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Golden Rule Platinum Health Insurance in ARIZONA – Health Plan Options

Golden Rule Platinum — HMO $0 Deductible/70% Coinsurance

A comparison of the HMO $0 Deductible/70% Coinsurance offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit
Copay	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit
Deductible	None	None

Golden Rule Platinum — HMO $1,000 Deductible/70% Coinsurance

A comparison of the HMO $1,000 Deductible/70% Coinsurance offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	Primary Care Physician: $25 copay/visitSpecialist: $50 copay/visit	Primary Care Physician: $25 copay/visitSpecialist: $50 copay/visit
Copay	Primary Care Physician: $25 copay/visit Specialist: $50 copay/visit	Primary Care Physician: $25 copay/visit Specialist: $50 copay/visit
Deductible	Single: $1,000, Family: $2,000	Single: $1,000, Family: $2,000

Golden Rule Platinum — PPO $500 Deductible, 80/60% Coinsurance

A comparison of the PPO $500 Deductible, 80/60% Coinsurance offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care Physician: $25 copay/visit Specialist: $40 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Copay	Primary Care Physician: $25 copay/visit Specialist: $40 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Deductible	Single: $500, Family: $1,000	Single: $1,000, Family: $2,000

Golden Rule Platinum — PPO $1,000 Deductible, 80/60% Coinsurance

A comparison of the PPO $1,000 Deductible, 80/60% Coinsurance offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care Physician: $25 copay/visit Specialist: $40 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Copay	Primary Care Physician: $25 copay/visit Specialist: $40 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Deductible	Single: $1,000, Family: $2,000	Single: $2,000, Family: $4,000

Golden Rule Platinum — PPO $2,500 Deductible, 80/60% Coinsurance

A comparison of the PPO $2,500 Deductible, 80/60% Coinsurance offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Copay	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Deductible	Single: $2,500, Family: $5,000	Single: $5,000, Family: $10,000

Golden Rule Platinum — PPO $5,000 Deductible, 80/60% Coinsurance

A comparison of the PPO $5,000 Deductible, 80/60% Coinsurance offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Copay	Primary Care Physician: $30 copay/visit Specialist: $45 copay/visit	Primary Care Physician: 60%, Subject to deductible Specialist: 60%, Subject to deductible
Deductible	Single: $5,000, Family: $10,000	Single: $10,000, Family: $20,000

Golden Rule Platinum — High Deductible PPO $1,750/100%

A comparison of the High Deductible PPO $1,750/100% offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	50%
Office Visit	100%, Subject to deductible	50%, Subject to deductible
Copay	100%, Subject to deductible	50%, Subject to deductible
Deductible	Individual: $1,750, Family: $3,500	Individual: $3,500, Family: $7,000

Golden Rule Platinum — High Deductible PPO $2,600/100%

A comparison of the High Deductible PPO $2,600/100% offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	50%
Office Visit	100%, Subject to deductible	50%, Subject to deductible
Copay	100%, Subject to deductible	50%, Subject to deductible
Deductible	Individual: $2,600, Family: $5,150	Individual: $5,200, Family: $10,300

Golden Rule Platinum — High Deductible PPO $2,600/80%

A comparison of the High Deductible PPO $2,600/80% offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	50%
Office Visit	80%, Subject to deductible	50%, Subject to deductible
Copay	N/A	N/A
Deductible	Individual: $2,600, Family: $5,150	Individual: $5,200, Family: $10,300

Golden Rule Platinum — Patriot Class 1

A comparison of the Patriot Class 1 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

Golden Rule Platinum — Patriot Class 3

A comparison of the Patriot Class 3 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

Golden Rule Platinum — Patriot Class 4

A comparison of the Patriot Class 4 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Doctor visit: $60/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)	Doctor visit: $60/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)
Copay	Doctor visit: $60/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)	Doctor visit: $60/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)
Deductible	N/A	N/A

