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Intermediary Groups: 1-5 Eligible Employees
Plans	Premium HMO *Available with Alliance Network
	HNE Principle * Option 4	HNE Health
Up-front deductible	N/A	N/A
Doctor’s Office	$0 Preventive Services $15	$0 Preventive Services $15 PCP $25 Specialist
Emergency (waived if admitted directly from ER)	$50 per visit	$75 per visit
Diagnostic Imaging: CT Scans, MRI, PET Scans	$0	$0
Outpatient Surgical	$150	$100
Hospital Stay	$250	$100
Out-of-Pocket Maximum	$500 per individual $1,000 per family	$500 per individual $1,000 per family
Out-of-Pocket Maximum Includes:	Services with copayment of $150 or greater	Services with copayment of $100 or greater