HMO Individual HMO Plans Comparison of Benefits. Page 1

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "HMO. 2015 Individual HMO Plans Comparison of Benefits. Page 1"

Transcription

1 2015 Individual HMO Plans Comparison of Benefits HMO (including 15 Routine Specialist Visit (including Behavioral HF Platinum HMO Select % $800 / $1,600 $1,000 / $2,000 $0 $15 $35 $35 0% HF Platinum HMO Select % $750 / $1,500 $1,500 / $3,000 $0 Visits 1-3, $0; Visits 4+, $15 $20 $20 10%, $0 for Diagnostic Labs HF Platinum HMO Select % $450 / $900 $1,700 / $3,400 $0 Visits 1-3, $0; Visits 4+, $20 $20 $20 20%, $0 for Diagnostic Labs HF Gold HMO Select % $2,600 / $5,200 $2,800 / $5,600 $0 $20 $40 $40 0% HF Gold HMO Select % $1,300 / $2,600 $3,000 / $6,000 $0 10% 10% 10% 10% HF Gold HMO Select % $1,500 / $3,000 $3,000 / $6,000 $0 10% 10% 10% 10% HF Gold HMO Select % $1,500 / $3,000 $4,000 / $8,000 $0 $15 $30 $30 20% : : : Copay applies to first 5 visits, then 20% : : : $600/admission for Inpatient Care HF Gold HMO Select % $1,000 / $2,000 $2,500 / $5,000 $0 Visits 4+, 20% 20% 20% HF Gold HMO Select % $1,000 / $2,000 $6,350 / $12,700 $0 20% $350 for $20 $40 $40 20% : : : Copay applies to first 3 visits, then 20% : : : $875/admission for Inpatient Care, $250 for Outpatient Surgery, $150 for Specialty Imaging HF Gold HMO Select % $2,000 / $4,000 $4,000 / $8,000 $0 $15 $30 $30 20%, $0 for Diagnostic Labs HF Gold HMO Select % $1,000 / $2,000 $2,900 / $5,800 $0 30% 30% 30% 30% HF Gold HMO Select % $1,000 / $2,000 $3,000 / $6,000 $0 $35 $50 $50 : : : Copay applies to first 4 visits, then 30% : : : 30%, $0 for Diagnostic Labs HF Gold HMO Select % $1,000 / $2,000 $2,000 / $4,000 $0 50% 50% 50% 50% HF Silver HMO Select % $3,800 / $7,600 $4,000 / $8,000 $0 then $25 0% HF Silver HMO Select % $4,400 / $8,800 $4,600 / $9,200 $0 $50 0% 0% 0% HF Silver HMO Select % $2,600 / $5,200 $6,350 / $12,700 $0 $40 10% HF Silver HMO Select % $3,000 / $6,000 $6,000 / $12,000 $0 $25 10% HF Silver HMO Select % $2,000 / $4,000 $4,500 / $9,000 $0 15% 15% 15% 15% HF Silver HMO Select % $2,500 / $5,000 $6,350 / $12,700 $0 20% 20% 20% 20% HF Silver HMO Select % $2,000 / $4,000 $4,600 / $9,200 $0 30% 30% 30% 30% HF Silver HMO Select % $3,500 / $7,000 $6,350 / $12,700 $0 $35 $50 $50 HF Bronze HMO Select % $6,000 / $12,000 $6,000 / $12,000 $0 0% 0% 0% 0% HF Bronze HMO Select % $6,000 / $12,000 $6,350 / $12,700 $0 10% 10% 10% HF Bronze HMO Select % $4,000 / $8,000 $6,350 / $12,700 $0 20% 20% 20% 20% HF Bronze HMO Select % $4,600 / $9,200 $6,350 / $12,700 $0 $50 30% 30% 30% HF Catastrophic HMO Select % $6,600 / $13,200 $6,600 / $13,200 $0 Visits 4+, 0% 0% 0% 0% 30% 5-tier Formulary, Single ( waived for Tiers 1-2) $0 Rx $0 Rx 10% after 50% after 0% after 10/20/40/60/30% $350 Rx 20% after 30% after 0% after Page 1

2 2015 Individual HMO Plans Comparison of Benefits Cost-Share Reduction Variations HMO CSR Pediatric Dental (including 15 Routine Specialist Visit (including Behavioral 5-tier Formulary, Single ( waived for Tiers 1-2) HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 100% $100 / $200 $400 / $800 $0 $5 $50 $50 0% HF Silver AV87 HMO Select ( % FPL) 100% $900 / $1,800 $1,300 / $2,600 $0 $5 $50 $50 0% HF Silver AV73 HMO Select ( % FPL) 100% $2,900 / $5,800 $3,200 / $6,400 $0 then $25 0% HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 100% $150 / $300 $400 / $800 $0 $5 0% 0% 0% HF Silver AV87 HMO Select ( % FPL) 100% $900 / $1,800 $1,300 / $2,600 $0 $5 0% 0% 0% HF Silver AV73 HMO Select ( % FPL) 100% $3,200 / $6,400 $4,600 / $9,200 $0 $50 0% 0% 0% HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 90% $0 / $0 $650 / $1,300 $0 $5 $50 $50 10% HF Silver AV87 HMO Select ( % FPL) 90% $350 / $700 $2,250 / $4,500 $0 $5 $50 $50 10% HF Silver AV73 HMO Select ( % FPL) 90% $2,500 / $5,000 $5,200 / $10,400 $0 $25 10% HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 90% $0 / $0 $600 / $1,200 $0 $5 $60 $60 10% HF Silver AV87 HMO Select ( % FPL) 90% $250 / $500 $2,250 / $4,500 $0 $5 $60 $60 10% HF Silver AV73 HMO Select ( % FPL) 90% $2,100 / $4,200 $5,200 / $10,400 $0 $40 10% HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 85% $0 / $0 $1,000 / $2,000 $0 15% 15% 15% 15% HF Silver AV87 HMO Select ( % FPL) 85% $400 / $800 $2,250 / $4,500 $0 15% 15% 15% 15% HF Silver AV73 HMO Select ( % FPL) HF Silver HMO Select % $1,650 / $3,300 $4,500 / $9,000 $0 15% 15% 15% 15% HF Silver AV94 HMO Select ( % FPL) 80% $200 / $400 $500 / $1,000 $0 20% 20% 20% 20% $250 Rx HF Silver AV87 HMO Select ( % FPL) 80% $700 / $1,400 $1,250 / $2,500 $0 20% 20% 20% 20% $250 Rx HF Silver AV73 HMO Select ( % FPL) 80% $2,500 / $5,000 $3,800 / $7,600 $0 20% 20% 20% 20% HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 30% 30% 30% 30% HF Silver AV87 HMO Select ( % FPL) 70% $0 / $0 $2,000 / $4,000 $0 30% 30% 30% 30% HF Silver AV73 HMO Select ( % FPL) 70% $1,300 / $2,600 $4,600 / $9,200 $0 30% 30% 30% 30% HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 30% 30% 30% 30% HF Silver AV87 HMO Select ( % FPL) 70% $0 / $0 $2,000 / $4,000 $0 30% 30% 30% 30% HF Silver AV73 HMO Select ( % FPL) 70% $1,200 / $2,400 $5,200 / $10,400 $0 30% 30% 30% 30% HF Silver HMO Select HF Silver AV94 HMO Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 $35 $50 $50 30% HF Silver AV87 HMO Select ( % FPL) 70% $800 / $1,600 $1,500 / $3,000 $0 $35 $50 $50 30% HF Silver AV73 HMO Select ( % FPL) 70% $3,000 / $6,000 $5,000 / $10,000 $0 $35 $50 $50 30% Page 2

