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HMO PLANS

Size

Trio HMO Facility Coinsurance 15-20% 672KB
Trio HMO Facility Coinsurance 20-20% 672KB
Trio HMO Facility Coinsurance 25-25% 672KB
Trio HMO Facility Coinsurance 40-40% 672KB
Trio HMO Facility Deductible 15-10%/1500 672KB
Trio HMO Facility Deductible 20-25%/1500 672KB
Trio HMO Facility Deductible 30-10%/1500 672KB
Trio HMO Facility Deductible 30-30%/2000 672KB
Trio HMO Facility Deductible 40-40%/2000 672KB
Trio HMO Facility Deductible 40-40%/5800 672KB
Trio HMO Per Admit 10-250 672KB
Trio HMO Per Admit 20-250 672KB
Trio HMO Per Admit 20-500 672KB
Trio HMO Per Admit 25-750 672KB
Trio HMO Per Admit 40-1000 672KB
Trio HMO Per Day 15-500 672KB
Trio HMO Per Day 25-750 672KB
Trio HMO Zero Admit 10 672KB
Trio HMO Zero Admit 20 672KB
Trio HMO Zero Admit 30 672KB
Trio HMO Zero Facility Deductible 30-20% 672KB
Access+ HMO® Facility Coinsurance 15-20% 672KB
Access+ HMO® Facility Coinsurance 20-20% 672KB
Access+ HMO® Facility Coinsurance 25-25% 672KB
Access+ HMO® Facility Coinsurance 40-40% 672KB
Access+ HMO® Facility Deductible 15-10%/1500 672KB
Access+ HMO® Facility Deductible 20-25%/1500 672KB
Access+ HMO® Facility Deductible 30-10%/1500 672KB
Access+ HMO® Facility Deductible 30-30%/2000 672KB
Access+ HMO® Facility Deductible 40-40%/2000 672KB
Access+ HMO® Facility Deductible 40-40%/5800 672KB
Access+ HMO® Per Admit 10-250 672KB
Access+ HMO® Per Admit 20-250 672KB
Access+ HMO® Per Admit 20-500 672KB
Access+ HMO® Per Admit 25-750 672KB
Access+ HMO® Per Admit 40-1000 672KB
Access+ HMO® Per Day 15-500 672KB
Access+ HMO® Per Day 25-750 672KB
Access+ HMO® SaveNet Facility Coinsurance 15-20% 672KB
Access+ HMO® SaveNet Facility Coinsurance 20-20% 672KB
Access+ HMO® SaveNet Facility Coinsurance 25-25% 672KB
Access+ HMO® SaveNet Facility Coinsurance 40-40% 672KB
Access+ HMO® SaveNet Facility Deductible 15-10%/1500 672KB
Access+ HMO® SaveNet Facility Deductible 20-25%/1500 672KB
Access+ HMO® SaveNet Facility Deductible 30-30%/2000 672KB
Access+ HMO® SaveNet Facility Deductible 40-40%/2000 672KB
Access+ HMO® SaveNet Facility Deductible 40-40%/5800 672KB
Access+ HMO® SaveNet Per Admit 10-250 672KB
Access+ HMO® SaveNet Per Admit 20-500 672KB
Access+ HMO® SaveNet Per Admit 25-750 672KB
Access+ HMO® SaveNet Per Admit 40-1000 672KB
Access+ HMO® SaveNet Zero Admit 10 672KB
Access+ HMO® SaveNet Zero Admit 20 672KB
Access+ HMO® SaveNet Zero Admit 30 672KB
Access+ HMO® Zero Admit 10 672KB
Access+ HMO® Zero Admit 20 672KB
Access+ HMO® Zero Admit 30 672KB
Access+ HMO® Zero Facility Deductible 30-20% 672KB
Local Access+ HMO® Facility Coinsurance 15-20% 672KB
Local Access+ HMO® Facility Coinsurance 20-20% 672KB
Local Access+ HMO® Facility Coinsurance 25-25% 672KB
Local Access+ HMO® Facility Coinsurance 40-40% 672KB
Local Access+ HMO® Facility Deductible 15-10%/1500 672KB
Local Access+ HMO® Facility Deductible 20-25%/1500 672KB
Local Access+ HMO® Facility Deductible 30-30%/2000 672KB
Local Access+ HMO® Facility Deductible 40-40%/2000 672KB
Local Access+ HMO® Facility Deductible 40-40%/5800 672KB
Local Access+ HMO® Per Admit 10-250 672KB
Local Access+ HMO® Per Admit 20-500 672KB
Local Access+ HMO® Per Admit 25-750 672KB
Local Access+ HMO® Per Admit 40-1000 672KB
Local Access+ HMO® Zero Admit 10 672KB
Local Access+ HMO® Zero Admit 20 672KB
Local Access+ HMO® Zero Admit 30 672KB

