Compare 2019 health insurance and doctor networks in San Diego

Premier

	Platinum	Gold	Silver	Bronze
HSA Compatible ?
Avg. Medical Expenses Paid by Plan ?	90%	80%	70%	60%
Annual Deductible ?	$0	$0	$2,500	$6,000
Out of Pocket Limit: Individual ?	$3,350	$7,200	$7,550	$6,550
Out of Pocket Limit: Family ?	$6,700	$14,400	$15,100	$13,300
Hospitalization (Facility Fee) ?	$250 per day (5-day max)	$600 per day (5-day max)	20% coinsurance*	40% coinsurance*
Primary Care Visit ?	$15	$30	$40	40% coinsurance*
Preventive Care Visit ?	$0	$0	$0	$0
Lab Test	$15	$35	$35	40% coinsurance*
ER Visit	$150	$325	$350	40% coinsurance*
*Deductible applies

	Platinum	Gold	Bronze	Minimum Coverage
HSA Compatible ?
Avg. Medical Expenses Paid by Plan ?	90%	80%	60%	60%
Annual Deductible ?	$0	$0	$6,300	$7,900
Out of Pocket Limit: Individual ?	$3,350	$7,200	$7,550	$7,900
Out of Pocket Limit: Family ?	$6,700	$14,400	$15,100	$15,800
Hospitalization (Facility Fee) ?	10% coinsurance	20% coinsurance	100% coinsurance*	0%*
Primary Care Visit ?	$15	$30	$75**	$0**
Preventive Care Visit ?	$0	$0	$0	$0
Lab Test	$15	$35	$40	$0*
ER Visit	$150	$325	100% coinsurance*	$0*
Deductible applies / *Deductible applies after the first three non-preventive, primary care physician (PCP), urgent care, mental health or substance-use office visits.

Page last updated: Sept. 11, 2019