3 2015 Individual POS Plans Comparison of Benefits POS (incl. 15 Routine Specialist Visit (including Behavioral HF Platinum POS Select % $800 / $1,600 $1,000 / $2,000 $0 $15 $35 $35 0% HF Platinum POS Select % $750 / $1,500 $1,500 / $3,000 $0 HF Platinum POS Select % $450 / $900 $1,700 / $3,400 $0 Visits 1-3, $0; Visits 4+, $15 Visits 1-3, $0; Visits 4+, $20 $20 $20 10%, $0 for Diagnostic Labs $20 $20 20%, $0 for Diagnostic Labs HF Gold POS Select % $2,600 / $5,200 $2,800 / $5,600 $0 $20 $40 $40 0% HF Gold POS Select % $1,300 / $2,600 $3,000 / $6,000 $0 10% 10% 10% 10% HF Gold POS Select % $1,500 / $3,000 $3,000 / $6,000 $0 10% 10% 10% 10% HF Gold POS Select % $1,000 / $2,000 $2,500 / $5,000 $0 Visits 4+, 20% 20% 20% 20%, $350 for Emergency Room Services, HF Gold POS Select % $2,000 / $4,000 $4,000 / $8,000 $0 $15 $30 $30 20%, $0 for Diagnostic Labs HF Gold POS Select % $1,500 / $3,000 $4,000 / $8,000 $0 HF Gold POS Select % $1,000 / $2,000 $6,350 / $12,700 $0 $15 $30 $30 20%, $600/admission for Inpatient : : : Copay applies to first 5 visits, then 20% : : : Care, $20 $40 $40 20%, $875/admission for Inpatient Care,, : : : Copay applies to first 3 visits, then 20% : : : $150 for Specialty Imaging HF Gold POS Select % $1,000 / $2,000 $2,900 / $5,800 $0 30% 30% 30% 30% HF Gold POS Select % $1,000 / $2,000 $3,000 / $6,000 $0 $35 $50 $50 : : : Copay applies to first 4 visits, then 30% : : : 30%, $0 for Diagnostic Labs HF Gold POS Select % $1,000 / $2,000 $2,000 / $4,000 $0 50% 50% 50% 50% HF Silver POS Select % $3,800 / $7,600 $4,000 / $8,000 $0 HF Silver POS Select % $4,400 / $8,800 $4,600 / $9,200 $0 $50 0% 0% 0% HF Silver POS Select % $3,000 / $6,000 $6,000 / $12,000 $0 $25 HF Silver POS Select % $2,600 / $5,200 $6,350 / $12,700 $0 $40 HF Silver POS Select then $25 85% $2,000 / $4,000 $4,500 / $9,000 $0 15% 15% 15% 15% HF Silver POS Select % $2,500 / $5,000 $6,350 / $12,700 $0 20% 20% 20% 20% HF Silver POS Select % $2,000 / $4,000 $4,600 / $9,200 $0 30% 30% 30% 30% HF Silver POS Select % $2,000 / $4,000 $6,000 / $12,000 $0 30% 30% 30% 30% HF Silver POS Select % $3,500 / $7,000 $6,350 / $12,700 $0 $35 $50 $50 30% HF Bronze POS Select % $6,000 / $12,000 $6,000 / $12,000 $0 0% 0% 0% 0% HF Bronze POS Select % $6,000 / $12,000 $6,350 / $12,700 $0 HF Bronze POS Select % 10% 10% 10% 10% 10% 80% $4,000 / $8,000 $6,350 / $12,700 $0 20% 20% 20% 20% HF Bronze POS Select % $4,600 / $9,200 $6,350 / $12,700 $0 $50 30% 30% 30% HF Catastrophic POS Select % $6,600 / $13,200 $6,600 / $13,200 $0 Visits 4+, 0% 0% 0% 0% 5-tier Formulary, Single ( waived for Tiers 1-2) $0 Rx $0 Rx 10% after 50% after 0% after 10/20/40/60/30% $350 Rx 20% after 30% after 0% after CY (Separate from in-network OOP max.) 50% $1,600 / $3,200 $2,000 / $4,000 50% $2,250 / $4,500 $4,500 / $9,000 50% $1,350 / $2,700 $5,100 / $10,200 50% $5,200 / $10,400 $5,600 / $11,200 50% $2,600 / $5,200 $6,000 / $12,000 60% $3,000 / $6,000 $6,000 / $12,000 50% $2,000 / $4,000 $5,000 / $10,000 50% $4,000 / $8,000 $8,000 / $16,000 50% $3,000 / $6,000 $8,000 / $16,000 50% $2,000 / $4,000 $12,800 / $25,600 50% $2,000 / $4,000 $5,800 / $11,600 50% $2,000 / $4,000 $6,000 / $12,000 50% $2,000 / $4,000 $4,000 / $8,000 50% $7,600 / $15,200 $8,000 / $16,000 50% $8,800 / $17,600 $9,200 / $18,400 50% $6,000 / $12,000 $12,000 / $24,000 50% $5,200 / $10,400 $12,700 / $25,400 30% $5,000 / $10,000 $12,700 / $25,400 50% $12,000 / $24,000 $12,000 / $24,000 50% $12,000 / $24,000 $12,700 / $25,400 50% $8,000 / $16,000 $12,700 / $25,400 50% $9,200 / $18,400 $12,700 / $25,400 50% $13, 200 / $26,400 $13,200 / $26,400 Page 3

