2,000/$4,000	$4,000/$8,000	$15/$30	$150/20%	$50
13	500f	$500/$1,000	$1,000/$2,000	20%	40%	$2,500/$5,000	$5,000/$10,000	$25/$50	$150/20%	$50
14	500g	$500/$1,000	$1,000/$2,000	20%	40%	$3,000/$6,000	$6,000/$12,000	$30/$60	$150/20%	$75
15	1000a	$1,000/$2,000	$1,000/$2,000	0%	20%	$1,000/$2,000	$2,000/$4,000	$25/$50	$200	$50
16	1000b	$1,000/$2,000	$1,000/$2,000	0%	20%	$1,000/$2,000	$2,000/$4,000	0%	0%	0%
17	1000c	$1,000/$2,000	$1,000/$2,000	20%	40%	$2,000/$4,000	$4,000/$8,000	$15/$30	$150/20%	$50
18	1000d	$1,000/$2,000	$1,000/$2,000	20%	40%	$3,000/$6,000	$6,000/$12,000	$30/$60	$150/20%	$75
19	1250a	$1,250/$2,500	$1,250/$2,500	0%	20%	$1,250/$2,500	$2,500/$5,000	$25/$50	$200	$50
20	1500a	$1,500/$3,000	$1,500/$3,000	0%	20%	$1,500/$3,000	$3,000/$6,000	$25/$50	$200	$50
21	1500b	$1,500/$3,000	$1,500/$3,000	0%	20%	$1,500/$3,000	$3,000/$6,000	0%	0%	0%
22	1500c	$1,500/$3,000	$1,500/$3,000	20%	40%	$3,000/$6,000	$6,000/$12,000	$15/$30	$150/20%	$50
23	1500d	$1,500/$3,000	$1,500/$3,000	20%	40%	$4,000/$8,000	$8,000/$16,000	$25/$50	$150/20%	$50
24	2000a	$2,000/$4,000	$2,000/$4,000	0%	20%	$2,000/$4,000	$4,000/$8,000	$25/$50	$200	$50
25	2000b	$2,000/$4,000	$2,000/$4,000	0%	20%	$2,000/$4,000	$4,000/$8,000	0%	0%	0%
26	2000c	$2,000/$4,000	$2,000/$4,000	20%	40%	$3,000/$6,000	$6,000/$12,000	$15/$30	$150/20%	$50
27	2000d	$2,000/$4,000	$2,000/$4,000	20%	40%	$4,000/$8,000	$8,000/$16,000	$25/$50	$150/20%	$50
28	2500a	$2,500/$5,000	$2,500/$5,000	0%	20%	$2,500/$5,000	$5,000/$10,000	$25/$50	$200	$50
29	2500b	$2,500/$5,000	$2,500/$5,000	0%	20%	$2,500/$5,000	$5,000/$10,000	0%	0%	0%
30	2500c	$2,500/$5,000	$2,500/$5,000	20%	40%	$4,000/$8,000	$8,000/$16,000	$25/$50	$150/20%	$50
31	3000a	$3,000/$6,000	$3,000/$6,000	0%	20%	$3,000/$6,000	$6,000/$12,000	$25/$50	$200	$50
32	3000b	$3,000/$6,000	$3,000/$6,000	0%	20%	$3,000/$6,000	$6,000/$12,000	0%	0%	0%
33	3000c	$3,000/$6,000	$3,000/$6,000	20%	40%	$5,000/$10,000	$9,000/$18,000	$25/$50	$150/20%	$50
34	4000a	$4,000/$8,000	$4,000/$8,000	0%	20%	$4,000/$8,000	$8,000/$16,000	$25/$50	$200	$50
35	4000b	$4,000/$8,000	$4,000/$8,000	0%	20%	$4,000/$8,000	$8,000/$16,000	0%	0%	0%
36	5000a	$5,000/$10,000	$5,000/$10,000	0%	20%	$5,000/$10,000	$9,000/$18,000	$25/$50	$200	$50
37	5000b	$5,000/$10,000	$5,000/$10,000	0%	20%	$5,000/$10,000	$9,000/$18,000	0%	0%	0%

 

High Deductible Health Plans (HDHP), HSA Compatible
Network deductibles and coinsurance are waived for Preventive Services

Medical Plans, HSA compatible			Deductible		Coinsurance		Out of Pocket                                           (includes deductible and coinsurance)		OV copay	ER	UC	Details
Plan #	Plan Code	note	network ind/fam	non-network ind/fam	network	non-network	network ind/fam	non-network ind/fam	PCP/SCP	copay	copay
38	hsa1250a	[1]	$1,250/$2,500	$1,250/$2,500	0%	20%	$1,250/$2,500	$2,500/$5,000	0%	0%	0%
39	hsa1250b	[1]	$1,250/$2,500	$1,250/$2,500	20%	40%	$4,000/$8,000	$8,000/$16,000	20%	20%	20%
40	hsa1500a	[1]	$1,500/$3,000	$1,500/$3,000	0%	20%	$1,500/$3,000	$3,000/$6,000	0%	0%	0%
41	hsa1500b	[1]	$1,500/$3,000	$1,500/$3,000	20%	40%	$4,000/$8,000	$8,000/$16,000	20%	20%	20%
42	hsa2000a	[1]	$2,000/$4,000	$2,000/$4,000	0%	20%	$2,000/$4,000	$4,000/$8,000	0%	0%	0%
43	hsa2000b	[1]	$2,000/$4,000	$2,000/$4,000	20%	40%	$5,000/$10,000	$9,000/$18,000	20%	20%	20%
44	hsa2500a		$2,500/$5,000	$2,500/$5,000	0%	20%	$2,500/$5,000	$5,000/$10,000	0%	0%	0%
45	hsa2500b		$2,500/$5,000	$2,500/$5,000	20%	40%	$5,000/$10,000	$9,000/$18,000	20%	20%	20%
46	hsa3000a		$3,000/$6,000	$3,000/$6,000