Summaries of Benefits for small group plans — 2016
Platinum
- SEH Platinum EPO Local Value $15/$30
- SEH Platinum EPO National Access $15/$30
- SEH Platinum EPO Regional Preferred $15/$30
- SEH Platinum HMO Local Value $15/$30
- SEH Platinum HMO Regional Preferred $15/$30
- SEH Platinum POS Plus Local Value $10/$25
- SEH Platinum POS Plus National Access $10/$25
- SEH Platinum POS Plus Regional Preferred $10/$25
- SEH Platinum POS Plus Local Value $15/$30
- SEH Platinum POS Plus National Access $15/$30
- SEH Platinum POS Plus Regional Preferred $15/$30
- SEH Platinum EPO Local Value $20/$40
- SEH Platinum EPO Regional Preferred $20/$40
- SEH Platinum EPO National Access $20/$40
- SEH Platinum POS Plus Regional Preferred $30/$40
- SEH Platinum POS Plus Local Value $30/$40
- SEH Platinum POS Plus National Access $30/$40
- SEH Platinum POS Plus Local Value $20/$40
- SEH Platinum POS Plus Regional Preferred $20/$40
- SEH Platinum POS Plus National Access $20/$40
- SEH Platinum POS Plus Local Value $20/$40/90% Coins
- SEH Platinum POS Plus Regional Preferred $20/$40/90% Coins
- SEH Platinum POS Plus National Access $20/$40/90% Coins
Gold
- SEH Gold EPO Local Value $30/$50; 80% Coins
- SEH Gold EPO National Access $30/$50; 80% Coins
- SEH Gold EPO Regional Preferred $30/$50; 80% Coins
- SEH Gold HMO Local Value $25/$50, Rx 50%/$125 max
- SEH Gold HMO Regional Preferred $25/$50, Rx 50%/$125 max
- SEH Gold HMO Local Value $25/$50, Rx 50%
- SEH Gold HMO Regional Preferred $25/$50, Rx 50%
- SEH Gold HMO Local Value $30/$60
- SEH Gold HMO Regional Preferred $30/$60
- SEH Gold POS Local Value $30/$60
- SEH Gold POS Regional Preferred $30/$60
- SEH Gold POS Plus Local Value $30/$60
- SEH Gold POS Plus National Access $30/$60
- SEH Gold POS Plus Regional Preferred $30/$60
- SEH Gold HMO Plus Local Value $30/$50
- SEH Gold HMO Plus Regional Preferred $30/$50
- SEH Gold HMO Plus Local Value $25/$50
- SEH Gold HMO Plus Regional Preferred $25/$50
- SEH Gold HMO Local Value $15/$30
- SEH Gold HMO Regional Preferred $15/$30
- SEH Gold POS Plus Local Value $30/$50
- SEH Gold POS Plus National Access $30/$50
- SEH Gold POS Plus Regional Preferred $30/$50
- SEH Gold POS Plus Regional Preferred $20/$40
- SEH Gold POS Plus Local Value $20/$40
- SEH Gold POS Plus National Access $20/$40
- SEH Gold POS Regional Preferred $30/$50/70% Coins
- SEH Gold POS Local Value $30/$50/70% Coins
- SEH Gold EPO H.S.A Local Value 100%/100%
- SEH Gold EPO H.S.A Regional Preferred 100%/100%
- SEH Gold EPO H.S.A National Access 100%/100%
- SEH Gold EPO H.S.A Local Value $20/$40
- SEH Gold EPO H.S.A Regional Preferred $20/$40
- SEH Gold EPO H.S.A National Access $20/$40
- SEH Gold EPO H.S.A Local Value 70% Coins, RX $10/$40/$60
- SEH Gold EPO H.S.A Regional Preferred 70% Coins, RX $10/$40/$60
- SEH Gold EPO H.S.A National Access 70% Coins, RX $10/$40/$60
- SEH Gold EPO H.S.A Local Value 70% RX $7/50%/$125 max
- SEH Gold EPO H.S.A Regional Preferred 70% Coins, RX $7/50%/$125 max
- SEH Gold EPO H.S.A National Access 70% Coins, RX $7/50%/$125 max
- SEH Gold EPO Local Value $30/$50/70% Coins
- SEH Gold EPO Regional Preferred $30/$50/70% Coins
- SEH Gold EPO National Access $30/$50/70% Coins
- SEH Gold EPO Community Advantage $10/$20
- SEH Gold EPO AmeriHealth Advantage $10/$20
Silver
- SEH Silver POS Plus Local Value $50/$75
- SEH Silver POS Plus National Access $50/$75
- SEH Silver POS Plus Regional Preferred $50/$75
- SEH Silver HMO Local Value $50/$75
- SEH Silver HMO Regional Preferred $50/$75
- SEH Silver EPO H.S.A Tier 1 Advantage $50/$75
- SEH Silver EPO Community Advantage $15/$35
- SEH Silver EPO AmeriHealth Advantage $15/$35
- SEH Silver EPO Local Value $30/$50/50% Coins
- SEH Silver EPO Regional Preferred $30/$50/50% Coins
- SEH Silver EPO National Access $30/$50/50% Coins
- SEH Silver EPO Local Value $30/$50/80% Coins
- SEH Silver EPO Regional Preferred $30/$50/80% Coins
- SEH Silver EPO National Access $30/$50/80% Coins
- SEH Silver EPO H.S.A Local Value $30/$50
- SEH Silver EPO H.S.A Regional Preferred $30/$50
- SEH Silver EPO H.S.A National Access $30/$50
- SEH Silver EPO H.S.A Local Value 90%/90%
- SEH Silver EPO H.S.A Regional Preferred 90%/90%
- SEH Silver EPO H.S.A National Access 90%/90%
- SEH Silver EPO H.S.A Local Value 100%/100%
- SEH Silver EPO H.S.A Regional Preferred 100%/100%
- SEH Silver EPO H.S.A National Access 100%/100%
Bronze
- SEH Bronze EPO H.S.A Local Value $50/$75
- SEH Bronze EPO H.S.A National Access $50/$75
- SEH Bronze EPO H.S.A Regional Preferred $50/$75
- SEH Bronze EPO Local Value $50/$75
- SEH Bronze EPO Regional Preferred $50/$75
- SEH Bronze EPO National Access $50/$75
- SEH Bronze EPO Tier 1 Advantage $50/$75
- SEH Bronze EPO Community Advantage $25/$50
- SEH Bronze EPO AmeriHealth Advantage $25/$50
