EssentialCare. PLAN HIGHLIGHTS. $0 co-pay for preventive care, screenings, and immunizations. No referral needed to see specialist.
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1 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 that connects you with board-certified emergency room physicians any time of day or night. Up to $200 gym membership reimbursement every 6 months. Discounted access to alternative and complementary medicine such as acupuncture, chiropractic, holistic and integrative physicians, dieticians, meditation therapy, yoga, and tai chi. ESSENTIALCARE is our standard plan offering, aligning with state and federal requirements for deductibles, co-pays, and other benefits, allowing consumers to compare EssentialCare apples to apples with plans from other insurers. Highlights of the EssentialCare plan include set hospital co-pays and low co-pays for visits to specialists. HRINY_CM09_PO.EC_091614
2 EssentialCare. Deductibles and Maximums Platinum Gold Silver Deductible (Single/Family) $0 $600/$1,200 $2,000/$4,000 Max Out of Pocket Limit (Single/Family) $2,000/$4,000 $4,000/$8,000 $5,500/$11,000 High Deductible Plans Bronze Catastrophic* HSA Qualified Yes No Deductible (Single/Family) $3,000/$6,000 $6,600/$13,200 Max Out of Pocket Limit (Single-Incl. Deductible) $6,350/$12,700 $6,600/$13,200 Cost Sharing (All Parameters) 50% 50% Prescription Drugs (After Deductible) $10/$35/$70 0% *Individual Only Cost Sharing-Medical Services After deductible is met Platinum Gold Silver PCP $15 $25 $30 Specialist $35 $40 $50 PT/OT/ST-rehabilitative and habilitative therapies $25 $30 $30 Inpatient/SNF/Hospice-Facility (Per Admission) $500 $1,000 $1,500 Outpatient-Facility $100 $100 $100 Surgeon (Inpatient, Outpatient) $100 $100 $100 ER $100 $150 $150 Ambulance $100 $150 $150 Urgent Care $55 $60 $70 DME/Medical Supplies 10% 20% 30% Outpatient Services After deductible is met Platinum Gold Silver Diagnostic and Routine Lab and Pathology $35 $40 $50 Diagnostic and Routine Imaging $35 $40 $50 Chemotherapy $15 $25 $30 Radiation Therapy $15 $25 $30 Dialysis $15 $25 $30 Mental/Behavioral Healthcare $15 $25 $30 Substance Abuse Disorder Services $15 $25 $30 Home Health Care $15 $25 $30 Hospice $15 $25 $30 Prescription Drugs Platinum Gold Silver Tier I (Selected Generics) $10 $10 $10 Tier II (Other Generics) $30 $35 $35 Tier III (Brand and Specialty) $60 $70 $70 HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St., New York, NY HealthRepublicNY.org
3 PrimarySelect. PLAN HIGHLIGHTS $0 co-pay for visits to a designated primary care physician, even before the deductible is met. $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 that connects you with board-certified emergency room physicians any time of day or night. Up to $200 gym membership reimbursement every 6 months. Discounted access to alternative and complementary medicine such as acupuncture, chiropractic, holistic and integrative physicians, dieticians, meditation therapy, yoga, and tai chi. Health Republic s signature program, PRIMARYSELECT, emphasizes the role of a primary care physician in our members health. After selecting a primary care physician, visits to him or her are free of charge. With low deductibles and $0 copay for selected generics, PrimarySelect is a popular choice among many New Yorkers. HRINY_CM09_PO.PS_091614_REV
4 PrimarySelect. Deductibles and Maximums Platinum Gold Silver Bronze* Deductible (Single/Family) $0 $250/$500 $2,000/$4,000 $5,500/$11,000 Max Out of Pocket (Single/Family) $1,400/$2,800 $3,500/$7,000 $6,350/$12,700 $6,350/$12,700 Cost Sharing (Co-Insurance) 20% 20% 20% 20% Cost Sharing-Medical Services Platinum Gold Silver Bronze* Primary Care (Member Selected) $0 $0 $0 $75 Specialist $75 $75 $75 $75 PT/OT/ST (Co-Pay after Deductible) $30 $30 $30 $75 Inpatient/SNF/Hospice-Facility (Per Admission) Physician/Surgeon Fee (Inpatient) (Co-Pay after Deductible) Outpatient-Facility Surgeon (Outpatient) $100 $150 20% After Deductible $150 Individual $100 Group 20% After Deductible 20% After Deductible $150 ER (Co-Pay after Deductible is Met) $250 $250 $250 $300 Ambulance (Co-Pay after Deductible is Met) $100 $150 $150 $150 Urgent Care (Co-Pay after Deductible is Met) $100 $100 $100 $100 Outpatient Services Platinum Gold Silver Bronze* Diagnostic and Routine Lab and Pathology $75 $75 $75 $75 Diagnostic and Routine Imaging $75 $75 $75 $75 Mental/Behavioral