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A PATIENT’S GUIDE TO THE HIPAA PRIVACY RULE:
When Health Care Providers May Communicate About You with Your Family, Friends, or Others Involved In Your Care

Author: U.S. Department of Health and Human Services • Office for Civil Rights

The U.S. Department of Health and Human Services (HHS) enforces the Federal privacy regulations commonly known as the HIPAA Privacy Rule (HIPAA). HIPAA requires most doctors, nurses, pharmacies, hospitals, nursing homes, and other health care providers to protect the privacy of your health information. Here is a list of common questions about HIPAA and when health care providers may discuss or share your health information with your family members, friends, or others involved in your care or payment for care.

COMMON QUESTIONS ABOUT HIPAA:

1. If I do not object, can my health care provider share or discuss my health information with my family, friends, or others involved in my care or payment for my care?

Yes. As long as you do not object, your health care provider is allowed to share or discuss your health information with your family, friends, or others involved in your care or payment for your care. Your provider may ask your permission, may tell you he or she plans to discuss the information and give you an opportunity to object, or may decide, using his or her professional judgment, that you do not object. In any of these cases, your health care provider may discuss only the information that the person involved needs to know about your care or payment for your care.

Here are some examples:
• An emergency room doctor may discuss your treatment in front of your friend when you ask that your friend come into the treatment room.
• Your hospital may discuss your bill with your daughter who is with you at the hospital and has questions about the charges.
• Your doctor may talk to your sister who is driving you home from the hospital about your keeping your foot raised during the ride home.
• Your doctor may discuss the drugs you need to take with your health aide who has come with you to your appointment.
• Your nurse may tell you that she is going to tell your brother how you are doing, and then she may discuss your health status with your brother if you did not say that she should not.

BUT:
• Your nurse may not discuss your condition with your brother if you tell her not to.

WHEN HEALTH CARE PROVIDERS MAY COMMUNICATE ABOUT YOU WITH YOUR FAMILY, FRIENDS, OR OTHERS INVOLVED IN YOUR CARE

2. If I am unconscious or not around, can my health care provider still share or discuss my health information with my family, friends, or others involved in my care or payment for my care?

Yes. If you are not around or cannot give permission, your health care provider may share or discuss your health information with family, friends, or others involved in your care or payment for your care if he or she believes, in his or her professional judgment, that it is in your best interest. When someone other than a friend or family member is asking about you, your health care provider must be reasonably sure that you asked the person to be involved in your care or payment for your care. Your health care provider may share your information face to face, over the phone, or in writing, but may only share the information that the family member, friend, or other person needs to know about your care or payment for your care.

Here are some examples:
• A surgeon who did emergency surgery on you may tell your spouse about your condition, either in person or by phone, while you are unconscious.
• A pharmacist may give your prescription to a friend you send to pick it up.
• A doctor may discuss your drugs with your caregiver who calls your doctor with a question about the right dosage.

BUT:
• A nurse may not tell your friend about a past medical problem that is unrelated to your current condition.

3. Do I have to give my health care provider written permission to share or discuss my health information with my family members, friends, or others involved in my care or payment for my care?

HIPAA does not require that you give your health care provider written permission. However, your provider may prefer or require that you give written permission. You may want to ask about your provider’s requirements.

4. If my family or friends call my health care provider to ask about my condition, will they have to give my provider proof of who they are?

HIPAA does not require proof of identity in these cases. However, your health care provider may have his or her own rules for verifying who is on the phone. You may want to ask about your provider’s rules.

5. Can I have another person pick up my prescription drugs, medical supplies, or X-rays?

Yes. HIPAA allows health care providers (such as phar macists) to give prescription drugs, medical supplies, X-rays, and other health care items to a family member, friend, or other person you send to pick them up.

6. Can my health care provider discuss my health information with an interpreter?

Yes. HIPAA allows your health care provider to share your health information with an interpreter who works for the provider to help communicate with you or your family, friends, or others involved in your care. If the interpreter is someone who does not work for your health care provider, HIPAA also allows your provider to discuss your health information with the interpreter so long as you do not object.

7. How can I help make sure my health care providers share my health information with my family, friends, or others involved in my care or payment for my care when I want them to?

Print a copy of this document and discuss it with your health care provider at your next appointment. You may also want to share this information with your family members, friends, or others involved in your care or payment for your care.

8. Where can I get more information about HIPAA?

The HHS Office for Civil Rights Web site at http://www.hhs.gov/ocr/hipaa/ has a variety of resources to help you understand HIPAA.
Reprinted from http://www.hhs.gov/ocr/hipaa/consumer_ffg.pdf

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Health Insurance Plans

& Providers Summary Chart
by State.


*Information may change without notice.


