Yes

OMNIA Bronze

The OMNIA Bronze Plan is our lowest premium Bronze plan. It offers our lowest monthly premium, but highest out-of-pocket costs, when compared to other comprehensive OMNIA Health Plans, excluding catastrophic plans. Bronze plans, on average, pay for 60% of the covered medical expenses; you pay 40%, and money-saving subsidies may be available. The OMNIA Bronze Plan is a good choice if you don’t expect to use a lot of medical services.

Features

  • Our lowest premium Bronze plan
  • NEW - $50 gift card when you complete a Health Assessment Tool Powered by WebMD® and designed to give you a picture of your current health status
  • NEW - Money back on gym memberships with HorizonbFit - Up to $240 per year
  • Dedicated OMNIA Customer Service Associates are specially trained to help with everything from using these benefits to finding a doctor.
  • Your premium may be less if you qualify for government financial assistance
    See if you qualify – use our online estimator
  TIER 1 TIER 2  
Individual Deductible $3,000 $3,000
  • Save with OMNIA Tier 1, including 35 select NJ hospitals and 26,000 health care professionals
  • Enjoy access to our entire Managed Care Network, the largest network in NJ, with Tier 2 doctors and hospitals
  • No primary care physician required
  • No referrals needed
  • Prescription coverage included
  • pdf-form-icon Summary of Benefits and Coverage
Family Deductible $6,000 $6,000
Individual Max Out-of-Pocket $7,150 $7,150
Family Max Out-of-Pocket $14,300 $14,300
Primary care physician visit Deductible then $30 copayment Deductible then 50% coinsurance
Specialist visit Deductible then $50 copayment Deductible then 50% coinsurance
Outpatient surgery Deductible then 50% coinsurance Deductible then 50% coinsurance
Inpatient hospital stay Deductible then $500 Per Day Copayment Deductible then 50% coinsurance
Emergency Room $100 copayment & Deductible, then 50% coinsurance $100 copayment & Deductible, then 50% coinsurance

OMNIA Silver

The OMNIA Silver Plan is our lowest premium non-HSA Silver plan and offers a mid-level monthly premium and out-of-pocket costs when compared to other OMNIA Health Plans. Silver plans, on average, pay for 70% of the covered medical expenses; you pay 30%, and money-saving subsidies may be available. The OMNIA Silver Plan is a good choice if you want a balance between monthly premiums and out-of-pocket costs.

Features

  • Our lowest premium, non-HSA, Silver plan
  • NEW - $50 gift card when you complete a Health Assessment Tool Powered by WebMD® and designed to give you a picture of your current health status
  • NEW - Money back on gym memberships with HorizonbFit - Up to $240 per year
  • Dedicated OMNIA Customer Service Associates are specially trained to help with everything from using these benefits to finding a doctor.
  • Your premium may be less if you qualify for government financial assistance
    See if you qualify – use our online estimator
  TIER 1 TIER 2  
Individual Deductible $0 $2,500
  • Save with OMNIA Tier 1, including 35 select NJ hospitals and 26,000 health care professionals
  • Enjoy access to our entire Managed Care Network, the largest network in NJ, with Tier 2 doctors and hospitals
  • No primary care physician required
  • No referrals needed
  • Prescription coverage included
  • pdf-form-icon Summary of Benefits and Coverage
Family Deductible $0 $5,000
Individual Max Out-of-Pocket $7,150 $7,150
Family Max Out-of-Pocket $14,300 $14,300
Primary care physician visit $30 copayment Deductible then 50% coinsurance
Specialist visit $50 copayment Deductible then 50% coinsurance
Outpatient surgery $250 copayment Deductible then 50% coinsurance
Inpatient hospital stay $500 Per Day Copayment Deductible then 50% coinsurance
Emergency Room $100 copayment & $900 ER Deductible $100 copayment & Deductible, then 50% coinsurance

OMNIA Silver HSA

The OMNIA Silver Health Savings Account (HSA) Plan is our lowest premium Silver plan. Like other Silver plans, it pays for 70% of your covered medical expenses on average; you pay 30%, and money-saving subsidies may be available. With HSA plans, you make tax-free contributions to your account to cover higher Deductible costs in exchange for a significantly lower premium*. The OMNIA Silver HSA Plan is good option for healthy members who don’t have ongoing care but want more comprehensive coverage for unexpected health issues.

Features

  • A Health Savings Account (HSA) compatible plan*
  • NEW - $50 gift card when you complete a Health Assessment Tool Powered by WebMD® and designed to give you a picture of your current health status
  • NEW - Money back on gym memberships with HorizonbFit - Up to $240 per year
  • Dedicated OMNIA Customer Service Associates are specially trained to help with everything from using these benefits to finding a doctor.
  • Your premium may be less if you qualify for government financial assistance
    See if you qualify – use our online estimator
  TIER 1 TIER 2  
Individual Deductible $1,500 $2,500
  • Save with OMNIA Tier 1, including 35 select NJ hospitals and 26,000 health care professionals
  • Enjoy access to our entire Managed Care Network, the largest network in NJ, with Tier 2 doctors and hospitals
  • No primary care physician required
  • No referrals needed
  • Prescription coverage included
  • pdf-form-icon Summary of Benefits and Coverage
Family Deductible $3,000 $5,000
Individual Max Out-of-Pocket $3,600 $6,550
Family Max Out-of-Pocket $7,200 $13,100
Primary care physician visit Deductible then $10 copayment Deductible then $25 copayment
Specialist visit Deductible then $20 copayment Deductible then $50 copayment
Outpatient surgery Deductible then 10% coinsurance Deductible then 30% coinsurance
Inpatient hospital stay Deductible then 10% coinsurance Deductible then 30% coinsurance
Emergency Room $100 copayment & Deductible, then 10% coinsurance $100 copayment & Deductible, then 30% coinsurance

OMNIA Gold

The OMNIA Gold Plan is our Gold-plan option. It offers a higher monthly premium, but lower out-of-pocket costs, when compared to other OMNIA Health Plans. Gold plans, on average, pay for 80% of the covered medical expenses; you pay 20%, and money-saving subsidies may be available. The OMNIA Gold Plan is a good choice if you expect to use a fair amount of medical services.

Features

  • Our lowest premium Gold plan
  • NEW - $50 gift card when you complete a Health Assessment Tool Powered by WebMD® and designed to give you a picture of your current health status
  • NEW - Money back on gym memberships with HorizonbFit - Up to $240 per year
  • Dedicated OMNIA Customer Service Associates are specially trained to help with everything from using these benefits to finding a doctor.
  • Your premium may be less if you qualify for government financial assistance
    See if you qualify – use our online estimator
  TIER 1 TIER 2  
Individual Deductible $0 $2,500
  • Save with OMNIA Tier 1, including 35 select NJ hospitals and 26,000 health care professionals
  • Enjoy access to our entire Managed Care Network, the largest network in NJ, with Tier 2 doctors and hospitals
  • No primary care physician required
  • No referrals needed
  • Prescription coverage included
  • pdf-form-icon Summary of Benefits and Coverage
Family Deductible $0 $5,000
Individual Max Out-of-Pocket $3,500 $6,350
Family Max Out-of-Pocket $7,000 $12,700
Primary care physician visit $10 copayment Deductible then $30 copayment
Specialist visit $25 copayment Deductible then $50 copayment
Outpatient surgery $250 copayment Deductible then 30% coinsurance
Inpatient hospital stay $500 Per Day Copayment Deductible then 30% coinsurance
Emergency Room $100 copayment $100 copayment & Deductible, then 30% coinsurance

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