Plan Options

Plan Options

Exclusively through your NYSBA membership, you now have access to three comprehensive PPO medical plans and one EPO plan option, all including prescription drug coverage. This flexibility allows you to design a benefits package that works for you, your family and your employees.  The chart below provides a comparison of some key benefit features for the three PPO plan options. 

To view a more detailed benefit summary of each plan option, visit the Benefit Details tab to the left.  Or download the NYSBA Health Plan Benefits Guide for more information 

 Benefits  NYSBA Premier
     PPO $25		     NYSBA Plus 
      PPO $30		         NYSBA  
  Comprehensive 
       PPO $40
 Office Visits  $25 Copay  $30 Copay  $40 Copay
 Annual Deductible  $500/individual;
 $1,000/family		  $1,500/individual;
 $3,000/family		  $3,000/individual; 
 $6,000/family
 Coinsurance 100%  MVP Covers 80% 
 After Deductible		  MVP Covers 80%
 After Deductible
 Lifetime Maximum  Unlimited  Unlimited  Unlimited
 Annual Out of Pocket  $2,000/individual;
 $4,000/family 		 $5,000/individual;
 $10,000/family 		 $10,000/individual;
 $20,000/family
 Preventive Care  $25 Copay (Well Child Services Covered in Full)  Covered in Full  Covered in Full
 Hospital Inpatient  $500 Copay (1st
 admission only)		  Ded &
 Coinsurance		  Deductible &
 Coinsurance
 Labwork (Outpatient)  Covered in Full  Covered in Full  Covered in Full
 Therapy Services
 (Office Setting)		  $25 Copay  $30 Copay  $40 Copay
 Prescription Drug  $10/30/50
 Unlimited		  $10/30/50
 Unlimited		  $10/30/50 
 Unlimited

To view the benefit summary for the NYSBA Basic EPO $30 plan, select Benefit Details from the right menu.