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Alabama

Aetna
First Dollar 30-0

First Dollar 40-0

PPO 1000-1000

PPO 2500-2500

PPO 5000-5000

PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 2500-2500

Preventative and Hospital Care 1250-1250

Preventative and Hospital Care 3000 (HSA Compatible)-3000

Assurant
CoreMed Plan -2000

CoreMed Plan -2000

CoreMed Plan -3500

CoreMed Plan -3500

CoreMed Plan -5000

MaxPlan -2500

MaxPlan -2500

OneDeductible PPO -3750

OneDeductible PPO -5000

RightStart PPO -3000

RightStart PPO -3000

SaveRight HSA PPO-5100

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-1500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Alaska


Aetna
PPO 2500-2500

PPO 5000-5000

PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 1500-1500

PPO Value 2500-2500

Preventive & Hospital Care 1250 -1250

Preventive & Hospital Care 3000 (HSA Compatible)-3000

Celtic
Basic 1500-1500

Basic 2500-2500

Basic 5000-5000

Celticare II "Any Doc" PPO Plan-500

Celticare II "Any Doc" PPO Plan-1000

Celticare II "Any Doc" PPO Plan-1500

Celticare II "Any Doc" PPO Plan-2500

Celticare II "Any Doc" PPO Plan-2500

Celticare II "Any Doc" PPO Plan-5000

CelticSaver HSA-1500

CelticSaver HSA-1500

CelticSaver HSA-2600

CelticSaver HSA-2600

CelticSaver HSA-5000

Golden Rule
Copay Saver SM-1500

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Arizona

Aetna
First Dollar 30-0

First Dollar 40-0

PPO 1000-1000

PPO 1500-1500

PPO 2500-2500

PPO 5000-5000

PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 2500-2500

Preventative and Hospital Care 1250-1250

Preventative and Hospital Care 3000 (HSA Compatible)-3000

Assurant
CoreMed Plan -2000

CoreMed Plan -2000

CoreMed Plan -3500

CoreMed Plan -3500

CoreMed Plan -5000

MaxPlan -2500

MaxPlan -2500

OneDeductible PPO -3750

OneDeductible PPO -5000

RightStart PPO -3000

RightStart PPO -3000

SaveRight HSA PPO-5100

BCBS
BlueClassic Indemnity 1250 -1250

BlueClassic Indemnity 250 -250

BlueClassic Indemnity 2500-2500

BlueClassic Indemnity 500 -500

BlueClassic Indemnity 5000 -5000

BlueClassic Indemnity 750 -750

BlueClassic Saver Indemnity 5000 -5000

BluePreferred 1000-1000

BluePreferred 250-250

BluePreferred 2500-2500

BluePreferred 500-500

BluePreferred 5000-5000

BluePreferred Basic 10000-10000

BluePreferred Basic 1500-1500

BluePreferred Basic 2500-2500

BluePreferred Basic 5000-5000

BluePreferred Saver 1500-1500

BluePreferred Saver 2600-2600

BluePreferred Saver 5000-5000

BlueSelect Plan Three-1000

BlueSelect Plan Two-0

Celtic
Basic 1500-1500

Basic 2500-2500

Basic 5000-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-1500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CelticSaver HSA-1500

CelticSaver HSA-1500

CelticSaver HSA-2600

CelticSaver HSA-2600

CelticSaver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Health Net
HMO $0 Deductible/70%-0

HMO $1000 Deductible/70%-1000

PPO $1000 Deductible, 80/60%-1000

PPO $1750 100/50% (HSA Compatible)-1750

PPO $2500 Deductible, 80/60%-2500

PPO $2600 100/50% (HSA Compatible)-2600

PPO $2600 80/50% (HSA Compatible)-2600

PPO $3500 100/50% (HSA Compatible)-0

PPO $500 Deductible, 80/60%-500

PPO $5000 Deductible, 80/60%-5000

PPO $5150 100/50% (HSA Compatible)-0

PPO $5150 80/50% (HSA Compatible)-0

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Arkansas

Aetna
PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 2500-2500

PPO Value 5000-5000

Preventive & Hospital Care 1250 -1250

Preventive & Hospital Care 3000 (HSA Compatible)-3000

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-1500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