Healthcare (Selected) $0 $0 $0 $75 Diabetic Care and Supplies $0 $0 $0 $0 Chemotherapy $15 $25 $30 $75 Radiation Therapy $75 Individual $15 Group $75 Individual $25 Group $75 Individual $30 Group Dialysis $15 $25 $30 $75 Home Healthcare (After Deductible) $15 $25 $30 $75 $75 Prescription Drugs Platinum Gold Silver Bronze* Tier I (Selected Generics) Tier II (Other Generics) (After Deductible) Tier III (Brand and Specialty) (After Deductible) $0 Individual $0 Group $30 Individual $35 Group $60 Individual $70 Group $10 Individual $0 Group $10 Individual $0 Group $10 $35 $35 $35 $70 $70 $70 *Individual Only HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St., New York, NY HealthRepublicNY.org
5 PrimarySelect PCMH. Available in the following counties: Bronx, Essex, Hamilton, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk, Westchester. PLAN HIGHLIGHTS $0 co-pay for visits to a designated PCMH primary care physician. $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 that connects you with board-certified emergency room physicians any time of day or night. Up to $200 gym membership reimbursement every 6 months. Discounted access to alternative and complementary medicine such as acupuncture, chiropractic, holistic and integrative physicians, dieticians, meditation therapy, yoga, and tai chi. Similar to PrimarySelect, PRIMARYSELECT PCMH focuses on comprehensive patient care with a specialized network of patient-centered medical homes certified by the National Committee for Quality Assurance (NCQA). Only available at the Silver level, PrimarySelect PCMH is a costfriendly option for those looking to get the most out of their health plan. HRINY_CM09_PO.PSPCMH_091614_REV
6 PrimarySelect PCMH. Deductibles and Maximums Silver Deductible (Single/Family) $2,000/$4,000 Max Out of Pocket (Single/Family) $6,350/$12,700 Cost Sharing (Co-Insurance) 20% Cost Sharing-Medical Services Silver Primary Care (Member Selected) $0 Other Primary Care $30 Specialist $75 PT/OT/ST (Co-Pay after Deductible is Met) $30 Inpatient/SNF/Hospice-Facility (Per Admission) Physician/Surgeon Fee (Inpatient) (Co-Pay after Deductible) Outpatient-Facility Surgeon (Outpatient) 20% After Deductible $150 Individual/$100 Group 20% After Deductible 20% After Deductible ER (Co-Pay after Deductible is Met) $250 Ambulance (Co-Pay after Deductible is Met) $150 Urgent Care (Co-Pay after Deductible is Met) $100 Outpatient Services Silver Diagnostic and Routine Lab and Pathology $75 Diagnostic and Routine Imaging $75 Mental/Behavioral Healthcare (Selected) $0 Diabetic Care and Supplies $0 Chemotherapy $30 Radiation Therapy $75 Individual $30 Group Dialysis $30 Home Healthcare (After Deductible) $30 Prescription Drugs Tier I (Selected Generics) Silver $10 Individual $0 Group Tier II (Other Generics) (After Deductible) $35 Tier III (Brand and Specialty) (After Deductible) $70 HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St., New York, NY HealthRepublicNY.org
7 TotalIndependence. PLAN HIGHLIGHTS The bronze and silver levels offer 2 free visits to a selected primary care physician, even before the deductible is met. The gold level offers 3 free visits to a selected primary care physician, even before the deductible is met. $0 co-pay for in-network preventive care, screenings, and immunizations. No referral needed to see specialist. ADDITIONAL OFFERINGS Free access to Stat DoctorsTM, a telemedicine service that connects you with board-certified emergency room physicians any time of day or night. Up to $200 gym membership reimbursement every 6 months. Discounted access to alternative and complementary medicine such as acupuncture, chiropractic, holistic and integrative physicians, dieticians, meditation therapy, yoga, and tai chi. TOTALINDEPENDENCE, available to individuals on and off the exchange, is a simplified plan for the next generation of healthcare. This plan offers members the comfort of high-quality healthcare when it s needed, and total independence to achieve their goals. HRINY_CM09_PO.TI_091614_REV
