Review benefits

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

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

*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?

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

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