New 2025 Medical Plans

Plan Information

DMBA PPO 90 Plan
Single: S9XDMBA
Family: T9XDMBA
DMBA PPO 70 Plan
Single: S7XDMBA
Family: T7XDMBA
DMBA HSA 80 Plan
Single: S8XDMBA
Family: T8XDMBA
DMBA HSA 60 Plan
Single: S6XDMBA
Family: T6XDMBA
Deductible1 None None Single: $1,650
Two-party/Family: $3,300
Single: $3,000
Two-party/Family: $6,000
Coinsurance 10% 30% 20% 40%
Copayments Preventive care: $0
Primary care physician: $25
Specialist: $35
Preventive care: $0
Primary care physician: $25
Specialist: $35
None None
Out-of-pocket maximum Per person: $3,000
Per family: $6,000
Per person: $5,000
Per family: $8,000
Per person: $4,500
Per family: $8,000
Per person: $7,500
Per family: $15,000

1 Single deductible applies when plan covers one person; Two-party/Family deductible applies when plan covers more than one person.

Notable Benefit Changes


Provider Network: All new plans have the same provider network. All contracted providers are contracted for all plans.

Preventive Care: Now includes physician prenatal services on all plans. For HSA plans, in-network physician maternity services and certain (IRS) preventive services are paid pre-deductible.

Coordination of Benefits: DMBA no longer supports coordination of benefits between two DMBA plans. Benefits will continue to be coordinated between DMBA plans and non-DMBA plans.

Sample ID Cards

HSA 60 Single ID Card Front HSA 60 Single ID Card Back
HSA 60 Family ID Card Front HSA 60 Family ID Card Back
HSA 80 Single ID Card Front HSA 80 Single ID Card Back
HSA 80 Family ID Card Front HSA 80 Family ID Card Back
PPO 70 Single ID Card Front PPO 70 Single ID Card Back
PPO 70 Family ID Card Front PPO 70 Family ID Card Back
PPO 90 Single ID Card Front PPO 90 Single ID Card Back
PPO 90 Family ID Card Front PPO 90 Family ID Card Back