8 TotalIndependence. Deductibles and Maximums Gold Silver Bronze Deductible (Single/Family) $1,950/$3,900 $3,800/$7,600 $6,000/$12,000 Max Out of Pocket Limit (Single/Family) $2,500/$5,000 $4,300/$8,600 $6,500/$13,000 Cost Sharing (Co-Insurance) 50% 50% 50% Cost Sharing-Medical Services Gold Silver Bronze Primary Care (Member Selected) 3 Free 2 Free 2 Free Other Primary Care $0 after deductible $0 after deductible $0 after deductible Specialist $0 after deductible $0 after deductible $0 after deductible PT/OT/ST $0 after deductible $0 after deductible $0 after deductible Inpatient/SNF/Hospice-Facility (Per Admission) $0 after deductible $0 after deductible $0 after deductible Physician/Surgeon Fee (Inpatient) $0 after deductible $0 after deductible $0 after deductible Outpatient-Facility $0 after deductible $0 after deductible $0 after deductible Surgeon (Outpatient) $0 after deductible $0 after deductible $0 after deductible ER $250 $250 $0 after deductible Ambulance $250 $250 $0 after deductible Urgent Care $50 $75 $75 Outpatient Services Gold Silver Bronze Diagnostic and Routine Lab and Pathology $20 $20 $0 after deductible Diagnostic and Routine Imaging $0 after deductible $0 after deductible $0 after deductible Mental/Behavioral Healthcare (Selected) $0 after deductible $0 after deductible $0 after deductible Diabetic Care and Supplies $0 after deductible $0 after deductible $0 after deductible Chemotherapy $0 after deductible $0 after deductible $0 after deductible Radiation Therapy $0 after deductible $0 after deductible $0 after deductible Dialysis $0 after deductible $0 after deductible $0 after deductible Home Health Care $0 after deductible $0 after deductible $0 after deductible Prescription Drugs Gold Silver Bronze Tier I (Selected Generics) $20 $20 $30 Tier II (Other Generics) (After Deductible) $0 after deductible $0 after deductible $0 after deductible Tier III (Brand and Specialty) (After Deductible) $0 after deductible $0 after deductible $0 after deductible HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St., New York, NY HealthRepublicNY.org
9 TotalFreedom 30/70 MC. PLAN HIGHLIGHTS Fixed co-insurance percentages for out-of-network services. $0 deductible for in-network services. $0 co-pay for in-network preventive care, screenings, and immunizations. No referral needed to see specialist. ADDITIONAL OFFERINGS Free access to Stat DoctorsTM, a telemedicine service that connects you with board-certified emergency room physicians any time of day or night. Up to $200 gym membership reimbursement every 6 months. Discounted access to alternative and complementary medicine such as acupuncture, chiropractic, holistic and integrative physicians, dieticians, meditation therapy, yoga, and tai chi. TOTALFREEDOM 30/70 MC, available to small groups, offers all the benefits of a platinum level plan, with the added feature of out-of-network coverage. Out of Network benefits are subject to 30% coinsurance of the Allowed Amount. The Allowed Amount for this product is defined as 140% of the Medicare amount. This plan is designed for small businesses who want total freedom to select any provider. HRINY_CM09_PO.TF_091614
10 TotalFreedom 30/70 MC. Deductibles and Maximums In Network Platinum Out of Network Deductible (Single/Family) $0/$0 $4,000/$8,000 Max Out of Pocket (Single/Family) $2,000/$4,000 $5,000/$10,000 Cost Sharing (Co-Insurance) N/A 30% Cost Sharing-Medical Services In Network Out of Network Primary Care $15 30% Specialist $35 30% PT/OT/ST $15 30% Inpatient/SNF/Hospice-Facility (Per Admission) $500 30% Physician/Surgeon Fee (Inpatient) $500 30% Outpatient-Facility $100 30% Surgeon (Outpatient) $100 30% ER $100 $100 Ambulance $100 $100 Urgent Care $55 $55 Outpatient Services In Network Out of Network Diagnostic and Routine Lab and Pathology $35 30% Diagnostic and Routine Imaging $35 30% Mental/Behavioral Healthcare $15 30% Diabetic Care and Supplies $15 30% Chemotherapy $15 30% Radiation Therapy $35 30% Dialysis $15 30% Home Healthcare $15 30% Prescription Drugs In Network Out of Network Tier I (All Generics) $10 Not available Tier II (All Preferred Brands) $30 Not available Tier III (All Non-Preferred Brands) $60 Not available HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St., New York, NY HealthRepublicNY.org
