Plan Comparison
Compare up to 4 health plans side-by-side across all benefit dimensions
Select Plans
Premier Select HMO Gold
eKlotho PPO Preferred
MediCare Advantage Plus
Senior Advantage PPO
Best value
Highest cost
Differs from others
Premiums & Cost Summary
Monthly Premium
$312/mo
$487/mo
$0/mo
$28/mo
Annual Deductible
$500
$750
$0
$200
OOP Maximum (Individual)
$5,000
$7,500
$3,400
$6,700
Copays & Cost Sharing
PCP Visit
$20
$30
$0
$10
Specialist Visit
$45
$65
$15
$40
Emergency Room
$250
$350
$90
$120
Inpatient Hospital
$500/day
30% coinsurance
$325/stay
$250/day
Outpatient Surgery
$150
20% coinsurance
$80
$100
Coinsurance (In-Network)
20%
30%
0%
15%
Pharmacy
Tier 1 – Generic
$10
$15
$0
$5
Tier 2 – Preferred Brand
$35
$50
$15
$40
Tier 3 – Non-Preferred
$65
$90
$42
$75
Tier 4 – Specialty
30%
33%
25%
25%
Plan Details & Quality
Network Type
HMO (In-Net Only)
PPO (In + Out)
HMO (In-Net Only)
PPO (In + Out)
Quality Rating
★★★★ 4.0
★★★★ 4.0
★★★★★ 4.5
★★★☆ 3.5
Total Enrolled
12,847
9,341
21,058
11,268
Formulary Tier
Standard 3-Tier
Standard 3-Tier
Enhanced 4-Tier
Standard 3-Tier
Note: Green highlighted cells represent the best value for that row. Red cells represent the highest cost. Yellow cells represent values that differ from the majority. Data reflects plan year 2025 configuration as of April 3, 2025.