Federal Pool Plan Options


Printer-friendly Federal Pool Plans and Premiums - This will open in a new window.

MHIP's federal pool includes three plans.

Download the Federal Pool Certificate of Coverage.

Plan Options Overview


  Plan I Plan II Plan III
  Network Non-Network Network Non-Network Network Non-Network
Description You pay the deductible and coinsurance amounts until you meet the plan out-of-pocket maximum of $5,950 (medical and prescription services combined).
You have a separate deductible, coinsurance and out-of-pocket maximum for prescription drugs.
Deductible $1,000 $2,000 $2,500 $5,000 $5,000 $5,000
Coinsurance 20% after
deductible
50% after
deductible
20% after
deductible
50% after
deductible
20% after
deductible
50% after
deductible
Medical Out-of-Pocket
Maximum (includes deductible)
$3,500 $3,500 $3,500
Prescription
Deductible
$100 $100 $100

Prescription
Copayments
(30-day supply)

Generic
Preferred Brand
Non-Preferred Brand

 

 

$25
$50
$100

You pay
drug's cost
and are
reimbursed
up to 70%

 

 

$25
$50
$100

You pay
drug's cost
and are
reimbursed
up to 70%

 

 

$10
$20
$40

You pay
drug's cost
and are
reimbursed
up to 70%
Prescription
Out-of-Pocket
Maximum (includes deductible)
$2,450 $2,450 $2,450
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