4 POS CSR HF Silver POS Select Pediatric Dental and Vision (incl. 15 Routine PCP Office Visit Specialist Visit (including Behavioral 2015 Individual POS Plans Comparison of Benefits Cost-Share Reduction Variations OP Diagnostic Labs, OP Surgery, X-rays/ Ultrasounds, Inpatient Care, 5-tier Formulary, Single ( waived for Tiers 1-2) CY (separate from in-network OOP max.) HF Silver AV94 POS Select ( % FPL) 100% $100 / $200 $400 / $800 $0 $5 $50 $50 0% 50% $7,600 / $15,200 $8,000 / $16,000 HF Silver AV87 POS Select ( % FPL) 100% $900 / $1,800 $1,300 / $2,600 $0 $5 $50 $50 0% 50% $7,600 / $15,200 $8,000 / $16,000 HF Silver AV73 POS Select ( % FPL) 100% $2,900 / $5,800 $3,200 / $6,400 $0 HF Silver POS Select then $25 0% 50% $7,600 / $15,200 $8,000 / $16,000 HF Silver AV94 POS Select ( % FPL) 100% $150 / $300 $400 / $800 $0 $5 0% 0% 0% 50% $8,800 / $17,600 $9,200 / $18,400 HF Silver AV87 POS Select ( % FPL) 100% $900 / $1,800 $1,300 / $2,600 $0 $5 0% 0% 0% 50% $8,800 / $17,600 $9,200 / $18,400 HF Silver AV73 POS Select ( % FPL) 100% $3,200 / $6,400 $4,600 / $9,200 $0 $50 0% 0% 0% 50% $8,800 / $17,600 $9,200 / $18,400 HF Silver POS Select HF Silver AV94 POS Select ( % FPL) 10% $0 / $0 $600 / $1,200 $0 $5 $60 $60 10% 50% $5,200 / $10,400 $12,700 / $25,400 HF Silver AV87 POS Select ( % FPL) 10% $250 / $500 $2,250 / $4,500 $0 $5 $60 $60 10% 50% $5,200 / $10,400 $12,700 / $25,400 HF Silver AV73 POS Select ( % FPL) 10% $2,100 / $4,200 $5,200 / $10,400 $0 $40 HF Silver POS Select % 50% $5,200 / $10,400 $12,700 / $25,400 HF Silver AV94 POS Select ( % FPL) 10% $0 / $0 $650 / $1,300 $0 $5 $50 $50 10% 50% $6,000 / $12,000 $12,000 / $24,000 HF Silver AV87 POS Select ( % FPL) 90% $350 / $700 $2,250 / $4,500 $0 $5 $50 $50 10% 50% $6,000 / $12,000 $12,000 / $24,000 HF Silver AV73 POS Select ( % FPL) 90% $2,500 / $5,000 $5,200 / $10,400 $0 $25 HF Silver POS Select % 50% $6,000 / $12,000 $12,000 / $24,000 HF Silver AV94 POS Select ( % FPL) 85% $0 / $0 $1,000 / $2,000 $0 15% 15% 15% 15% HF Silver AV87 POS Select ( % FPL) 85% $400 / $800 $2,250 / $4,500 $0 15% 15% 15% 15% HF Silver AV73 POS Select ( % FPL) HF Silver POS Select % $1,650 / $3,300 $4,500 / $9,000 $0 15% 15% 15% 15% HF Silver AV94 POS Select ( % FPL) 80% $200 / $400 $500 / $1,000 $0 20% 20% 20% 20% $250 Rx HF Silver AV87 POS Select ( % FPL) 80% $700 / $1,400 $1,250 / $2,500 $0 20% 20% 20% 20% $250 Rx HF Silver AV73 POS Select ( % FPL) 80% $2,500 / $5,000 $3,800 / $7,600 $0 20% 20% 20% 20% HF Silver POS Select HF Silver AV94 POS Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 $35 $50 $50 30% HF Silver AV87 POS Select ( % FPL) 70% $800 / $1,600 $1,500 / $3,000 $0 $35 $50 $50 30% HF Silver AV73 POS Select ( % FPL) 70% $3,000 / $6,000 $5,000 / $10,000 $0 $35 $50 $50 30% HF Silver POS Select HF Silver AV94 POS Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 30% 30% 30% 30% HF Silver AV87 POS Select ( % FPL) 70% $0 / $0 $2,000 / $4,000 $0 30% 30% 30% 30% HF Silver AV73 POS Select ( % FPL) 70% $1,300 / $2,600 $4,600 / $9,200 $0 30% 30% 30% 30% HF Silver POS Select HF Silver AV94 POS Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 30% 30% 30% 30% HF Silver AV87 POS Select ( % FPL) 70% $0 / $0 $2,000 / $4,000 $0 30% 30% 30% 30% HF Silver AV73 POS Select ( % FPL) 70% $1,200 / $2,400 $5,200 / $10,400 $0 30% 30% 30% 30% Page 4

5 2015 Individual PPO Plans Comparison of Benefits PPO HF Gold PPO Select (including 15 Routine Specialist Visit (including Behavioral 90% $1,500 / $3,000 $3,000 / $6,000 $0 10% 10% 10% 10% HF Gold PPO Select % $1,000 / $2,000 $2,500 / $5,000 $0 HF Gold PPO Select % $1,500 / $3,000 $4,000 / $8,000 $0 HF Gold PPO Select % $1,000 / $2,000 $6,350 / $12,700 $0 Visits 4+, 20% 20% 20% 20%, $350 for, $15 $30 $30 20%, $600/admission for Inpatient Care, : : : Copay applies to first 5 visits, then 20% : : : $20 $40 $40 20%, $875/admission for Inpatient Care, : : : Copay applies to first 3 visits, then 20% : : :, $150 for Specialty Imaging HF Gold PPO Select % $1,000 / $2,000 $2,900 / $5,800 $0 30% 30% 30% 30% HF Gold PPO Select % $1,000 / $2,000 $3,000 / $6,000 $0 $35 $50 $50 30%, : : : Copay applies to first 4 visits, then 30% : : : $0 for Diagnostic Labs HF Gold PPO Select % $1,000 / $2,000 $2,000 / $4,000 $0 50% 50% 50% 50% HF Silver PPO Select % $2,000 / $4,000 $4,500 / $9,000 $0 15% 15% 15% 15% HF Silver PPO Select % $2,500 / $5,000 $6,350 / $12,700 $0 20% 20% 20% 20% HF Silver PPO Select % $2,000 / $4,000 $4,600 / $9,200 $0 30% 30% 30% 30% HF Silver PPO Select % $2,000 / $4,000 $6,000 / $12,000 $0 30% 30% 30% 30% HF Silver PPO Select % $3,500 / $7,000 $6,350 / $12,700 $0 $35 $50 $50 30% HF Bronze PPO Select % $4,000 / $8,000 $6,350 / $12,700 $0 20% 20% 20% 20% HF Catastrophic PPO Select % $6,600 / $13,200 $6,600 / $13,200 $0 Visits 4+, 0% 0% 0% 0% 5-tier Formulary Single ( waived for Tiers 1-2) 10% after 50% after 20% after 0% after Calendar Year (separate from in-network OOP max.) 60% $3,000 / $6,000 $6,000 / $12,000 50% $2,000 / $4,000 $5,000 / $10,000 50% $3,000 / $6,000 $8,000 / $16,000 50% $2,000 / $4,000 $12,800 / $25,600 50% $2,000 / $4,000 $5,800 / $11,600 50% $2,000 / $4,000 $6,000 / $12,000 50% $2,000 / $4,000 $4,000 / $8,000 50% $8,000 / $16,000 $12,700 / $25,400 50% $13,200 / $26,400 $13,200 / $26,400 Page 5

6 2015 Individual PPO Plans Comparison of Benefits Cost-Share Reduction Variations PPO CSR (including 15 Routine PCP Office Visit Specialist Visit (including Behavioral Urgent Care 5-tier Formulary, Single ( waived for Tiers 1-2) Calendar Year (separate from in-network OOP max.) HF Silver PPO Select HF Silver AV94 PPO Select ( % FPL) 85% $0 / $0 $1,000 / $2,000 $0 15% 15% 15% 15% HF Silver AV87 PPO Select ( % FPL) 85% $400 / $800 $2,250 / $4,500 $0 15% 15% 15% 15% HF Silver AV73 PPO Select ( % FPL) HF Silver PPO Select % $1,650 / $3,300 $4,500 / $9,000 $0 15% 15% 15% 15% HF Silver AV94 PPO Select ( % FPL) 80% $200 / $400 $500 / $1,000 $0 20% 20% 20% 20% HF Silver AV87 PPO Select ( % FPL) 80% $700 / $1,400 $1,250 / $2,500 $0 20% 20% 20% 20% HF Silver AV73 PPO Select ( % FPL) 80% $2,500 / $5,000 $3,800 / $7,600 $0 20% 20% 20% 20% HF Silver PPO Select HF Silver AV94 PPO Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 30% 30% 30% 30% HF Silver AV87 PPO Select ( % FPL) 70% $0 / $0 $2,000 / $4,000 $0 30% 30% 30% 30% HF Silver AV73 PPO Select ( % FPL) 70% $1,200 / $2,400 $5,200 / $10,400 $0 30% 30% 30% 30% HF Silver PPO Select HF Silver AV94 PPO Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 $35 $50 $50 30% HF Silver AV87 PPO Select ( % FPL) 70% $800 / $1,600 $1,500 / $3,000 $0 $35 $50 $50 30% HF Silver AV73 PPO Select ( % FPL) 70% $3,000 / $6,000 $5,000 / $10,000 $0 $35 $50 $50 30% HF Silver PPO Select HF Silver AV94 PPO Select ( % FPL) 70% $0 / $0 $600 / $1,200 $0 30% 30% 30% 30% HF Silver AV87 PPO Select ( % FPL) 70% $0 / $0 $2,000 / $4,000 $0 30% 30% 30% 30% HF Silver AV73 PPO Select ( % FPL) 70% $1,300 / $2,600 $4,600 / $9,200 $0 30% 30% 30% 30% $250 Rx $250 Rx Page 6

