Review benefits

Summary of benefits and coverage for plans offered to Small Groups.

5 Copayment + Chiro/Acu: English | Español | Chinese | Vietnemese
5 Copayment: English | Español | Chinese | Vietnemese
15 Copayment + Chiro/Acu: English | Español | Chinese | Vietnemese
15 Copayment : English | Español | Chinese | Vietnemese
20 Copayment + Chiro/Acu: English | Español | Chinese | Vietnemese
20 Copayment : English | Español | Chinese | Vietnemese
30 Copayment + Chiro/Acu: English | Español | Chinese | Vietnemese
30 Copayment : English | Español | Chinese | Vietnemese
50 Copayment + Chiro/Acu: English | Español | Chinese | Vietnemese
50 Copayment : English | Español | Chinese | Vietnemese
30/1000 Deductible + Chiro/Acu: English | Español | Chinese | Vietnemese
30/1000 Deductible : English | Español | Chinese | Vietnemese
30/1500 Deductible HRA + Chiro/Acu: English | Español | Chinese | Vietnemese
30/1500 Deductible HRA: English | Español | Chinese | Vietnemese
0/2000 Deductible HSA : English | Español | Chinese | Vietnemese
30/1500 Deductible + Chiro/Acu: English | Español | Chinese | Vietnemese
30/1500 Deductible : English | Español | Chinese | Vietnemese
30/2500 Deductible HRA + Chiro/Acu: English | Español | Chinese | Vietnemese
30/2500 Deductible HRA: English | Español | Chinese | Vietnemese
40/2000 Deductible + Chiro/Acu: English | Español | Chinese | Vietnemese
40/2000 Deductible : English | Español | Chinese | Vietnemese
30 Copayment + GIFT + Chiro/Acu: English | Español | Chinese | Vietnemese
30 Copayment + GIFT: English | Español | Chinese | Vietnemese
30/3400 Deductible HSA : English | Español | Chinese | Vietnemese
0/3400 Deductible HSA : English | Español | Chinese | Vietnemese
0/3400 Deductible HSA + GIFT: English | Español | Chinese | Vietnemese
0/3400 Deductible HSA + IVF
5 Copayment + IVF + Chiro/Acu
5 Copayment + IVF
15 Copayment + IVF + Chiro/Acu
15 Copayment + IVF
30 Copayment + IVF + Chiro/Acu
30 Copayment + IVF

*Plans reviewed and updated on October 1, 2025.

0/2000 Deductible HSA : English | Español | Chinese | Vietnamese
0/3300 Deductible HSA : English | Español | Chinese | Vietnamese
0/3300 Deductible HSA INF: English | Español | Chinese | Vietnamese
15 Copayment : English | Español | Chinese | Vietnamese
15 Copayment + Chiro/Acu: English | Español | Chinese | Vietnamese
20 Copayment : English | Español | Chinese | Vietnamese
20 Copayment + Chiro/Acu: English | Español | Chinese | Vietnamese
30 Copayment : English | Español | Chinese | Vietnamese
30 Copayment + Chiro/Acu: English | Español | Chinese | Vietnamese
30 Copayment + INF + Chiro/Acu: English | Español | Chinese | Vietnamese
30 Copayment INF: English | Español | Chinese | Vietnamese
30/1000 Deductible : English | Español | Chinese | Vietnamese
30/1000 Deductible + Chiro/Acu: English | Español | Chinese | Vietnamese
30/1500 Deductible : English | Español | Chinese | Vietnamese
30/1500 Deductible + Chiro/Acu: English | Español | Chinese | Vietnamese
30/1500 Deductible HRA: English | Español | Chinese | Vietnamese
30/1500 Deductible HRA + Chiro/Acu: English | Español | Chinese | Vietnamese
30/2500 Deductible HRA: English | Español | Chinese | Vietnamese
30/2500 Deductible HRA + Chiro/Acu: English | Español | Chinese | Vietnamese
30/3300 Deductible HSA : English | Español | Chinese | Vietnamese
40/2000 Deductible : English | Español | Chinese | Vietnamese
40/2000 Deductible + Chiro/Acu: English | Español | Chinese | Vietnamese
5 Copayment : English | Español | Chinese | Vietnamese
5 Copayment + Chiro/Acu: English | Español | Chinese | Vietnamese
50 Copayment : English | Español | Chinese | Vietnamese
50 Copayment + Chiro/Acu: English | Español | Chinese | Vietnamese

*Plans reviewed and updated on October 1, 2024.

0/2000 Deductible HSA: English | Español | 中文 | Tiếng Việt
0/3200 Deductible HSA: English | Español | 中文 | Tiếng Việt
0/3200 Deductible HSA INF: English | Español | 中文 | Tiếng Việt
15 Copayment: English | Español | 中文 | Tiếng Việt
15 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
20 Copayment: English | Español | 中文 | Tiếng Việt
20 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30 Copayment: English | Español | 中文e | Tiếng Việt
30 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30 Copayment + INF + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30 Copayment INF: English | Español | 中文 | Tiếng Việt
30/1000 Deductible: English | Español | 中文 | Tiếng Việt
30/1000 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30/1500 Deductible: English | Español | 中文 | Tiếng Việt
30/1500 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30/1500 Deductible HRA: English | Español | 中文 | Tiếng Việt
30/1500 Deductible HRA + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30/2500 Deductible HRA: English | Español | 中文 | Tiếng Việt
30/2500 Deductible HRA + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30/3200 Deductible HSA: English | Español | 中文 | Tiếng Việt
40/2000 Deductible: English | Español | 中文 | Tiếng Việt
40/2000 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
5 Copayment: English | Español | 中文 | Tiếng Việt
5 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
50 Copayment: English | Español | 中文 | Tiếng Việt
50 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt

