CDHP #1 CDHP #2 CDHP #3 IN-NETWORK OUT-OF-NETWORK IN-NETWORK OUT-OF-NETWORK IN-NETWORK OUT-OF-NETWORK Embedded Deductible $3,500 / $4,500 / N/A N/A N/A N/A (Single/Family) $7,000 $9,000 Non-Embedded Deductible N/A N/A $2,500 / $4,000 / $2,000 / $3,500 / (Single/Family) $5,000 $8,000 $4,000 $7,000 Out-of-Pocket Max $4,500 / $9,000 $9,000 / $4,000 / $8,000 / $3,500 / $7,000 / (Single/Family) $18,000 $8,000 $16,000 $7,000 $14,000 Physician/Specialist Visits 20% after 40% after 20% after 40% after 20% after 40% after deductible Deductible deductible Deductible deductible Deductible Coinsurance 20% 40% 20% 40% 20% 40% Preventive Care 100% Coverage 40% after 100% 40% after 100% 40% after Deductible Coverage Deductible Coverage Deductible Hospital Services 20% after 40% after 20% after 40% after 20% after 40% after (Maternity, In/Out-Patient) deductible Deductible deductible Deductible deductible Deductible Urgent Care & ER 20% after 40% after 20% after 40% after 20% after 40% after deductible Deductible deductible Deductible deductible Deductible Mental Health & Substance 20% after 40% after 20% after 40% after 20% after 40% after Abuse Services deductible Deductible deductible Deductible deductible Deductible