Small Group Plan Options HMO

Small Group Plan Options HMO HMO Platinum Plans These plans will cover about 90% of your service and you are responsible for the other 10% Benefits Platinum Platinum Platinum 25 / 50 / 500 HMO 20 / 40 / 1000 HMO 20 / 40 HMO Deductible

More information

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits:

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits: Introduction The NY State of Health 2015 Plan Compare provides information about health plans offered on the Individual Marketplace. Here's some general information to get you started. Metal Levels: Plans

More information

Service AvMed Cigna Leon Cares Humana HMO Humana PPO UnitedHealthcare. Out-of- Network

Service AvMed Cigna Leon Cares Humana HMO Humana PPO UnitedHealthcare. Out-of- Network 2016 Medicare Advantage Plans Comparison Chart This comparison chart is a side-by-side representation of services offered through the AvMed, Cigna, UHC, and Humana Medicare Advantage Plans for both in-network

More information

www.shopcabrokers.com 1-866-98-COVER [26837]

www.shopcabrokers.com 1-866-98-COVER [26837] Sharp Health Plan is proud to be selected as a Covered California health insurance plan. Our successful track record in San Diego County for providing innovative and affordable health coverage aligns with

More information

2016 Health insurance plans

2016 Health insurance plans 2016 Health insurance plans CHOOSE Find out if you may be eligible for financial help Compare plans and choose the best one for you Learn how you can get the most out of your membership Table of contents

More information

Bronze CoventryOne Health Plan options in Georgia

Bronze CoventryOne Health Plan options in Georgia Bronze CoventryOne Health Plan options in Georgia Plan GA Coventry Bronze Ded Only HSA Eligible HMO Member benefits Deductible (ded) individual/family1 (applies to out-of-pocket maximum) Member coinsurance

More information

2015 plan comparison guide

2015 plan comparison guide 2015 plan comparison guide Groups of 1 50 Plans available Jan. 1, 2015, through Dec. 31, 2015 Washington Better health starts here Hello. Welcome to Moda Health, the place you go when you want more than

More information

Rocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS. MK777-A-R08/10/15þ

Rocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS. MK777-A-R08/10/15þ Rocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS MK777-A-R08/10/15þ Rocky Mountain Range Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than

More information

Washington Healthplanfinder Individual Market

Washington Healthplanfinder Individual Market Washington Healthplanfinder Individual Market September 4, 2013 SUPPLEMENTAL 2014 Qualified Health Plan and Qualified Dental Plan Certification Requests Summary of Individual Market Overview Gold Silver

More information

Health Insurance Marketplace in Illinois Plan Comparison Charts

Health Insurance Marketplace in Illinois Plan Comparison Charts 2015 Independent Authorized Agent for An Independent Licensee of the Blue Cross Blue Shield Association Health Insurance Marketplace in Illinois Plan Comparison Charts preventive services and maternity

More information

Coventry HealthAmerica Small Business Solutions PENNSYLVANIA

Coventry HealthAmerica Small Business Solutions PENNSYLVANIA Coventry HealthAmerica Small Business Solutions PENNSYLVANIA Plan Name Coinsurance Single 2x Family PCP Office Visit Specialist Office Visit Convenience Care Urgent Care Emergency Room Labs X-ray Diagnostics

More information

Understanding Private Health Insurance Plan Choices and Provider Networks

Understanding Private Health Insurance Plan Choices and Provider Networks Understanding Private Health Insurance Plan Choices and Provider Networks Definitions Deductible Out-of-Pocket-Maximum Embedded Deductible Aggregate Deductible Networks PPO EPO HMO POS - HDHP HSA Catastrophic

More information

PROVIDENCE MEDICARE ADVANTAGE PLANS. 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED

PROVIDENCE MEDICARE ADVANTAGE PLANS. 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED PROVIDENCE MEDICARE ADVANTAGE PLANS 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED Service area map Columbia River Washington Oregon Clark Providence Medicare

More information

Your Plan: Anthem Silver HMO 1500/30%/6550 Your Network: California Care HMO

Your Plan: Anthem Silver HMO 1500/30%/6550 Your Network: California Care HMO Your Plan: Anthem Silver HMO 1500/30%/6550 Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does

More information

2015 HEALTH INSURANCE OPTIONS

2015 HEALTH INSURANCE OPTIONS INSURANCE PLUS Rose Gagliardi 15 West Main Street President Oyster Bay, NY 11771 516-922-1200 / 212-268-4473 516-922-2801 fax rose@insuranceplusny.com www.insuranceplusny.com September 16, 2015 2015 HEALTH

More information

Open Enrollment 2015 November 12 November 26

Open Enrollment 2015 November 12 November 26 Open Enrollment 2015 November 12 November 26 November 4 & 6, 2014 1 Brief Review of Affordable Care Act (ACA) What You Need to Know What you Need to do by November 26 What s New or Changing in 2015 Do

More information

PROVIDENCE MEDICARE ADVANTAGE PLANS. 2016 Plan Comparison Central Oregon and Hood River County H9047_2016PHP42 ACCEPTED

PROVIDENCE MEDICARE ADVANTAGE PLANS. 2016 Plan Comparison Central Oregon and Hood River County H9047_2016PHP42 ACCEPTED PROVIDENCE MEDICARE ADVANTAGE PLANS 2016 Plan Comparison Central Oregon and Hood River County H9047_2016PHP42 ACCEPTED Service area map Columbia River Washington Oregon Clark Providence Medicare Compass

More information

CARING FOR NEW YORK S SMALL BUSINESSES Off-Exchange 2016 Plans and Services for Downstate Groups With Up to 100 Employees

CARING FOR NEW YORK S SMALL BUSINESSES Off-Exchange 2016 Plans and Services for Downstate Groups With Up to 100 Employees CARING FOR NEW YORK S SMALL BUSINESSES Off-Exchange 2016 Plans and Services for Downstate Groups With Up to 100 Employees SMALL GROUP PLANS AT A GLANCE With the needs and budgets of small businesses in

More information

FEEL BETTER ABOUT YOUR CHOICES

FEEL BETTER ABOUT YOUR CHOICES 2016 FEEL BETTER ABOUT YOUR CHOICES CHOOSE WELLCARE. CHOOSE A PLAN TO FIT YOUR NEEDS. Information on individual and family plans inside. Kentucky Boone, Bullitt, Campbell, Clay, Fayette, Harlan, Jefferson,

More information

2016 Blue Solutions Health Plans

2016 Blue Solutions Health Plans 2016 Blue Solutions Health Plans For small employers Platinum Gold Silver Bronze Table of contents How Blue Solutions works for you... 1 Your guide to Blue Solutions plans... 2 What s new for 2016... 3

More information

STANDARD AND SELECT NETWORK PRODUCTS FROM TUFTS HEALTH PLAN

STANDARD AND SELECT NETWORK PRODUCTS FROM TUFTS HEALTH PLAN STANDARD AND SELECT NETWORK PRODUCTS FROM TUFTS HEALTH PLAN 2015 PLAN OPTIONS Standard Network: The Standard Network plans provide members with a choice of more than 25,000 participating doctors and 90

More information

Small Employer Health Insurance. Avera Health Plans One team. Connected. Caring for you.

