EmployerBroker_smallgroup

SMALL GROUP PLANS

Please select a state below to view the plans available to small employer groups (those with 2 to 50 employees). Once you select a state, it may take a moment for the list of plans to display below.

2018 PLAN OPTIONS

2017 PLAN OPTIONS

Platinum $1000 - 0% $30 OV (8A)

Deductible:  $1000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $30 copayment
Rx:  $5 Generic, $35 Brand, $75 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Platinum $500 - 20% $15 OV (8B)

Deductible:  $500
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $15 copayment
Rx:  $5 Generic, $35 Brand, $75 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Gold $2500 - 0% (8C)

Deductible:  $2500
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $5 Generic, $50 Brand, $95 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Gold $2000 - 20% $50 OV (8D)

Deductible:  $2000
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $50 copayment
Rx:  $5 Generic, $50 Brand, $95 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $4250 - 20% (8E)

Deductible:  $4250
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 20% coinsurance
Rx:  $10 Generic, $55 Brand, $145 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $3500 - 30% $50 OV (8F)

Deductible:  $3500
Coinsurance:  After deductible, you pay 30%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $50 copayment
Rx:  $10 Generic, $55 Brand, $145 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $600 - 50% (8G)

Deductible:  $600
Coinsurance:  After deductible, you pay 50%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 50% coinsurance
Rx:  $10 Generic, $55 Brand, $145 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $3000 - 0% (8H)

Deductible:  $3000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $10 Generic, $55 Brand, $145 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Bronze $5500 - 10% (8I)

Deductible:  $5500
Coinsurance:  After deductible, you pay 10%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 10% coinsurance
Rx:  $25 Generic, $150 Brand, $225 Non-preferred brand, Specialty 50%
Plan Benefits Formulary
Provider Network Options

Bronze $7000 - 0% (8J)

Deductible:  $7000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $25 Generic, $150 Brand, $225 Non-preferred brand, Specialty 50%
Plan Benefits Formulary
Provider Network Options

Silver HSA $3000 - 20% (A8)

Deductible:  $3000
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 20% coinsurance
Rx:  Deductible/Coinsurance
Plan Benefits Formulary
Provider Network Options

Bronze HSA $4400 - 50% (B8)

Deductible:  $4400
Coinsurance:  After deductible, you pay 50%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 50% coinsurance
Rx:  Deductible/Coinsurance
Plan Benefits Formulary
Provider Network Options

Bronze HSA $5250 - 30% (D8)

Deductible:  $5250
Coinsurance:  After deductible, you pay 30%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 30% coinsurance
Rx:  Deductible/Coinsurance
Plan Benefits Formulary
Provider Network Options

Bronze HSA $6550 - 0% (E8)

Deductible:  $6550
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  Deductible
Plan Benefits Formulary
Provider Network Options

Platinum $1000 - 0% $30 OV (8A)

Deductible:  $1000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $30 copayment
Rx:  $5 Generic, $35 Brand, $75 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Platinum $500 - 20% $15 OV (8B)

Deductible:  $500
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $15 copayment
Rx:  $5 Generic, $35 Brand, $75 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Gold $2500 - 0% (8C)

Deductible:  $2500
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $5 Generic, $50 Brand, $95 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Gold $2000 - 20% $50 OV (8D)

Deductible:  $2000
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $50 copayment
Rx:  $5 Generic, $50 Brand, $95 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $4250 - 20% (8E)

Deductible:  $4250
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 20% coinsurance
Rx:  $10 Generic, $55 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $3500 - 30% $50 OV (8F)

Deductible:  $3500
Coinsurance:  After deductible, you pay 30%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $50 copayment
Rx:  $10 Generic, $55 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $3000 - 0% (8H)

Deductible:  $3000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $10 Generic, $55 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

$5500 - 10% (8I)

Deductible:  $5500
Coinsurance:  After deductible, you pay 10%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 10% coinsurance
Rx:  $25 Generic, $150 Brand, $225 Non-preferred brand, Specialty 50%
Plan Benefits Formulary
Provider Network Options

Bronze $7000 - 0% (8J)

Deductible:  $7000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $25 Generic, $150 Brand, $225 Non-preferred brand, Specialty 50%
Plan Benefits Formulary
Provider Network Options

Silver HSA $3000 - 20% (A8)

Deductible:  $3000
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 20% coinsurance
Rx:  Deductible/Coinsurance
Plan Benefits Formulary
Provider Network Options

Bronze HSA $4400 - 50% (B8)

Deductible:  $4400
Coinsurance:  After deductible, you pay 50%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 50% coinsurance
Rx:  Deductible/Coinsurance
Plan Benefits Formulary
Provider Network Options

Bronze HSA $5450 - 30% (D8)

Deductible:  $5250
Coinsurance:  After deductible, you pay 30%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 30% coinsurance
Rx:  Deductible/Coinsurance
Plan Benefits Formulary
Provider Network Options

Bronze HSA $6550 - 0% (E8)

Deductible:  $6550
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  Deductible
Plan Benefits Formulary
Provider Network Options

Platinum $1000 - 0% $30 OV (NA)

Deductible:  $1000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $30 copayment
Rx:  $5 Generic, $35 Brand, $100 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Platinum $500 - 20% $15 OV (NB)

Deductible:  $500
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $15 copayment
Rx:  $5 Generic, $35 Brand, $100 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Gold $2500 - 0% (NC)

Deductible:  $2500
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $5 Generic, $50 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Gold $2000 - 20% $50 OV (ND)

Deductible:  $2000
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $50 copayment
Rx:  $5 Generic, $50 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $4250 - 20% (NF)

Deductible:  $4250
Coinsurance:  After deductible, you pay 20%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 20% coinsurance
Rx:  $10 Generic, $55 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $3500 - 30% $50 OV (NH)

Deductible:  $3500
Coinsurance:  After deductible, you pay 30%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a $50 copayment
Rx:  $10 Generic, $55 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $600 - 50% (NI)

Deductible:  $600
Coinsurance:  After deductible, you pay 50%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 50% coinsurance
Rx:  $10 Generic, $55 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Silver $3000 - 0% (NJ)

Deductible:  $3000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $10 Generic, $55 Brand, $150 Non-preferred brand, Specialty 33%
Plan Benefits Formulary
Provider Network Options

Bronze $5500 - 10% (NK)

Deductible:  $5500
Coinsurance:  After deductible, you pay 10%
Preventive Care:  Covered at 100%
Office Visits:  Office visits are subject to a 10% coinsurance
Rx:  $25 Generic, $150 Brand, $225 Non-preferred brand, Specialty 50%
Plan Benefits Formulary
Provider Network Options

Bronze $7000 - 0% (NL)

Deductible:  $7000
Coinsurance:  After deductible, you pay 0%
Preventive Care:  Covered at 100%
Rx:  $25 Generic, $150 Brand, $225 Non-preferred brand, Specialty 50%
Plan Benefits Formulary
Provider Network Options