Medical Plan Options COPAY PLAN HDHP W/ HSA Employer HSA N/A +$1,000 Contributions Annual Contribution Deductible $1,500 / $3,000 $3,300 / $6,000 (Single/Family) Coinsurance 10% 0% Out-of-Pocket Max $3,000 / $6,000 $3,300 / $6,000 (Single/Family) Physician/Specialist Visits $30 / $60 0% after deductible Preventive Care 100% Coverage 100% Coverage Hospital/Out-Patient 10% after deductible Deductible Emergency Room $350 Deductible Urgent Care Centers $75 Deductible