Small Employer Health Insurance. Avera Health Plans One team. Connected. Caring for you. Small Employer Health Health Plans One team. Connected. Caring for you. Health insurance is a critical factor in retaining and recruiting employees When was the last time you quoted with Health Plans for

More information

Your Plan: Anthem Bronze PPO 5500/30%/6450 w/hsa Your Network: Prudent Buyer PPO

Your Plan: Anthem Bronze PPO 5500/30%/6450 w/hsa Your Network: Prudent Buyer PPO Your Plan: Anthem Bronze PPO 5500/30%/6450 w/hsa Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does

More information

Northeastern University 2015 Medical Benefits

Northeastern University 2015 Medical Benefits Northeastern University 2015 Medical Benefits Northeastern s 2015 Open Enrollment Effective Date: January 1, 2015 2015 Medical Plan Options Blue Choice New England Core POS Plan New Plan Blue Choice New

More information

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS. MK647-A-R10/01/14þ

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS. MK647-A-R10/01/14þ Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS MK647-A-R10/01/14þ WE UNDERSTAND COLORADO. WE UNDERSTAND YOU. Rocky Mountain Health Plans, a Colorado-based, not-for-profit health plan, understands

More information

Geisinger Gold Preferred Complete Rx (PPO) offered by Geisinger Indemnity Insurance Company

Geisinger Gold Preferred Complete Rx (PPO) offered by Geisinger Indemnity Insurance Company Geisinger Gold Preferred Complete Rx (PPO) offered by Geisinger Indemnity Insurance Company Annual Notice of Changes for 2016 You are currently enrolled as a member of Geisinger Gold Preferred Complete

More information

2015 Health Plans. 2-50 Employees. Platinum Gold Silver Bronze

2015 Health Plans. 2-50 Employees. Platinum Gold Silver Bronze 2015 Health Plans 2-50 Employees Platinum Gold Silver Bronze Table of contents Blue Solutions for small business employers 1 Your 2015 Blue Solutions plan guide 2 What s new and important for 2015 3 Flexible

More information

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits:

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits: Introduction The NY State of Health 2015 Plan Compare provides information about health plans offered on the Individual Marketplace. Here's some general information to get you started. Metal Levels: Plans

More information

Small Business Solutions Medical Plan Options

Small Business Solutions Medical Plan Options Small Business Solutions Medical Plan Options Indiana Choice. Simplicity. Affordability. 14.02.927.1-IN (10/04) AETNA SMALL GROUP MEDICAL PLANS AETNA CHOICE PPO PLAN OPTIONS Plan Option 1 Plan Option 2

More information

Navigating health care and health

Navigating health care and health Individual Rates Navigating health care and health insurance is complicated, but CareConnect is here to change all that. Sure, we give our members easy access to affordable care but we re here to make

More information

Cost-sharing Charges in Marketplace Health Insurance Plans - Part II

Cost-sharing Charges in Marketplace Health Insurance Plans - Part II September 2013 Cost-sharing Charges in Marketplace Health Insurance Plans - Part II Starting in January 2014, new health insurance marketplaces (also called exchanges) will provide a way for people to

More information

April 2, 2012. Dear Mr. Bertko,

April 2, 2012. Dear Mr. Bertko, April 2, 2012 Mr. John Bertko, FSA, MAAA Director, Office of Special Initiatives and Pricing Center for Consumer Information and Insurance Oversight Centers for Medicare and Medicaid Services U.S. Department

More information

WASHINGTON QUALIFIED HEALTH PLAN SELECTION: CONSIDERATIONS FOR CONSUMERS

WASHINGTON QUALIFIED HEALTH PLAN SELECTION: CONSIDERATIONS FOR CONSUMERS WASHINGTON QUALIFIED HEALTH PLAN SELECTION: CONSIDERATIONS FOR CONSUMERS December 2013 Support for this resource provided through a grant from the Robert Wood Johnson Foundation s State Health Reform Assistance

More information

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS WHEN IT COMES TO HEALTH INSURANCE, WE KNOW WHAT MATTERS MOST: YOU. No one plans to be sick or injured, but if something happens, we want you to

More information

Gateway Health Medicare Assured RubySM (HMO SNP) $6,700 out-of-pocket limit for Medicare-covered services. No No No No. Days 1-6: $0 or $225 copay per

Gateway Health Medicare Assured RubySM (HMO SNP) $6,700 out-of-pocket limit for Medicare-covered services. No No No No. Days 1-6: $0 or $225 copay per Assured RubySM (HMO Premium $0 monthly plan $0 - $33.90 monthly plan Assured GoldSM (HMO $12.40 - $46.30 monthly plan $43.90 - $77.80 monthly plan In Network Maximum Out-of-Pocket $3,400 out-of-pocket

More information

Small group and CalChoice benefit comparison

Small group and CalChoice benefit comparison Small group and CalChoice benefit comparison effective July 1, 2015 We believe in choice. A guide to choosing the right plan for your business US health plan 1 San Diegans choose Sharp Health Plan With

More information

Your Plan: Anthem Gold HMO 500/20%/5000 Your Network: California Care HMO

Your Plan: Anthem Gold HMO 500/20%/5000 Your Network: California Care HMO Your Plan: Anthem Gold HMO 500/20%/5000 Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not

More information

North Carolina A guide for individuals and families

North Carolina A guide for individuals and families North Carolina A guide for individuals and families A variety of health plans to fit your needs at affordable rates Visit www.coventryone.com for more information. 80.02.351.1-NC A (1/16) Things to think

More information

Individual and Family Plans

Individual and Family Plans Effective: January 1, 2015 Individual and Family Plans find a plan that fits you live by your own plan a plan for your life Everyone s needs are unique, and it s important to find a plan that best fits

More information

Your Independence Blue Cross. 2016 Blue Solutions Renewal Guide. For small employers

Your Independence Blue Cross. 2016 Blue Solutions Renewal Guide. For small employers Your Independence Blue Cross 2016 Blue Solutions Renewal Guide For small employers Table of Contents Get ready to renew your health plan 3 Two ways to offer plans 4 Blue Solutions Web-based Blue Solutions

More information

2014 Medical Plans. Health Net Blue & Gold HMO Kaiser HMO UC Care Blue Shield Health Savings Plan Core

2014 Medical Plans. Health Net Blue & Gold HMO Kaiser HMO UC Care Blue Shield Health Savings Plan Core 2014 Medical Plans Health Net Blue & Gold HMO Kaiser HMO UC Care Blue Shield Health Savings Plan Core UC Care PPO Blue Shield of California claims administrator & network UC Select Providers Customized

More information

Sherwin-Williams Medical, Prescription Drug and Dental Plans Plan Comparison Charts