*Plans reviewed and updated on Oct. 2, 2023

5 Copayment: English | Español | 中文 | Tiếng Việt
5 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
15 Copayment: English | Español | 中文 | Tiếng Việt
15 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
20 Copayment: English | Español | 中文 | Tiếng Việt
20 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30 Copayment: English | Español | 中文 | Tiếng Việt
30 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30 Copayment INF: English | Español | 中文 | Tiếng Việt
30 Copayment + INF + Chiro/Acu: English | Español | 中文 | Tiếng Việt
50 Copayment: English | Español | 中文 | Tiếng Việt
50 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30/1000 Deductible: English | Español | 中文 | Tiếng Việt
30/1000 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30/1500 Deductible: English | Español | 中文 | Tiếng Việt
30/1500 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
40/2000 Deductible: English | Español | 中文 | Tiếng Việt
40/2000 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
0/2000 Deductible HSA: English | Español | 中文 | Tiếng Việt
0/3000 Deductible HSA: English | Español | 中文 | Tiếng Việt
0/3000 Deductible HSA INF: English | Español | 中文 | Tiếng Việt
30/3000 Deductible HSA: English | Español | 中文 | Tiếng Việt
30/1500 Deductible HRA: English | Español | 中文 | Tiếng Việt
30/1500 Deductible HRA + Chiro/Acu: English | Español | 中文 | Tiếng Việt
30/2500 Deductible HRA: English | Español | 中文 | Tiếng Việt
30/2500 Deductible HRA + Chiro/Acu: English | Español | 中文 | Tiếng Việt

*Plans reviewed and updated on Sept. 1, 2022

$5 Copayment Plan: English | Español | 中文 | Tiếng Việt
$5 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$15 Copayment Plan: English | Español | 中文 | Tiếng Việt
$15 Copayment Plan + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$20 Copayment Plan: English | Español | 中文 | Tiếng Việt
$20 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$30 Copayment Plan: English | Español | 中文 | Tiếng Việt
$30 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$30 Copayment Plan INF: English | Español | 中文 | Tiếng Việt
$30 Copayment + INF + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$50 Copayment Plan: English | Español | 中文 | Tiếng Việt
$50 Copayment + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$30/$1,000 Deductible Plan: English | Español | 中文 | Tiếng Việt
$30/$1,000 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$30/$1,500 Deductible Plan: English | Español | 中文 | Tiếng Việt
$30/$1,500 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$40/$2,000 Deductible Plan: English | Español | 中文 | Tiếng Việt
$40/$2,000 Deductible + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$0/$2,000 Deductible Plan with HSA Option: English | Español | 中文 | Tiếng Việt
$0/$2,800 Deductible Plan with HSA Option: English | Español | 中文 | Tiếng Việt
$0/$2,800 Deductible Plan with HSA Option INF: English | Español | 中文 | Tiếng Việt
$30/$3,000 Deductible Plan with HSA Option: English | Español | 中文 | Tiếng Việt
$30/$1,500 Deductible Plan with HRA: English | Español | 中文 | Tiếng Việt
$30/$1,500 Deductible HRA + Chiro/Acu: English | Español | 中文 | Tiếng Việt
$30/$2,500 Deductible Plan with HRA: English | Español | 中文 | Tiếng Việt
$30/$2,500 Deductible HRA + Chiro/Acu: English | Español | 中文 | Tiếng Việt

*Plans reviewed and updated on Sept. 1, 2021

Questions?

Our Member Service Contact Center representatives are available to assist you toll free 24 hours a day, seven days a week (except closed holidays, and closed after 5 p.m. the day after Thanksgiving, after 5 p.m. on Christmas Eve, and after 5 p. m. on New Year's Eve) as follows:

Call us at tel: 1-800-464-4000 (TTY 711) if you have questions about our plans or these materials.

SPANISH (Español): Para obtener asistencia en Español, llame al 1-800-278-3296 (TTY/TDD 711).
TAGALOG (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 1-800-278-3296 (TTY/TDD 711).
CHINESE ( 中文 ): 如果需要中文的帮助，请拨打这个号码 1-800-278-3296 (TTY/TDD 711).
NAVAJO (Dine): Dinek'ehgo shika at'ohwol ninisingo, kwiijigo holne' 1-800-278-3296 (TTY/TDD 711).

More resources

Summary of benefits and coverage: Individual & Family | Small Business

Benefits

Benefits & coverage

Cost estimates

Need help with benefits?

Appointments & Care

Appointments

Care options

Doctors & locations

Care while traveling

Need help getting care?

Records

Frequently used records

Other records

Managing your records

Need help with records & forms?

Pharmacy

Refilling medications

Managing medications

Need help with medications?

Billing

Billing & payments

Claims & costs

Need help with billing?

Health & Wellness

Ways to stay healthy

Resource directories

Topics of special interest

Prevention

Additional resources

Review benefits

Questions?

More resources