11 TotalFreedom 20/80 FH. PLAN HIGHLIGHTS Fixed co-insurance percentages for out-of-network services. $0 deductible for in-network services. $0 co-pay for in-network preventive care, screenings, and immunizations. No referral needed to see specialist. ADDITIONAL OFFERINGS Free access to Stat Doctors TM, a telemedicine service that connects you with board-certified emergency room physicians any time of day or night. Up to $200 gym membership reimbursement every 6 months. Discounted access to alternative and complementary medicine such as acupuncture, chiropractic, holistic and integrative physicians, dieticians, meditation therapy, yoga, and tai chi. TOTALFREEDOM 20/80 FH, available to small groups, offers all the benefits of a platinum level plan, with the added feature of out-of-network coverage. Out of Network benefits are subject to 20% coinsurance of the Allowed Amount. The Allowed Amount for this product is defined as the Fair Health rate at the 80th percentile. This plan is designed for small businesses who want total freedom to select any provider. HRINY_CM09_PO.TF_091614
12 TotalFreedom 20/80 FH. Deductibles and Maximums In Network Platinum Out of Network Deductible (Single/Family) $0/$0 $4,000/$8,000 Max Out of Pocket (Single/Family) $2,000/$4,000 $5,000/$10,000 Cost Sharing (Co-Insurance) N/A 20% Cost Sharing-Medical Services In Network Out of Network Primary Care $15 20% Specialist $35 20% PT/OT/ST $15 20% Inpatient/SNF/Hospice-Facility (Per Admission) $500 20% Physician/Surgeon Fee (Inpatient) $500 20% Outpatient-Facility $100 20% Surgeon (Outpatient) $100 20% ER $100 $100 Ambulance $100 $100 Urgent Care $55 $55 Outpatient Services In Network Out of Network Diagnostic and Routine Lab and Pathology $35 20% Diagnostic and Routine Imaging $35 20% Mental/Behavioral Healthcare $15 20% Diabetic Care and Supplies $15 20% Chemotherapy $15 20% Radiation Therapy $35 20% Dialysis $15 20% Home Healthcare $15 20% Prescription Drugs In Network Out of Network Tier I (All Generics) $10 Not available Tier II (All Preferred Brands) $30 Not available Tier III (All Non-Preferred Brands) $60 Not available HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St., New York, NY HealthRepublicNY.org
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This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.thehealthplan.com or by calling 1-800-504-0443. Important
You can see the specialist you choose without permission from this plan.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.wmimutual.com or by calling 1-800-748-5340. Important
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.iees.com or by calling 1-866-433-7462. Important Questions
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
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://newjersey.healthrepublic.us/ or by calling 1-888-990-5706.
$0 See the chart starting on page 2 for your costs for services this plan covers.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca/lausd or by calling 1-800-700-3739. Important
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
Student Health Insurance Plan Insurance Company Coverage Period: 07/01/2015-06/30/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
What is the overall deductible? Are there other deductibles for specific services?
This is only a summary. If you want more detail about your medical/vision coverage and costs, you can get the complete terms in the policy or plan document at www.mycigna.com, by calling 1-800-Cigna24,
Primary Select Platinum Plan: Health Republic Insurance of New York Coverage Period: 01/01/2015 12/31/2015
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
BlueSelect Silver ValueTwo for Individuals
BlueSelect Silver ValueTwo for Individuals Coverage Period: 1/1/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Single Plan Type: PPO This is only
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
Administered by Capital BlueCross 1
Administered by Capital BlueCross 1 PPO HRA Plan/Rx Plan This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at
Massachusetts. HPHC Insurance Company The Harvard Pilgrim Tiered Copayment PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs
HPHC Insurance Company The Harvard Pilgrim Tiered Copayment PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Massachusetts Coverage Period: 6/1/2013 5/31/2014 Coverage for: Individual
$0 See the chart starting on page 2 for your costs for services this plan covers. Are there other. deductibles for specific No.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at capbluecross.com or by calling 1-800-730-7219. Important
Coverage level: Employee/Retiree Only Plan Type: EPO
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan documents at www.dbm.maryland.gov/benefits or by calling 410-767-4775
Even though you pay these expenses, they don t count toward the out-ofpocket limit.