Sherwin-Williams Medical, Prescription Drug and Dental Plans Plan Comparison Charts Sherwin-Williams Medical, Prescription Drug and Dental Plans Plan Comparison Charts You and Sherwin-Williams share the cost of certain benefits including medical and dental coverage and you have the opportunity

More information

Essentials Rx 15 (HMO) Plan offered by PacificSource Medicare. Annual Notice of Changes for 2014

Essentials Rx 15 (HMO) Plan offered by PacificSource Medicare. Annual Notice of Changes for 2014 Essentials Rx 15 (HMO) Plan offered by PacificSource Medicare Annual Notice of Changes for 2014 You are currently enrolled as a member of Essentials Rx 15 (HMO) Plan. Next year, there will be some changes

More information

BRYN MAWR COLLEGE MEDICAL INSURANCE BENEFITS COMPARISON EFFECTIVE NOVEMBER 1, 2009

BRYN MAWR COLLEGE MEDICAL INSURANCE BENEFITS COMPARISON EFFECTIVE NOVEMBER 1, 2009 BENEFITS Description of Plan Annual Deductible (January - December) - Individual - Family PERSONAL CHOICE PPO BRYN MAWR COLLEGE KEYSTONE HEALTH PLAN EAST KEYSTONE POS Provides comprehensive health Provides

More information

Health Insurance Matrix 01/01/16-12/31/16

Health Insurance Matrix 01/01/16-12/31/16 Employee Contributions Family Monthly : $121.20 Bi-Weekly : $60.60 Monthly : $290.53 Bi-Weekly : $145.26 Monthly : $431.53 Bi-Weekly : $215.76 Monthly : $743.77 Bi-Weekly : $371.88 Employee Contributions

More information

UT HMO 3000 80/60 UT HMO 2000 70/50 UT HMO 2000 80/60 HSA. In Network In Network In Network $3,000/$6,000 $2,000/$4,000 $2,000/$4,000

UT HMO 3000 80/60 UT HMO 2000 70/50 UT HMO 2000 80/60 HSA. In Network In Network In Network $3,000/$6,000 $2,000/$4,000 $2,000/$4,000 Aetna 51-100 HealthNetworkOnly Member benefits Plan name UT HMO 3000 80/60 UT HMO 2000 70/50 UT HMO 2000 80/60 HSA In Network In Network In Network Calendar year deductible (Individual/Family) Calendar

More information

Massachusetts Small Group Plan Design Comparison January 1, 2014 Plan Year or Calendar Year Available for All Plans

Massachusetts Small Group Plan Design Comparison January 1, 2014 Plan Year or Calendar Year Available for All Plans Non- ER Medical Individual/ Family HMO Value 250 $15 $100 $250 $100 No 26% Basic 25 $25 $125 $500 $100 No $2,500/$5,000 17% 500 after after after $500/$1,000 8% 1000 after after after 1 (baseline) * after

More information

2016 HealthFlex Plan Comparison: PPO B1000 with HRA and HDHP H1500 with HSA

2016 HealthFlex Plan Comparison: PPO B1000 with HRA and HDHP H1500 with HSA Caring For Those Who Serve 1901 Chestnut Avenue Glenview, Illinois 60025-1604 1-800-851-2201 www.gbophb.org 2016 HealthFlex Plan Comparison: PPO B1000 with HRA and HDHP H1500 with HSA Please note: This

More information

Find the plan that s right for you

Find the plan that s right for you Take a glance at what our plans have to offer Plans at a glance for s and families Effective January 1, 2014 Find the plan that s right for you Our easy-to-understand plans offer comprehensive benefits

More information

Employer Health Insurance

Employer Health Insurance Employer Health Insurance Product Guide 2015 plans for employers with 1-50 employees 1 and 51-99 employees 2 1 These plans are offered to employers considered small for purposes of the Affordable Care

More information

Insurance Payment Terms

Insurance Payment Terms increases from Bronze to Platinum, so does the amount that the plan covers (coinsurance). A Bronze plan usually has a lower premium (what you pay each month) and a higher out-of-pocket cost (what you pay

More information

Comparison of Health Care Plans Metro Interagency Insurance Program Effective Date: July 1, 2015

Comparison of Health Care Plans Metro Interagency Insurance Program Effective Date: July 1, 2015 Comparison of Health Care Plans Metro Interagency Insurance Program Effective Date: July 1, 2015 Wellmark Blue Cross Blue Shield Customer Service: 1-800-277-8380 Participating Provider Directory Information:

More information

New York State Catholic Health Plan, Inc. dba Fidelis Care New York. Rate Manual - Individual Effective Date: January 1, 2015.

New York State Catholic Health Plan, Inc. dba Fidelis Care New York. Rate Manual - Individual Effective Date: January 1, 2015. New York State Catholic Health Plan, Inc. dba Fidelis Care New York Rate Manual - Individual Effective Date: January 1, 2015 Table of Contents Rate Pages Page 2-5 Counties Within each Rating Region Page

More information

Green Mountain Care Board Vermont Health Connect(VHC) Proposed 2016 Standard Qualified Health Plan (QHP) Design Adjustments

Green Mountain Care Board Vermont Health Connect(VHC) Proposed 2016 Standard Qualified Health Plan (QHP) Design Adjustments Green Mountain Care Board Vermont Health Connect(VHC) Proposed 2016 Standard Qualified Health Plan (QHP) Design Adjustments Dana Houlihan, Plan Management Director, VHC David Martini, Operations Director,

More information

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. Table of Contents A-1. General A-2

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. Table of Contents A-1. General A-2 Rate Manual Table of Contents Description Page Table of Contents A-1 General A-2 Premium Rate Manual Product Summary and Actuarial Values A-3-A-5 B-1-B-11 Plan Forms and Actuarial Value Benefits C-1 Rate

More information

Title Here Title Here Title Here Title Here Title

Title Here Title Here Title Here Title Here Title What You Need to Know about Health Insurance What You Need to Know about Health Insurance Title Here Title Here Title Here Title Here Title Here Choosing Title the Here Health Title Here Plan Title that

More information

INDIVIDUAL HEALTH INSURANCE In Maine

INDIVIDUAL HEALTH INSURANCE In Maine A Consumer s Guide To... INDIVIDUAL HEALTH INSURANCE In Maine Published by: The Maine Bureau of Insurance September 2015 Paul R. LePage Governor Eric A. Cioppa Superintendent Basics of Individual Health

More information

MVP HEALTH PLAN, INC. PROVIDER RESOURCE MANUAL

MVP HEALTH PLAN, INC. PROVIDER RESOURCE MANUAL SECTI ON 3: MVPPLAN TYPEI NFORMATI ON MVPHEALTH CAREPROVI DERRESOURCEMANUAL These products will be administered according to their respective MVP Certificates/Contracts of Coverage, including the MVP medical

More information

COPAY PLANS. PreferredOne.com. Welcome to PreferredOne. Health Insurance for Individuals & Families 2014

COPAY PLANS. PreferredOne.com. Welcome to PreferredOne. Health Insurance for Individuals & Families 2014 COPAY PLANS Health Insurance for Individuals & Families 2014 Welcome to PreferredOne PreferredOne.com Your Health, Your Choice, Many Options At PreferredOne, our name says it all you and your family are

More information

Massachusetts Small Group Plan Design Comparison April 1, 2014 Plan Year or Calendar Year Available for All Plans

Massachusetts Small Group Plan Design Comparison April 1, 2014 Plan Year or Calendar Year Available for All Plans Non- ER Medical Individual/ Family HMO Value 250 Basic 25 $15 $100 $100 No $25 $125 $500 $100 No $2,500/$5,000 26% 17% 500 after after after $500/$1,000 8% 1000 after after after 1 (baseline) 1000 Low

More information

Health plans for individuals and families

Health plans for individuals and families 2015 Health Plan Information Health plans for individuals and families + Choosing the right plan for you + Subsidy eligibility information + Plan comparison charts + Terms and definitions + How to enroll

More information

EssentialCare. PLAN HIGHLIGHTS. $0 co-pay for preventive care, screenings, and immunizations. No referral needed to see specialist.

