Navigator PPO plans
Navigator reference-based plans (RBP) use negotiated pricing to reduce the cost of benefits up to 40% when compared to traditional PPO networks.
PPO Prime
Large provider network with low copays and zero coinsurance for most physicians and ancillary care.
| Tier 1 Advanta Advocate | 3500 Plan | 4000 Plan | 4500 Plan | 6000 Plan |
| Deductible (Single / Family) | None | None | None | None |
| Out-of-Pocket Limit (Single / Family) | None | None | None | None |
| Tier 2 In-Network | 3500 Plan | 4000 Plan | 4500 Plan | 6000 Plan |
| Deductible (Single / Family) | $3,500 / $7,000 | $4,000 / $8,000 | $4,500 / $9,000 | $6,000 / $12,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 | $8,700 / $17,400 | $8,700 / $17,400 | $8,700 / $17,400 |
| Tier 3 Out-of-Network | 3500 Plan | 4000 Plan | 4500 Plan | 6000 Plan |
| Deductible (Single / Family) | $7,000 / $14,000 | $8,000 / $16,000 | $9,000 / $18,000 | $12,000 / $24,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited | Unlimited | Unlimited | Unlimited |
| Schedule of Benefits | Schedule of Benefits | Schedule of Benefits | Schedule of Benefits |
3500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $3,500 / $7,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $7,000 / $14,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
4000 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $4,000 / $8,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $8,000 / $16,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
4500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $4,500 / $9,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $9,000 / $18,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
6000 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $6,000 / $12,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $12,000 / $24,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
PPO CHOICE
Lowest annual deductible options with low coinsurance for most physicians and ancillary care.
| Tier 1 Advanta Advocate | 1000 Plan | 1500 Plan | 2000 Plan | 2500 Plan | 3000 Plan |
| Deductible (Single / Family) | None | None | None | None | None |
| Out-of-Pocket Limit (Single / Family) | None | None | None | None | None |
| Tier 2 In-Network | 1000 Plan | 1500 Plan | 2000 Plan | 2500 Plan | 3000 Plan |
| Deductible (Single / Family) | $1,000 / $2,000 | $1,500 / $3,000 | $2,000 / $4,000 | $2,500 / $5,000 | $3,000 / $6,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 | $8,700 / $17,400 | $8,700 / $17,400 | $8,700 / $17,400 | $8,700 / $17,400 |
| Tier 3 Out-of-Network | 1000 Plan | 1500 Plan | 2000 Plan | 2500 Plan | 3000 Plan |
| Deductible (Single / Family) | $4,000 / $8,000 | $5,000 / $10,000 | $6,000 / $12,000 | $7,000 / $14,000 | $7,000 / $14,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited | Unlimited | Unlimited | Unlimited | Unlimited |
| Schedule of Benefits | Schedule of Benefits | Schedule of Benefits | Schedule of Benefits | Schedule of Benefits |
1000 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $1,000 / $2,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $4,000 / $8,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
1500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $1,500 / $3,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $5,000 / $10,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
2000 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $2,000 / $4,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $6,000 / $12,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
2500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $2,500 / $5,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $7,000 / $14,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
3000 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $3,000 / $6,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $7,000 / $14,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
PPO Advantage HDHP
Affordable annual deductibles with zero coinsurance benefits after deductibles are met.
| Tier 1 Advanta Advocate | 4000 Plan | 4500 Plan | 6000 Plan | 6500 Plan |
| Deductible (Single / Family) | None | None | None | None |
| Out-of-Pocket Limit (Single / Family) | None | None | None | None |
| Tier 2 In-Network | 4000 Plan | 4500 Plan | 6000 Plan | 6500 Plan |
| Deductible (Single / Family) | $4,000 / $8,000 | $4,500 / $9,000 | $6,000 / $12,000 | $6,500 / $13,000 |
| Out-of-Pocket Limit (Single / Family) | $7,050 / $14,100 | $7,050 / $14,100 | $7,050 / $14,100 | $7,050 / $14,100 |
| Tier 3 Out-of-Network | 4000 Plan | 4500 Plan | 6000 Plan | 6500 Plan |
| Deductible (Single / Family) | $8,000 / $16,000 | $9,000 / $18,000 | $12,000 / $24,000 | $13,000 / $26,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited | Unlimited | Unlimited | Unlimited |
| Schedule of Benefits | Schedule of Benefits | Schedule of Benefits | Schedule of Benefits |
4000 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $4,000 / $8,000 |
| Out-of-Pocket Limit (Single / Family) | $7,050 / $14,100 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $8,000 / $16,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
4500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $4,500 / $9,000 |
| Out-of-Pocket Limit (Single / Family) | $7,050 / $14,100 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $9,000 / $18,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
6000 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $6,000 / $12,000 |
| Out-of-Pocket Limit (Single / Family) | $7,050 / $14,100 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $12,000 / $24,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
6500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $6,500 / $13,000 |
| Out-of-Pocket Limit (Single / Family) | $7,050 / $14,100 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $13,000 / $26,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
PPO Value
Low annual deductibles with coinsurance benefits after deductibles are met.
| Tier 1 Advanta Advocate | 2500 Plan | 3500 Plan | 6850 Plan |
| Deductible (Single / Family) | None | None | None |
| Out-of-Pocket Limit (Single / Family) | None | None | None |
| Tier 2 In-Network | 2500 Plan | 3500 Plan | 6850 Plan |
| Deductible (Single / Family) | $2,500 / $5,000 | $3,500 / $7,000 | $6,850 / $13,700 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 | $8,700 / $17,400 | $8,700 / $17,400 |
| Tier 3 Out-of-Network | 2500 Plan | 3500 Plan | 6850 Plan |
| Deductible (Single / Family) | $7,000 / $14,000 | $9,000 / $18,000 | $15,700 / $31,400 |
| Out-of-Pocket Limit (Single / Family) | Unlimited | Unlimited | Unlimited |
| Schedule of Benefits | Schedule of Benefits | Schedule of Benefits |
2500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $2,500 / $5,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $7,000 / $14,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
3500 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $3,500 / $7,000 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $9,000 / $18,000 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
6850 Plan
| Tier 1 Advanta Advocate | |
| Deductible (Single / Family) | None |
| Out-of-Pocket Limit (Single / Family) | None |
| Tier 2 In-Network | |
| Deductible (Single / Family) | $6,850 / $13,700 |
| Out-of-Pocket Limit (Single / Family) | $8,700 / $17,400 |
| Tier 3 Out-of-Network | |
| Deductible (Single / Family) | $15,700 / $31,400 |
| Out-of-Pocket Limit (Single / Family) | Unlimited |
| Schedule of Benefits | |
Find a provider.
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