Golden Rule Platinum — Patriot Class 5

A comparison of the Patriot Class 5 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Doctor visit: $70/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)	Doctor visit: $70/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)
Copay	Doctor visit: $70/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)	Doctor visit: $70/visit (Up to 5 visits on the individual plan and up to 8 vists per calendar year per family)
Deductible	N/A	N/A

Golden Rule Platinum — Health Savings 1500

A comparison of the Health Savings 1500 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 80% after deductible is fulfilled	CIGNA pays 50% after deductible is fulfilled
Office Visit	Primary Care Physician- CIGNA pays 80% after deductible is fulfilled, Specialist- CIGNA pays 80% after deductible is fulfilled	CIGNA pays 50% after deductible is fulfilled
Copay	N/A	N/A
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Golden Rule Platinum — Health Savings 3000

A comparison of the Health Savings 3000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 100% of eligible charges	CIGNA pays 60% of eligible charges
Office Visit	CIGNA pays 100% (once the annual deductible amount is fulfilled by the member)	CIGNA pays 60% (once the annual deductible amount is fulfilled by the member)
Copay	N/A	N/A
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family; $12,000

Golden Rule Platinum — Health Savings 5000

A comparison of the Health Savings 5000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 100% after deductible is fulfilled	CIGNA pays 50% after deductible is fulfilled
Office Visit	Primary Care Physician - CIGNA pays 100% after deductible is fulfilled, Specialist – CIGNA pays 100% after deductible is fulfilled	CIGNA pays 50% after deductible is fulfilled
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — HMO CMG

A comparison of the HMO CMG offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 80% after deductible	CIGNA pays 80% after deductible
Office Visit	Primary Care Physician: For Children Through Age 6 - $25 For Children Age 7 and Up - $25 Specialist Care: For Children Through Age 6 - $50 For Children Age 7 and Up - $50	Primary Care Physician: For Children Through Age 6 - $25 For Children Age 7 and Up - $25 Specialist Care: For Children Through Age 6 - $50 For Children Age 7 and Up - $50
Copay	Primary Care Physician - $25 Specialist Care - $50	Primary Care Physician - $25 Specialist Care - $50
Deductible	Individual: $1,000, Family: $3,000	Individual: $1,000, Family: $3,000

Golden Rule Platinum — HMO APN

A comparison of the HMO APN offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 80% after deductible	CIGNA pays 80% after deductible
Office Visit	Primary Care Physician: For Children Through Age 6 - $25 For Children Age 7 and Up - $25 Specialist Care: For Children Through Age 6 - $50 For Children Age 7 and Up - $50	Primary Care Physician: For Children Through Age 6 - $25 For Children Age 7 and Up - $25 Specialist Care: For Children Through Age 6 - $50 For Children Age 7 and Up - $50
Copay	Primary Care Physician - $25 Specialist Care - $50	Primary Care Physician - $25 Specialist Care - $50
Deductible	Individual: $1,000, Family: $3,000	Individual: $1,000, Family: $3,000

Golden Rule Platinum — Open Access 1000

A comparison of the Open Access 1000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 80% of eligible charges	CIGNA pays 60% of eligible charges
Office Visit	Primary Care Physician: $25 copay, deductible waived, Specialist: $35 copay, deductible waived	CIGNA pays 60% after deductible is fulfilled
Copay	Primary Care Physician: $25 copay, Specialist: $35 copay	CIGNA pays 60% after deductible is fulfilled
Deductible	Individual: $1,000, Family: $2,000	Individual: $2,000, Family: $4,000

Golden Rule Platinum — Open Access 3000

A comparison of the Open Access 3000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 80% of eligible charges	CIGNA pays 60% of eligible charges
Office Visit	Primary Care Physician: $40 copay, deductible waived, Specialist: $60 copay, deductible waived	Primary Care Physician: CIGNA pays 60% after deductible is fulfilled, Specialist: CIGNA pays 60% after deductible is fulfilled
Copay	Primary Care Physician: $40 copay, deductible waived, Specialist: $60 copay, deductible waived	Primary Care Physician: CIGNA pays 60% after deductible is fulfilled, Specialist: CIGNA pays 60% after deductible is fulfilled
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family: $12,000

