RBP Plan

20%

Co-insurance

$1,500 / $3,000

Individual/ Family Deductible

$5,000 / $10,000

Individual/Family Max Out-of-Pocket

20% co-insurance

Emergency Room Visit

Prescriptions

$15 Generic Drugs
$35 Preferred Brand
$70 Non-Preferred Brand
Specialty Not Covered

PPO Plan

100%

after $30 copay

None

Individual/ Family Deductible

$8,300 / $16,600

Individual/Family Max Out-of-Pocket

$250 copay

Emergency Room Visit

Prescriptions

$15 Generic Drugs
$25 Preferred Brand
$40 Non-Preferred Brand
Specialty Not Covered

RBP Plan

A AOP Plan with a $1500 individual ($3,000 family) deductible after which you pay 20% of the cost for most services, with a $5,000 individual ($10,000 family) maximum out of pocket.

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Call Center & Self Service Enrollment

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Monday-Friday from 9am-6pm Eastern.

Call (646) 461-5288

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