Please note there are plan changes for 2026-2027 for Bay Path and former Cambridge College students.

For complete details, please refer to the plan documents. Below is a summary of the in-network benefits. The plan also includes out-of-network coverage, which is subject to higher member cost-sharing.

In-Network Benefit Summary

• Annual Deductible: $500
• Primary Care Physician (PCP) Office Visit: $25 copay, no deductible
• Mental Health Therapy Visit: $25 copay, no deductible
• Specialist Office Visit: $50 copay, no deductible
• Urgent Care Visit: $50 copay, no deductible
• Emergency Room: $250 copay, no deductible
• Diagnostic Lab, X-ray, Imaging: deductible 20% member coinsurance
• Day Surgery: deductible 20% member coinsurance
• Inpatient Hospitalization: deductible 20% member coinsurance

Prescription Drugs (30 day retail supply)

• Tier 1 - $15 copay
• Tier 2 – 20% member coinsurance, no deductible
• Tier 3 – 20% member coinsurance, no deductible
• Tier 4 – 20% member coinsurance, no deductible
• Tier 5 – 20% member coinsurance, no deductible

Important: Members who take high-cost specialty medications may experience higher out-of-pocket expenses under this plan and may wish to consider an alternative plan option.

I have read and acknowledge the above statement and would like to enroll