Golden Rule Platinum — Open Access 5000

A comparison of the Open Access 5000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 80% of eligible charges	CIGNA pays 60% of eligible charges
Office Visit	Primary Care Physician: CIGNA pays 80% after deductible is fulfilled Specialist: CIGNA pays 80% after deductible is fulfilled	Primary Care Physician: CIGNA pays 60% after deductible is fulfilled, Specialist: CIGNA pays 60% after deductible is fulfilled
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Open Access 2000

A comparison of the Open Access 2000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	CIGNA pays 80% after deductible is fulfilled	CIGNA pays 60% after deductible is fulfilled
Office Visit	Primary Care Physician - $25, Specialist - $50	CIGNA pays 60% after deductible is fulfilled
Copay	Primary Care Physician - $25, Specialist - $50	CIGNA pays 60% after deductible is fulfilled
Deductible	Individual: $2,000, Family: $6,000	Individual: $4,000, Family: $12,000

Golden Rule Platinum — Healthy Savings

A comparison of the Healthy Savings offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	Benefits reduced by 25%
Office Visit	Subject to deductible & coinsurance	Benefits reduced by 25%
Copay	N/A	N/A
Deductible	$1,500	$1,500

Golden Rule Platinum — Healthy Savings

A comparison of the Healthy Savings offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	Benefits reduced by 25%
Office Visit	Subject to deductible & coinsurance	Benefits reduced by 25%
Copay	N/A	N/A
Deductible	$2,500	$2,500

Golden Rule Platinum — Healthy Savings

A comparison of the Healthy Savings offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	Benefits reduced by 25%
Office Visit	Subject to deductible & coinsurance	Benefits reduced by 25%
Copay	N/A	N/A
Deductible	$2,500	$2,500

Golden Rule Platinum — Healthy Savings

A comparison of the Healthy Savings offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	Benefits reduced by 25%
Office Visit	Subject to deductible & coinsurance	Benefits reduced by 25%
Copay	N/A	N/A
Deductible	$3,750	$3,750

Golden Rule Platinum — Healthy Savings

A comparison of the Healthy Savings offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	Benefits reduced by 25%
Office Visit	Subject to deductible & coinsurance	Benefits reduced by 25%
Copay	N/A	N/A
Deductible	$1,500	$1,500

Golden Rule Platinum — Healthy Savings

A comparison of the Healthy Savings offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	Benefits reduced by 25%
Office Visit	Subject to deductible & coinsurance	Benefits reduced by 25%
Copay	N/A	N/A
Deductible	$5,000	$5,000

Golden Rule Platinum — Health Select

A comparison of the Health Select offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$25 copay per non-preventive visit	Benefits reduced by 25%
Copay	$25 copay per non-preventive visit	$25 copay per non-preventive visit
Deductible	Individual: $5,000, Family: $15,000	Individual: $5,000, Family: $15,000

Golden Rule Platinum — Health Select

A comparison of the Health Select offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$25 copay per non-preventive visit	Benefits reduced by 25%
Copay	$25 copay per non-preventive visit	$25 copay per non-preventive visit
Deductible	Individual: $5,000, Family: $15,000	Individual: $5,000, Family: $15,000

Golden Rule Platinum — Health Select

A comparison of the Health Select offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$25 copay per non-preventive visit	Benefits reduced by 25%
Copay	$25 copay per non-preventive visit	$25 copay per non-preventive visit
Deductible	Individual: $5,000, Family: $15,000	Individual: $5,000, Family: $15,000

Golden Rule Platinum — Health Select

A comparison of the Health Select offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$25 copay per non-preventive visit	Benefits reduced by 25%
Copay	$25 copay per non-preventive visit	$25 copay per non-preventive visit
Deductible	Individual: $5,000, Family: $15,000	Individual: $5,000, Family: $15,000

Golden Rule Platinum — Preferred Value

A comparison of the Preferred Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$30 copay per non-preventive visit. 4 visits per year. (Office visit fee only)	Benefits reduced by 25%
Copay	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)
Deductible	Individual: $10,000, Family: $30,000	Individual: $10,000, Family: $30,000