EssentialCare. PLAN HIGHLIGHTS. $0 co-pay for preventive care, screenings, and immunizations. No referral needed to see specialist. EssentialCare. PLAN HIGHLIGHTS $0 co-pay for preventive care, screenings, and immunizations. No referral needed to see specialist. ADDITIONAL OFFERINGS Free access to Stat DoctorsTM, a telemedicine service

More information

$25 copay. One routine GYN visit and pap smear per 365 days. Direct access to participating providers.

$25 copay. One routine GYN visit and pap smear per 365 days. Direct access to participating providers. HMO-1 Primary Care Physician Visits Office Hours After-Hours/Home Specialty Care Office Visits Diagnostic OP Lab/X Ray Testing (at facility) with PCP referral. Diagnostic OP Lab/X Ray Testing (at specialist)

More information

Your Plan: Anthem Gold PPO 500/20%/4500 Your Network: Prudent Buyer PPO

Your Plan: Anthem Gold PPO 500/20%/4500 Your Network: Prudent Buyer PPO Your Plan: Anthem Gold PPO 500/20%/4500 Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not reflect

More information

MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF BENEFITS

MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF BENEFITS Fiscal Year 2016 2017 MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

More information

Deductible: $500/$1000* Out-of-Pocket Max: $2,000/$4,000** including deductible

Deductible: $500/$1000* Out-of-Pocket Max: $2,000/$4,000** including deductible First State Basic Plan (highmark delaware) Description of Benefit Deductible: $500/$1000* Out-of-Pocket Max: $2,000/$4,000** Deductible: $1,000/$2,000* Out-of-Pocket Max: $4,000/$8,000** Inpatient Room

More information

Coventry Health and Life Insurance Company PPO Schedule of Benefits

Coventry Health and Life Insurance Company PPO Schedule of Benefits State(s) of Issue: Oklahoma PPO Plan: OI08C30050 30 Coventry Health and Life Insurance Company PPO Schedule of Benefits Covered Services Contract Year Deductible For All Eligible Expenses (unless otherwise

More information

Your Plan: Anthem Gold HMO 35/25%/6600 Your Network: California Care HMO

Your Plan: Anthem Gold HMO 35/25%/6600 Your Network: California Care HMO Your Plan: Anthem Gold HMO 35/25%/6600 Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not

More information

OPERATING ENGINEERS HEALTH & WELFARE FUND BENEFIT PLANS SUMMARY COMPARISON FOR ACTIVES and EARLY RETIREES

OPERATING ENGINEERS HEALTH & WELFARE FUND BENEFIT PLANS SUMMARY COMPARISON FOR ACTIVES and EARLY RETIREES PPO Kaiser Permanente For Non-PPO Providers Employee Premium None None None None None Explanation of s and Options Available to You If you choose a doctor who is not contracted with Anthem Blue Cross the

More information

FIND THE COVERAGE THAT FITS YOUR BUSINESS NEEDS. Iowa Plan Comparison Guide for groups of 1 50 employees

FIND THE COVERAGE THAT FITS YOUR BUSINESS NEEDS. Iowa Plan Comparison Guide for groups of 1 50 employees FIND THE COVERAGE THAT FITS YOUR BUSINESS NEEDS Iowa Plan Comparison Guide for groups of 1 50 employees Comprehensive coverage options to fit your needs and your budget Know your options As a small business

More information

UBI : Smart Deductible EPO Coinsurance 308 Silver

UBI : Smart Deductible EPO Coinsurance 308 Silver UBI : Smart Deductible EPO Coinsurance 308 Silver 01/01/2015-12/31/2015 Individual + Family EPO www.cdphp.com 1-877-269-2134 In-Network: $3,000 individual/$6,000 family. Deductible does not apply to preventive

More information

Napa County. Medicare Advantage Plans. (Medicare Part C Plans) Compliments of HICAP. (Health Insurance Counseling and Advocacy Program)

Napa County. Medicare Advantage Plans. (Medicare Part C Plans) Compliments of HICAP. (Health Insurance Counseling and Advocacy Program) 2015 Napa County Medicare Advantage Plans (Medicare Part C Plans) HICAP Volunteer Counselors are available to help compare health plans in an objective and unbiased manner. They can help consumers understand

More information

Health Plan Comparison Report (4L) Rockland County, NY 10956 Prepared On : 11/1/2015 Report Id : 29501922

Health Plan Comparison Report (4L) Rockland County, NY 10956 Prepared On : 11/1/2015 Report Id : 29501922 Gold OAEPO 1000 90% ID: 14030058 Silver OAEPO 2000 60% ID: 14030060 Silver OAEPO 2000 80% ID: 14030061 Silver OAEPO 3000 70% ID: 14030062 20/40/60/TCS/100 ded T2-T4 20/40/60/TCS/100 ded T2-T4 20/40/60/TCS/100

More information

2014 Delaware Qualified Health Plans

2014 Delaware Qualified Health Plans 2014 Delaware Qualified Health Plans Individual Market Overview October 8, 2013 www.pcghealth.com Topics Overview of QHPs in the Individual Market QHP Issuers Plan Summary Premium Rates and Cost-Sharing

More information

MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PPO REVIEW OF BENEFITS

MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PPO REVIEW OF BENEFITS Fiscal Year 2015 2016 MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PPO REVIEW OF S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

More information

Graduate Student Insurance Comparison Summary Student Insurance Plan vs. Employer Group Insurance Program

Graduate Student Insurance Comparison Summary Student Insurance Plan vs. Employer Group Insurance Program Graduate Student Insurance Comparison Summary Student Insurance Plan vs. Employer Group Insurance Program Revised 08/20/2015 Graduate Student employees may choose between the Student Insurance Plan administered

More information

LEARN. Your guide to health insurance

LEARN. Your guide to health insurance LEARN Your guide to health insurance Table of Contents Why health insurance is important...1 How the Affordable Care Act affects you...2 See if you may qualify for a subsidy...4 Types of health plans...6

More information

Health Insurance Matrix 07/01/012-06/30/13

Health Insurance Matrix 07/01/012-06/30/13 Employee Contributions Family Monthly : $212.14 Bi-Weekly : $106.07 Monthly : $388.36 Bi-Weekly : $194.18 Monthly : $429.88 Bi-Weekly : $214.94 Monthly : $677.30 Bi-Weekly : $338.65 Employee Contributions

More information

POS Individual Health Plans

POS Individual Health Plans Louisiana Health cooperative POS Individual Health Plans Available in all parishes statewide LOUISIANA HEALTH COOPERATIVE 2014 Benefits at a Glance POS-I 20131023 V.1 POS Individual Health Plans Louisiana

More information

OPERATING ENGINEERS HEALTH & WELFARE FUND BENEFIT PLANS SUMMARY COMPARISON FOR ACTIVE and RETIRED PARTICIPANTS

OPERATING ENGINEERS HEALTH & WELFARE FUND BENEFIT PLANS SUMMARY COMPARISON FOR ACTIVE and RETIRED PARTICIPANTS Employee Premium None None None None None Explanation of Plans and Options Available to You Deductible Annual Out-of-Pocket Calendar Year (Applicable to members who reside in California & Nevada Only.)

