Summaries of Benefits for small group plans — 2018
Calendar Year
Platinum
- SEH Platinum HMO Regional Preferred $15/$30
- SEH Platinum POS Plus National Access $15/$30
- SEH Platinum POS Plus Regional Preferred $15/$30
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 Regional Preferred $30/$60, Rx 50%/$125 max
- SEH Gold POS Plus National Access $30/$60
- SEH Gold POS Plus Regional Preferred $30/$60
- SEH Gold EPO H.S.A National Access 90%/90%
- SEH Gold EPO H.S.A Local Value 100%/100%
- SEH Gold EPO H.S.A Regional Preferred 100%/100%
- SEH Gold EPO Tier 1 Advantage $30/$50
- SEH Gold EPO AmeriHealth Advantage $10/$20
Silver
- SEH Silver POS Plus Regional Preferred $50/$75
- SEH Silver POS Plus Local Value $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 AmeriHealth Advantage $30/$60
- SEH Silver EPO Local Value $30/$60/50% Coins
- SEH Silver EPO Regional Preferred $30/$60/50% Coins
- SEH Silver EPO H.S.A Local Value 0%/30%
- SEH Silver EPO H.S.A Local Value 80%/80%
- SEH Silver EPO H.S.A Local Value 90%/90%
- SEH Silver EPO H.S.A Regional Preferred 0%/30%
- SEH Silver EPO H.S.A Regional Preferred 80%/80%
- SEH Silver EPO H.S.A Regional Preferred 90%/90%
- SEH Silver EPO H.S.A Local Value 100%/100%
- SEH Silver EPO H.S.A Regional Preferred 100%/100%
Bronze
Plan Year
Platinum
- SEH Platinum HMO Regional Preferred $15/$30
- SEH Platinum POS Plus Regional Preferred $15/$30
- SEH Platinum POS Plus National Access $15/$30
Gold
- SEH Gold EPO Local Value $30/$50/80% Coins
- SEH Gold EPO Regional Preferred $30/$50/80% Coins
- SEH Gold EPO National Access $30/$50/80% Coins
- SEH Gold HMO Regional Preferred $30/$60, Rx 50%/$125 max
- SEH Gold POS Plus Regional Preferred $30/$60
- SEH Gold POS Plus National Access $30/$60
- SEH Gold EPO H.S.A National Access 90%/90%
- SEH Gold EPO H.S.A Local Value 100%/100%
- SEH Gold EPO H.S.A Regional Preferred 100%/100%
- SEH Gold EPO Tier 1 Advantage $30/$50
- SEH Gold EPO AmeriHealth Advantage $10/$20
Silver
- SEH Silver POS Plus Regional Preferred $50/$75
- SEH Silver POS Plus Local Value $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 AmeriHealth Advantage $30/$60
- SEH Silver EPO Local Value $30/$60/50% Coins
- SEH Silver EPO Regional Preferred $30/$60/50% Coins
- SEH Silver EPO H.S.A Local Value 0%/30%
- SEH Silver EPO H.S.A Local Value 80%/80%
- SEH Silver EPO H.S.A Local Value 90%/90%
- SEH Silver EPO H.S.A Regional Preferred 0%/30%
- SEH Silver EPO H.S.A Regional Preferred 80%/80%
- SEH Silver EPO H.S.A Regional Preferred 90%/90%
- SEH Silver EPO H.S.A Local Value 100%/100%
- SEH Silver EPO H.S.A Regional Preferred 100%/100%