Golden Rule Platinum — Preferred Value

A comparison of the Preferred Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$30 copay per non-preventive visit. 4 visits per year. (Office visit fee only)	Benefits reduced by 25%
Copay	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)
Deductible	Individual: $10,000, Family: $30,000	Individual: $10,000, Family: $30,000

Golden Rule Platinum — Preferred Value

A comparison of the Preferred Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$30 copay per non-preventive visit. 4 visits per year. (Office visit fee only)	Benefits reduced by 25%
Copay	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)
Deductible	Individual: $10,000, Family: $30,000	Individual: $10,000, Family: $30,000

Golden Rule Platinum — Preferred Value

A comparison of the Preferred Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	Benefits reduced by 25%
Office Visit	$30 copay per non-preventive visit. 4 visits per year. (Office visit fee only)	Benefits reduced by 25%
Copay	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)	$30 copay per non-preventive visit, 4 visits per year (Office visit fee only)
Deductible	Individual: $10,000, Family: $30,000	Individual: $10,000, Family: $30,000

Golden Rule Platinum — Unlimited Access

A comparison of the Unlimited Access offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	N/A
Office Visit	Subject to deductible & coinsurance	N/A
Copay	N/A	N/A
Deductible	Individual: $500, Family: $1,500	Individual: $500, Family: $1,500

Golden Rule Platinum — Unlimited Access

A comparison of the Unlimited Access offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	N/A
Office Visit	Subject to deductible & coinsurance	N/A
Copay	N/A	N/A
Deductible	Individual: $1,000, Family: $3,000	Individual: $1,000, Family: $3,000

Golden Rule Platinum — Unlimited Access

A comparison of the Unlimited Access offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	N/A
Office Visit	Subject to deductible & coinsurance	N/A
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $7,500	Individual: $2,500, Family: $7,500

Golden Rule Platinum — Unlimited Access

A comparison of the Unlimited Access offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	N/A
Office Visit	Subject to deductible & coinsurance	N/A
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: $15,000	Individual: $5,000, Family: $15,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueOptimum

A comparison of the BlueOptimum offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,000, Family: $4,000	Individual: $2,500, Family: $5,000

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $250, Family: $750	Individual: $750, Family: $2,250

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $500, Family: $1,500	Individual: $1,000, Family: $3,000

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $1,000, Family: $3,000	Individual: $1,500, Family: $4,500

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $2,000, Family: $6,000	Individual: $2,500, Family: $7,500

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $3,000, Family: $9,000	Individual: $3,500, Family: $10,500

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $5,000, Family: $15,000	Individual: $5,500, Family: $16,500

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $7,500, Family: $22,500	Individual: $8,000, Family: $24,000

Golden Rule Platinum — BlueValue

A comparison of the BlueValue offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 70% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $10,000, Family: $30,000	Individual: $10,500, Family: $31,500

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $250, Family: $750	Individual: $750, Family: $2,250

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $500, Family: $1,500	Individual: $1,000, Family: $3,000

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $1,000, Family: $3,000	Individual: $1,500, Family: $4,500

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $2,000, Family: $6,000	Individual: $2,500, Family: $7,500

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $3,000, Family: $9,000	Individual: $3,500, Family: $10,500

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $5,000, Family: $15,000	Individual: $5,500, Family: $16,500

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $7,500, Family: $22,500	Individual: $8,000, Family: $24,000

Golden Rule Platinum — BlueEssential

A comparison of the BlueEssential offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician: $25 copay Specialist: 60% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $10,000, Family: $30,000	Individual: $10,500, Family: $31,500

Golden Rule Platinum — BluePortfolio

A comparison of the BluePortfolio offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	50% after deductible
Office Visit	100% after deductible	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $1,750, Family: $3,500	Individual: $2,250, Family: $4,000

Golden Rule Platinum — BluePortfolio

A comparison of the BluePortfolio offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	50% after deductible
Office Visit	100% after deductible	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,000, Family: $6,000	Individual: $3,500, Family: $6,500

