Western Plans (HDHPs) Spanish

WESTERN HIGH-DEDUCTIBLE PLANS

Copayment Summaries

New and Renewing Plans in 2025 

Note: All high-deductible medical plans include prescription coverage.

• Western 1800/0/0 HDHP HMO Prime
• Western 2800/0/0 HDHP HMO Prime
• Western 2800/40/500 HDHP HMO Prime
• Western 3000/30/30% HDHP HMO Prime
• Western 4000/40%/40% HDHP HMO Prime
• Western 5500/0/0 HDHP HMO Prime

WESTERN HIGH-DEDUCTIBLE PLANS

Copayment Summaries

Renewing Plans in 2024

Note: All high-deductible medical plans include prescription coverage.

• Western 1800/0/0 HDHP HMO Prime
• Western 2800/0/0 HDHP HMO Prime
• Western 2800/40/500 HDHP HMO Prime
• Western 3000/30/30% HDHP HMO Prime
• Western 4000/40%/40% HDHP HMO Prime
• Western 5500/0/0 HDHP HMO Prime

RIDERS

Copayment/Benefit Summaries

• Family & Diversity Support
• Infertility
• Hearing Aid Plans
• Healthy Lifestyle Program