Health Insurance ABC Company is happy to report that there are no changes to the Medical Plans for 2023. We will continue to offer Medical & Prescription Drug insurance though Empire Blue Cross Blue Shield. You will have the choice between two plans, one HSA eligible and one traditional deductible first plan. Both plans are EPO which offer Empire’s National Network, but no out-of-network coverage. st The table below summarizes the medical plans available January 1, 2023 – December 31 , 2023. Services Total Blue HSA Deductible First In Network In Network Deductible – Individual / Family $3,000 / $6,000 (A) $1,500 / $3,750 (E) Coinsurance 70% / 30% 100% / 0% Out of Pocket Maximum – Individual / Family $4,275 / $8,550 (A) $5,000 / $12,000 (E) Preventive Care No Charge No Charge Physician / Specialist Visit Copay 30% after Deductible $35 / $50 after Deductible Inpatient Hospitalization 30% after Deductible $500 after Deductible Outpatient Surgery 30% after Deductible $200 after Deductible Lab / X-Ray 30% after Deductible $35 or $50 after Deductible High-Cost Diagnostics 30% after Deductible $35 or $50 after Deductible Emergency Room Visit 30% after Deductible $150 after Deductible Urgent Care 30% after Deductible $25 after Deductible Services Out-of-Network Out-of-Network Deductible – Individual / Family N/A N/A Coinsurance N/A N/A Out of Pocket Maximum – Individual / Family N/A N/A Services Out-of-Network Out-of-Network Prescription Drugs- Retail/Mail Order Deductible Then: Tier 1 $15 / $30 $10 / $20 Tier 2 $35 / $70 $35 / $70 Tier 3 $75 / $150 $70 / $140 5