Golden Rule Platinum — BluePortfolio

A comparison of the BluePortfolio offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	50% after deductible
Office Visit	100% after deductible	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: $11,000	Individual: $6,000, Family: $11,500

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $15 copay Specialist: $30 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $15 copay Specialist: $30 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $250, Family: $500	Individual: $750, Family: $1,500

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $20 copay Specialist: $40 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $20 copay Specialist: $40 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $500, Family: $1,000	Individual: $1,000, Family: $2,000

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,500, Family: $3,000

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: $50 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $25 copay Specialist: $50 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $2,000, Family: $4,000

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $30 copay Specialist: $55 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $30 copay Specialist: $55 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $3,000, Family: $6,000

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $30 copay Specialist: $55 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $30 copay Specialist: $55 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $3,500, Family: $7,000	Individual: $4,000, Family: $8,000

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $35 copay Specialist: $55 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $35 copay Specialist: $55 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,500, Family: $11,000

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $35 copay Specialist: $55 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $35 copay Specialist: $55 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $7,500, Family: $15,000	Individual: $8,000, Family: $16,000

Golden Rule Platinum — BluePreferred

A comparison of the BluePreferred offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Primary Care Physician: $40 copay Specialist: $55 copay 80% after deductible for other covered services	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Copay	Primary Care Physician: $40 copay Specialist: $55 copay	Primary Care Physician: 60% after deductible Specialist: 60% after deductible
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,500, Family: $21,000

Golden Rule Platinum — BluePreferred Basic

A comparison of the BluePreferred Basic offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Primary Care Physician: $25 copay Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician:$25 Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Golden Rule Platinum — BluePreferred Basic

A comparison of the BluePreferred Basic offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Primary Care Physician: $30 copay Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician:$30 Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Golden Rule Platinum — BluePreferred Basic

A comparison of the BluePreferred Basic offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Primary Care Physician: $30 copay Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician:$30 Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $3,500, Family: $7,000	Individual: $7,000, Family: $14,000

Golden Rule Platinum — BluePreferred Basic

A comparison of the BluePreferred Basic offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Primary Care Physician: $35 copay Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician:$35 Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — BluePreferred Basic

A comparison of the BluePreferred Basic offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Primary Care Physician: $35 copay Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician:$35 Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $7,500, Family: $15,000	Individual: $15,000, Family: $30,000

Golden Rule Platinum — BluePreferred Basic

A comparison of the BluePreferred Basic offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Primary Care Physician: $40 copay Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Copay	Primary Care Physician:$40 Specialist: 80% after deductible	Primary Care Physician: 50% after deductible Specialist: 50% after deductible
Deductible	Individual: $10,000, Family: $20,000	Individual: $20,000, Family: $40,000

Golden Rule Platinum — BlueSecure

A comparison of the BlueSecure offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Care Physician: $30 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day	Primary Care Physician: $30 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day
Copay	Primary Care Physician: $30 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day	Primary Care Physician: $30 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Golden Rule Platinum — BlueSecure Plus

A comparison of the BlueSecure Plus offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	Coinsurance applies to physical, occupational and speech therapy services	Coinsurance applies to physical, occupational and speech therapy services
Office Visit	Primary Care Physician: $25 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day	Primary Care Physician: $25 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day
Copay	Primary Care Physician: $25 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day	Primary Care Physician: $25 copay per member, per provider, per day Specialist: $40 copay per member, per provider, per day
Deductible	None	None

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — Short Term Medical

A comparison of the Short Term Medical offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$500	$500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$7,500	$7,500

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	ubject to deductible and coinsurance	ubject to deductible and coinsurance
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	ubject to deductible and coinsurance	ubject to deductible and coinsurance
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	ubject to deductible and coinsurance	ubject to deductible and coinsurance
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,000	$5,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$4,000	$2,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$4,000	$2,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,500	$11,000

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,000	$5,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	30% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	30% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,500	$11,000