Commonwealth of Virginia: COVA Care Basic Coverage Period: 07/01/2014 06/30/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO This
Zoom Health Plan, Inc. (ZOOM+): ZOOM+ Oregon Standard Gold Coverage Period: January 1, 2016 December 31, 2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.zoomcare.com or by calling 1-844-ZOOM-777. Important
Important Questions Answers Why this Matters:
33653ME010030915 Community Balance H S A Coverage Period: [1/1/2016-12/31/2016] This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthnow.org or by calling 1-855-344-3425. Important
Important Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at austintexas.gov/benefits or by calling 512-974-3284. Important
Massachusetts. Coverage Period: 7/1/2013 6/30/2014 Coverage for: Individual + Family Plan Type: HMO
Harvard Pilgrim Health Care, Inc. The Harvard Pilgrim Best Buy Tiered Copayment ChoiceNet HMO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Massachusetts Coverage Period: 7/1/2013
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.kaiserpermanente.org or by calling 1-800-464-4000. Important
Important Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services?
Anthem Blue Cross Stanislaus County: Custom EPO Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type:
Western Health Advantage: City of Sacramento HSA ABHP Coverage Period: 1/1/2016-12/31/2016
Coverage For: Self Plan Type: HMO This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.westernhealth.com or
Important Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cirstudenthealth.com/udmercy or by calling 1-800-322-9901.
TotalIndependence Silver Plan: Health Republic Insurance of New York Coverage Period: 01/01/2015 12/31/2015 Summary of Benefits and Coverage:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
Important Questions Answers Why this Matters: Network: $500 Individual / $1,500 Family;
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthscopebenefits.com or by calling 1-866-208-4281.
Healthy Benefits HMO 6850.0
Coverage Period: Beginning on or after 1/1/2016 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://www.capbluecross.com/sbcsia
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthoptions.org or by calling 1-855-624-6463. Important
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.summitamerica-ins.com/wscc or by calling 1-800-955-1991.
IU Health Plans: Southern Indiana Physicians Health Reimbursement Arrangement Plan Coverage Period: 01/01/2016-12/31/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.myiuhealthplans.com or by calling 1.800.873.2022. Important
Important Questions Answers Why this Matters: Referred providers $0 person/ $0 family; self-referred providers $2,500 person/ $5,000 family
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.thehealthplan.com or by calling 1-800-447-4000. Important
Physicians Plus Insurance Corporation Coverage Period: 01/01/2016 12/31/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pplusic.com or by calling 1-800-545-5015. Important Questions
How Much Does Your Health Care Plan Cover?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.arml.org\benefit_programs.html or by calling 1-501-978-6137.
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.maineoptions.org or by calling 1-855-624-6463. Important
Companion Life Insurance Company: Middlebury College Student Health Insurance Plan Coverage Period: 08/15/2015-08/14/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
National Guardian Life Insurance Company: Kenyon College Student Health Insurance Plan Coverage Period: 08/15/2015-08/15/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.
CO-OPtions Consumers' Choice Silver 12, a Multistate Plan. Cost Sharing Reduction Plan 100-150% Federal Poverty Level (94% Actuarial Value)
CO-OPtions Consumers' Choice Silver 12, a Multistate Plan Coverage Period: 01/01/2015-12/31/2015 If you qualified for a Cost Sharing Reduction Plan on Healthcare.gov, please click on the appropriate link
National Guardian Life Insurance Company Maine College of Art Student Health Insurance Plan Coverage Period: 09/01/2015-08/31/2016
J3A59 National Guardian Life Insurance Company This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com
BlueConnect HSA Bronze $3,500 Plan 457 Coverage Period: Beginning on or after 01-01-2015
BlueConnect HSA Bronze $3,500 Plan 457 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage Period: Beginning on or after 01-01-2015 Coverage for: Single or Family Plan Type:
Important Questions Answers Why this Matters: $3,000/ person $6,000/family Benefits not subject to deductible include: preventive care.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
Important Questions Answers Why this Matters:
Anthem BlueCross BlueShield Blue Access PPO Option D58 / Rx Option 8 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 12/01/2013-11/30/2014 Coverage For: Individual/Family
Massachusetts. Coverage Period: 01/01/2013 12/31/2013 Coverage for: Individual + Family Plan Type: HMO
Massachusetts Harvard Pilgrim Health Care, Inc. The Harvard Pilgrim Best Buy HMO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2013 12/31/2013 Coverage
Coverage for: Group Plan Type: HMO. Important Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at sutterhealthplus.org or by calling 1-855-315-5800. Important
What is the overall deductible? Are there other deductibles for specific services?
Small Group Agility MS200 Coverage Period: Beginning on or after 01/01/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or