More information

State Retiree Medicare Advantage Plans

State Retiree Medicare Advantage Plans State Retiree Medicare Advantage Plans October/November 2015 Copyright 2013 by The Segal Group, Inc. All rights reserved. Your 2016 Retiree Benefits www.cms.illinois.gov/thetrail 2 Eligibility Who is Required

More information

2016 Plan Comparison For HealthFlex Exchange Participants

2016 Plan Comparison For HealthFlex Exchange Participants 2016 Plan Comparison For HealthFlex Exchange Participants This comparison highlights key differences and similarities between plans offered through HealthFlex Exchange in 2016. All plans use the same network

More information

UPMC for Life HMO Deductible with Rx (HMO) offered by UPMC Health Plan

UPMC for Life HMO Deductible with Rx (HMO) offered by UPMC Health Plan UPMC for Life HMO Deductible with Rx (HMO) offered by UPMC Health Plan Annual Notice of Changes for 2016 You are currently enrolled as a member of UPMC for Life HMO Deductible with Rx. Next year, there

More information

$243.41 $34.69 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 26 $ 212.88

$243.41 $34.69 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 26 $ 212.88 Marketplace plans that were available in Coverage years and/or 2015. 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 0-20 $ 132.01 $153.95 $21.94 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze

More information

HEALTHSPAN MEDICARE HEALTH PLAN

HEALTHSPAN MEDICARE HEALTH PLAN This is an advertisement. HealthSpan Medicare Advantage for Federal Members (HMO) YOUR GUIDE TO CHOOSING A HEALTHSPAN MEDICARE HEALTH PLAN INCREASE YOUR COVERAGE without increasing your FEHB premium. MAKE

More information

2014 Welcome to the plan where you belong. choosehap.org IN YOUR COMMUNITY FOR OVER YEARS

2014 Welcome to the plan where you belong. choosehap.org IN YOUR COMMUNITY FOR OVER YEARS 2014 Welcome to the plan where you belong. choosehap.org 50 IN YOUR COMMUNITY FOR OVER YEARS Table of Contents Introduction.... 5 Why Choose HAP?... 6 HAP Extras.... 7 Health Care Reform... 8 Buying Coverage...

More information

2015 PLAN UPDATES. We re here for you! A more robust medical plan portfolio. New Added Choice plan options

2015 PLAN UPDATES. We re here for you! A more robust medical plan portfolio. New Added Choice plan options 2015 PLAN UPDATES What s new for 2015 Washington small business group plans This booklet contains a summary of important information you will want to know about our 2015 small group plans. For more details

More information

Health plans for individuals and families

Health plans for individuals and families 2015 Health Plan Information Health plans for individuals and families + Choosing the right plan for you + Subsidy eligibility information + Plan comparison charts + Terms and definitions + How to enroll

More information

2013 IBM Health Benefit Comparison Charts

2013 IBM Health Benefit Comparison Charts 203 IBM Health Benefit Comparison Charts for IBM Active Employees These Health Benefit Comparison Charts provide a summary overview of the coverage available for medical services, mental health/substance

More information

Annual Notice of Changes for 2014

Annual Notice of Changes for 2014 True Blue Rx Option Il (HMO) offered by Blue Cross of Idaho Health Service, Inc. (Blue Cross of Idaho) Annual Notice of Changes for 2014 You are currently enrolled as a member of True Blue Rx Option Il

More information

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. General A-1. Premium Rate Manual A-2 A-4

Aetna Life Insurance Company. New York Individual. Rate Manual. Table of Contents. Description. General A-1. Premium Rate Manual A-2 A-4 Rate Manual Table of Contents Description Page General A-1 Premium Rate Manual A-2 A-4 Product Summary and Actuarial Values B-1 B-10 Plan Forms and Actuarial Value Benefits Rate Tables C-1 D-1 D-12 List

More information

Setting and Valuing Health Insurance Benefits

Setting and Valuing Health Insurance Benefits Chris L. Peterson Specialist in Health Care Financing April 6, 2009 Congressional Research Service CRS Report for Congress Prepared for Members and Committees of Congress 7-5700 www.crs.gov R40491 Contents

More information

LOUDOUN COUNTY PUBLIC SCHOOLS

LOUDOUN COUNTY PUBLIC SCHOOLS LOUDOUN COUNTY PUBLIC SCHOOLS Open Access Plus (OAP) / Point of Service (POS) Employee Meetings February, 2013 Agenda Common Definitions Open Access Plus (OAP) Plan Highlights Coverage Examples How to

More information

Central Susquehanna Intermediate Unit Professional Leadership Day

Central Susquehanna Intermediate Unit Professional Leadership Day Central Susquehanna Intermediate Unit Professional Leadership Day 1 Healthcare Benefit Trends & Practices Jon Sapochak, Consulting Actuary, F.S.A., M.A.A.A. Society of Actuaries Motto 2 The work of science

More information

Individual & Family Plan Options Unity Prime Network (Columbia, Dane, Dodge, Green, Iowa, Jefferson and Sauk Counties)

Individual & Family Plan Options Unity Prime Network (Columbia, Dane, Dodge, Green, Iowa, Jefferson and Sauk Counties) Unity Prime Network (Columbia, Dane, Dodge, Green, Iowa, Jefferson and Sauk Counties) Platinum Plans These plans will cover about 90% of your service and you are responsible for the other 10% Benefits

More information

MNHG Health Plan Benefit Comparison June 1, 2015 to May 31, 2016

MNHG Health Plan Benefit Comparison June 1, 2015 to May 31, 2016 Deductible - applies to: In-patient Admissions; Out-patient Surgery; ER, High Tech Imaging (MRI, CT, & PET) and Diagnostic Tests & Procedures. Does not apply to routine office visits or pharmacy. Per plan

More information

Operating Engineers Public Employees Health and Welfare Trust Fund Plan D vs PERS CHOICE and PERS SELECT PPO Plan

Operating Engineers Public Employees Health and Welfare Trust Fund Plan D vs PERS CHOICE and PERS SELECT PPO Plan Calendar Year Deductible $500 Individual / $1,000 Family per calendar year Does not apply to PPO physician office visits, PPO preventive care or hospital emergency room charges for an emergency medical

More information

LEARN. Your guide to health insurance. How to choose the best plan for you and your family

LEARN. Your guide to health insurance. How to choose the best plan for you and your family LEARN Your guide to health insurance How to choose the best plan for you and your family Table of Contents Understanding health insurance...1 Health care law and you...2 Health insurance basics...4 Why

More information

HEALTH INSURANCE COMPARISON 2015-2016

HEALTH INSURANCE COMPARISON 2015-2016 Medical Plans no lifetime maximum on any medical plan PLAN- G PLAN G WITH GROUP HRA=PLAN C BENEFITS PLAN H (Currently Enrolled Employees Only) includes H.S.A deposit as per IRS rules Plan Year Costs- Deductibles

More information

Your Guide to Geisinger Gold

Your Guide to Geisinger Gold We make it easy for you to find the Medicare plans right for you and your budget. Your Guide to Geisinger Gold Y0032 H8468 12255_3 CMS Approved 10/2/12 HPM50 MA/Med Supp All Plans 2013 We ll help you every

More information