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$5,000	$5,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Deductible and Coinsurance	Deductible and Coinsurance
Copay	None	None
Deductible	$2,000	see brochure

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Deductible and Coinsurance	Deductible and Coinsurance
Copay	None	None
Deductible	$2,850	see brochure

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$5,500	$11,000

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to copay, after 4 visits- subject to deductible and coinsurance	Subject to copay, after 4 visits- subject to deductible and coinsurance
Copay	4 Visits- $15 Primary Care Physician/$60 Specialist	4 Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$5,000	$5,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Deductible and Coinsurance	Deductible and Coinsurance
Copay	None	None
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,000	see brochure

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Deductible and Coinsurance	Deductible and Coinsurance
Copay	None	None
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,850	see brochure

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	None	None
Deductible	$5,500	$11,000

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$5,000	$5,000

Golden Rule Platinum — The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$2,000	see brochure

Golden Rule Platinum — The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$2,850	see brochure

Golden Rule Platinum — The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$5,500	$11,000

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the The Edge HSA Bronze Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$5,000	$5,000

Golden Rule Platinum — The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$5,500	$11,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $1,500	Individual:$2,000, Family: $4,000 $1,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $1,500	Individual:$2,000, Family: $4,000 $1,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,000	Individual:$2,000, Family: $4,000 $2,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,000	Individual:$2,000, Family: $4,000 $2,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,500	Individual:$2,000, Family: $4,000 $2,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,500	Individual:$2,000, Family: $4,000 $2,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $5,000	Individual:$2,000, Family: $4,000 $5,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $5,000	Individual:$2,000, Family: $4,000 $5,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $1,500	Individual:$2,000, Family: $4,000 $1,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $1,500	Individual:$2,000, Family: $4,000 $1,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,000	Individual:$2,000, Family: $4,000 $2,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,000	Individual:$2,000, Family: $4,000 $2,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,500	Individual:$2,000, Family: $4,000 $2,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,500	Individual:$2,000, Family: $4,000 $2,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $1,500	Individual:$2,000, Family: $4,000 $1,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $1,500	Individual:$2,000, Family: $4,000 $1,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,000	Individual:$2,000, Family: $4,000 $2,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,000	Individual:$2,000, Family: $4,000 $2,000

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,500	Individual:$2,000, Family: $4,000 $2,500

Golden Rule Platinum — Generations HSA

A comparison of the Generations HSA offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50%	30%
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual:$2,000, Family: $4,000 $2,500	Individual:$2,000, Family: $4,000 $2,500

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $750	Individual: $2,000, Family: $6,000 $750

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $750	Individual: $2,000, Family: $6,000 $750

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $1,500	Individual: $2,000, Family: $6,000 $1,500

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $1,500	Individual: $2,000, Family: $6,000 $1,500

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $2,000	Individual: $2,000, Family: $6,000 $2,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $2,000	Individual: $2,000, Family: $6,000 $2,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $2,500	Individual: $2,000, Family: $6,000 $2,500

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $2,500	Individual: $2,000, Family: $6,000 $2,500

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $5,000	Individual: $2,000, Family: $6,000 $5,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $5,000	Individual: $2,000, Family: $6,000 $5,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $10,000	Individual: $2,000, Family: $6,000 $10,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $10,000	Individual: $2,000, Family: $6,000 $10,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $15,000	Individual: $2,000, Family: $6,000 $15,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $15,000	Individual: $2,000, Family: $6,000 $15,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $20,000	Individual: $2,000, Family: $6,000 $20,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $20,000	Individual: $2,000, Family: $6,000 $20,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $25,000	Individual: $2,000, Family: $6,000 $25,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $25,000	Individual: $2,000, Family: $6,000 $25,000

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $750	Individual: $2,000, Family: $6,000 $750

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Deductible then coinsurance	Deductible then coinsurance
Copay	N/A	N/A
Deductible	Individual: $2,000, Family: $6,000 $750	Individual: $2,000, Family: $6,000 $750

Golden Rule Platinum — Generations One

A comparison of the Generations One offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure