Personal Health Coverage Guaranteed Issue

Select Plan to Review

*RX Coverage: Generic/Preferred Brand/Non-Preferred Brand Copay.

When you click on one of the View buttons below your Summary of Benefits and Coverage (SBC) will pull up in PDF format.

  Plan Number Network Maternity In-Network Deductible Amount Primary Care Practitioner/Specialist Copay Coinsurance Percent Out-of-Pocket Maximum RX Coverage*
View H31 P No $500 Individual/$1500 Family Deductible/Coinsurance 20% $1500 Individual/$3500 Family $10/$35/$50 Copay
View H32 P No $1000 Individual/$3000 Family Deductible/Coinsurance 20% $2000 Individual/$5000 Family $10/$35/$50 Copay
View H32 P Yes $1000 Individual/$3000 Family Deductible/Coinsurance 20% $2000 Individual/$5000 Family $10/$35/$50 Copay
View H37 P No $2500 Individual/$7500 Family Deductible/Coinsurance 20% $3500 Individual/$9500 Family $10/$35/$50 Copay
View H37 P Yes $2500 Individual/$7500 Family Deductible/Coinsurance 20% $3500 Individual/$9500 Family $10/$35/$50 Copay