PPO PLANS

Size

Tandem PPO Combined Deductible 10-250 90/70 672KB
Tandem PPO Combined Deductible 15-250 90/70 672KB
Tandem PPO Combined Deductible 20-200 90/70 672KB
Tandem PPO Combined Deductible 20-250 80/60 672KB
Tandem PPO Combined Deductible 25-250 80/60 672KB
Tandem PPO Combined Deductible 25-250 90/60 672KB
Tandem PPO Combined Deductible Value 10-1000 90/70 672KB
Tandem PPO No Network Deductible 10 100/50 672KB
Tandem PPO Savings Embedded Deductible 3000 672KB
Tandem PPO Split Deductible 10-250 90/70 672KB
Tandem PPO Split Deductible 20-500 80/60 672KB
Tandem PPO Split Deductible 25-750 80/60 672KB
Tandem PPO Split Deductible 35-1000 80/60 672KB

FULL PPO PLANS

Size

Full PPO Combined Deductible 10-250 90/70 672KB
Full PPO Combined Deductible 15-250 90/70 672KB
Full PPO Combined Deductible 20-200 90/70 672KB
Full PPO Combined Deductible 20-250 80/60 672KB
Full PPO Combined Deductible 25-250 80/60 672KB
Full PPO Combined Deductible 25-250 90/60 672KB
Full PPO Combined Deductible 30-500 90/60 672KB
Full PPO Combined Deductible 30-750 80/60 672KB
Full PPO Combined Deductible 35-500 80/60 672KB
Full PPO Combined Deductible Value 10-1000 90/70 672KB
Full PPO Combined Deductible Value 15-1500 80/50 672KB
Full PPO Combined Deductible Value 20-2000 80/50 672KB
Full PPO Combined Deductible Value 25-2500 80/50 672KB
Full PPO Combined Deductible Value 30-3000 80/50 672KB
Full PPO Combined Deductible Value 40-4000 80/50 672KB
Full PPO No Network Deductible 10 100/50 672KB
Full PPO No Network Deductible 20 100/50 672KB
Full PPO Split Deductible 10-250 90/70 672KB
Full PPO Split Deductible 15-500 90/60 672KB
Full PPO Split Deductible 20-500 80/60 672KB
Full PPO Split Deductible 25-750 80/60 672KB
Full PPO Split Deductible 30-2000 70/50 672KB
Full PPO Split Deductible 35-1000 80/60 672KB
Full PPO Split Deductible 40-4000 70/50 672KB
Shield Spectrum PPO℠ 250-90/70 Standard 672KB

PPO SAVINGS PLANS

Size

Full PPO Savings Embedded Deductible 2700 672KB
Full PPO Savings Embedded Deductible 3000 672KB
Full PPO Savings Embedded Deductible 3500 672KB
Full PPO Savings Embedded Deductible 4000 672KB
Full PPO Savings Embedded Deductible 5500 672KB
Full PPO Savings Two-Tier Embedded Deductible 1350/2700/2700 672KB
Full PPO Savings Two-Tier Embedded Deductible 1500/2700/3000 672KB
Full PPO Savings Two-Tier Embedded Deductible 1800/2700/3600 672KB
Full PPO Savings Two-Tier Embedded Deductible 2250/2700/4500 672KB
Full PPO Savings Two-Tier Embedded Deductible 1500/2700/3000 with Value-Based Tier Drug Benefits 672KB
Full PPO Savings Two-Tier Embedded Deductible 2250/2700/4500 with Value-Based Tier Drug Benefits 672KB
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PPO Savings Plans

Size

Full PPO℠ Savings Embedded Deductible 2600

672KB

Full PPO℠ Savings Two-Tier Embedded Deductible 1300/2600/2600

672KB

Full PPO℠ Savings Two-Tier Embedded Deductible 1500/2600/3000

672KB

Full PPO℠ Savings Two-Tier Embedded Deductible 1800/2600/3600

672KB

Full PPO℠ Savings Two-Tier Embedded Deductible 2250/2600/4500

672KB

Full PPO℠ Savings Two-Tier Embedded Deductible 1300/2600/3000 with Value-Based Tier Drug Benefits

672KB

Full PPO℠ Savings Two-Tier Embedded Deductible 2250/2600/4500 with Value-Based Tier Drug Benefits

672KB

Full PPO℠ ASO Savings Embedded Deductible 2600

672KB

Full PPO℠ ASO Savings Aggregate Deductible 1300/2600

672KB