Summaries of Benefits for small group plans — 2019
Calendar Year
Platinum
- SEH Platinum HMO Plus 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/$60/20% Coins
- SEH Gold EPO National Access $30/$60/20% Coins
- SEH Gold EPO Regional Preferred $30/$60/20% Coins
- SEH Gold HMO Regional Preferred $30/$65, Rx 50%/$125 max
- SEH Gold POS Plus National Access $30/$70
- SEH Gold POS Plus Regional Preferred $30/$70
- SEH Gold EPO HSA Local Value 0%/0%
- SEH Gold EPO HSA Regional Preferred 0%/0%
- SEH Gold EPO HSA National Access 10%/10%
- SEH Gold EPO HSA Regional Preferred 0%/20%
- SEH Gold EPO AmeriHealth Hospital Advantage $30/$50
- SEH Gold EPO AmeriHealth Advantage $10/$30
Silver
- SEH Silver POS Plus Local Value $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 HSA AmeriHealth Hospital Advantage $50/$75
- SEH Silver EPO AmeriHealth Advantage $30/$60
- SEH Silver EPO Local Value $30/$70/50% Coins
- SEH Silver EPO Regional Preferred $30/$70/50% Coins
- SEH Silver EPO HSA Local Value 0%/0%
- SEH Silver EPO HSA Regional Preferred 0%/0%
- SEH Silver EPO HSA Local Value 20%/20%
- SEH Silver EPO HSA Regional Preferred 20%/20%
- SEH Silver EPO HSA Local Value 0%/30%
- SEH Silver EPO HSA Regional Preferred 0%/30%
Bronze
Plan Year
Platinum
- SEH Platinum HMO Plus 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/$60/20% Coins
- SEH Gold EPO National Access $30/$60/20% Coins
- SEH Gold EPO Regional Preferred $30/$60/20% Coins
- SEH Gold HMO Regional Preferred $30/$65, Rx 50%/$125 max
- SEH Gold POS Plus National Access $30/$70
- SEH Gold POS Plus Regional Preferred $30/$70
- SEH Gold EPO HSA Local Value 0%/0%
- SEH Gold EPO HSA Regional Preferred 0%/0%
- SEH Gold EPO HSA National Access 10%/10%
- SEH Gold EPO HSA Regional Preferred 0%/20%
- SEH Gold EPO AmeriHealth Hospital Advantage $30/$50
- SEH Gold EPO AmeriHealth Advantage $10/$30
Silver
- SEH Silver POS Plus Local Value $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 HSA AmeriHealth Hospital Advantage $50/$75
- SEH Silver EPO AmeriHealth Advantage $30/$60
- SEH Silver EPO Local Value $30/$70/50% Coins
- SEH Silver EPO Regional Preferred $30/$70/50% Coins
- SEH Silver EPO HSA Local Value 0%/0%
- SEH Silver EPO HSA Regional Preferred 0%/0%
- SEH Silver EPO HSA Local Value 20%/20%
- SEH Silver EPO HSA Regional Preferred 20%/20%
- SEH Silver EPO HSA Local Value 0%/30%
- SEH Silver EPO HSA Regional Preferred 0%/30%
