Group Health

For Producers

Individual and Family Benefits-2014 Group Health Plans on Washington Healthplanfinder

Core Silver Variations and Core Basics Plus Catastrophic
(Effective Jan. 1, 2014–Dec. 31, 2014)

Featuring the Core/Group Health Network

Benefit Category Core Silver 94 Core Silver 87 Core Silver 73 Core Basics Plus Catastrophic

Annual Deductible

$50 per member or
$100 per family
$200 per member or
$400 per family
$1,200 per member or
$2,400 per family
$6,350 per member or
$12,700 per family

Member Coinsurance

5% 10% 20%None

Out-of-Pocket Limit

$2,250 per member or
$4,500 per family
$2,250 per member or
$4,500 per family
$5,200 per member or
$10,400 per family
$6,350 per member or
$12,700 per family

Office Visits

Primary: No charge (after deductible)
Specialty: No charge (after deductible)
Primary: $10 copay per visit
Specialty: $15 copay per visit
Primary: $20 copay per visit
Specialty: $30 copay per visit
First 3 primary care visits covered in full*
Primary: No charge (after deductible)
Specialty: No charge (after deductible)

Lab/X-ray Services

5% coinsurance 10% coinsurance 20% coinsurance No charge (after deductible)

Prescription Drugs


Cost per 30-day supply
Filled at pharmacy:
$7 preferred generic*
10% preferred brand, including specialty brand

Filled by mail order:
$2 preferred generic*;
5% preferred brand,including specialty brand
Filled at pharmacy:
$10 preferred generic*
30% preferred brand, including specialty brand

Filled by mail order:
$5 preferred generic*
25% preferred brand, including specialty brand
Filled at pharmacy:
$10 preferred generic*
30% preferred brand, including specialty brand

Filled by mail order:
$5 preferred generic*
25% preferred brand, including specialty brand
Filled at pharmacy after deductible:
No charge for preferred generic;
No charge for preferred brand,including specialty brand

Filled by mail order, after deductible:
No charge for preferred generic;
No charge for preferred brand, including specialty brand

Summary of Benefits

Core Silver 94 (PDF) Core Silver 87 (PDF) Core Silver 73 (PDF) Core Basics Plus Catastrophic (PDF)

*Deductible does not apply.

Coverage provided by Group Health Cooperative.

NOTE: This is a summary of benefits. The contents are not to be accepted or construed as a substitute for the provisions of the medical coverage agreement. Other terms and conditions may apply. A list of excluded services and other limitations can be found in each plan's Summary of Benefits and Coverage document.