California

Aetna
MC First Dollar OA 40-0

MC First Dollar OA 40-0

MC OA 1500-1500

MC OA 2500-2500

MC OA 2500-2500

MC OA 2500-2500

MC OA 500-500

MC OA 5000-5000

MC OA 5000-5000

MC OA 5000-5000

MC OA First Dollar 30-0

MC OA First Dollar 30-0

MC OA First Dollar 40-0

MC OA High Deductible 3000 (HSA Compatible)-3000

MC OA High Deductible 3000 (HSA)-3000

MC OA High Deductible 3000 (HSA)-3000

MC OA High Deductible 5000 (HSA Compatible)-5000

MC OA High Deductible 5000 (HSA)-5000

MC OA High Deductible 5000 (HSA)-5000

MC OA Preventive and Hospital Care 1250-1250

MC OA Preventive and Hospital Care 3000 (HSA Compatible)-3000

MC OA Value 1500-1500

MC OA Value 1500-1500

MC OA Value 1500-1500

MC OA Value 2500-2500

MC OA Value 5000-5000

MC OA Value 5000-5000

MC OA Value 5000-5000

MC OA Value 8000-8000

Preventive and Hospital Care 1250-1250

Preventive and Hospital Care 1250-1250

Preventive and Hospital Care 3000 (HSA Compatible)-3000

Preventive and Hospital Care 3000 (HSA Compatible)-3000

Anthem
3500 Deductible PPO-3500

CORE 5000-5000

HMO Saver-1500

Individual EPO -2400

Individual HMO -0

Lumenos HSA 1500/3000 100%-1500

Lumenos HSA 1500/3000 70%-1500

Lumenos HSA 3000/6000 100%-3000

Lumenos HSA 3000/6000 70%-3000

Lumenos HSA 5000/10000 100%-5000

Lumenos HSA 5000/10000 100% (Maternity)-5000

PPO Share 1000-1000

PPO Share 1500-1500

PPO Share 2500-2500

PPO Share 500-500

PPO Share 5000-5000

RightPlan PPO 40-0

RightPlan PPO 40-0

RightPlan PPO 40-0

Select HMO-0

SmartSense 1500/3000-1500

SmartSense 2500/5000-2500

SmartSense 500/1000-500

SmartSense 5000/10000-5000

Blue Shield
Access+ HMO-2000

Access+ Value HMO-2000

Active Start Plan 25-0

Active Start Plan 25 Generic Rx-0

Active Start Plan 35-0

Active Start Plan 35 Generic Rx-0

Balance Plan 1000-1000

Balance Plan 1700-1700

Balance Plan 2500-2500

Essential Plan 1750-1750

Essential Plan 3000-3000

Essential Plan 4500-4500

Shield Spectrum PPO Plan 1500-1500

Shield Spectrum PPO Plan 2000-2000

Shield Spectrum PPO Plan 500-500

Shield Spectrum PPO Plan 5000-5000

Shield Spectrum PPO Plan 750-750

Shield Spectrum PPO Savings Plan 1800/3600-1800

Shield Spectrum PPO Savings Plan 2400/4800-2400

Shield Spectrum PPO Savings Plan 4000/8000-4000

Vital Shield 2900-2900

Vital Shield 900-900

Health Net
HMO 15-1000

HMO 40-1500

SimpleChoice HSA-4000

SimpleChoice PPO 1500-1500

SimpleChoice PPO 2500-2500

SimpleChoice PPO 3500-3500

SimpleChoice PPO 4000-4000

SimpleChoice PPO 5000-5000

SimpleValue 30 Combo-0

SimpleValue 30 Generic-0

SimpleValue 40 Combo-0

SimpleValue 40 Generic-0

SimpleValue 50 Combo-0

SimpleValue 50 Generic-0

SmartChoice HSA-2500

Tonik
TONIK 1500-1500

TONIK 3000-3000

TONIK 5000-5000

Colorado

Aetna
First Dollar MC OA 25-0

MC OA 1000-1000

MC OA 1500-1500

MC OA 2500-2500

MC OA 5000-5000

MC OA High Deductible 3000 (HSA)-3000

MC OA High Deductible 5000 (HSA)-5000

MC OA Value 2500-2500

MC OA Value 5000-5000

Preventive and Hospital Care 1250-1250

Preventive and Hospital Care 3000 (HSA Compatible)-3000

Anthem
BluePreferred 1000 2000 OOP-1000

BluePreferred 1000 3000 OOP-1000

BluePreferred 2000 3000 OOP-2000

BluePreferred 2000 4000 OOP-2000

BluePreferred 3000 5000 OOP-3000

BluePreferred 500 1500 OOP-500

BluePreferred 500 2500 OOP-500

Lumenos HSA 1500/3000 100%-1500

Lumenos HSA 2500/5000 100%-2500

Lumenos HSA 2500/5000 80%-2500

Lumenos HSA 5000/10000 100%-5000

RightPlan PPO 40 Comprehensive Rx-0

RightPlan PPO 40 Generic Rx-0

RightPlan PPO 40 No Rx-0

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Tonik
TONIK 1500-1500

TONIK 3000-3000

TONIK 5000-5000

Connecticut

Aetna
MC OA 1500-1500

MC OA 2500-2500

MC OA 5000-5000

MC OA First Dollar 30-0

MC OA First Dollar 40-0

MC OA High Deductible 3000 (HSA Compatible)-3000

MC OA High Deductible 5000 (HSA Compatible)-5000

MC OA Preventive and Hospital Care 1250-1250

MC OA Preventive and Hospital Care 3000 (HSA)-3000

MC OA Value 2500-2500

Anthem
BlueCare Direct (HMO)-1500

BlueCare Direct (HMO)-1500

Century Preferred Direct 100-1500

Century Preferred Direct 100-1500

Century Preferred Direct 100-5000

Century Preferred Direct 100-5000

Century Preferred Direct 80/20-250

Lumenos HSA 1250 100/70-1250

Lumenos HSA 2500 100/70-2500

Lumenos HSA 2500 80/60-2500

Lumenos HSA 5000 100/70-5000

Celtic
CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

Connecticare
HMO Hospital Deductible $2,000-2000

HMO HSA 1500-1500

HMO Upfront Plan Deductible $1,500-1500

HMO Upfront Plan Deductible $2,500-2500

POS HSA 3000-3000

POS HSA 5000-5000

POS Upfront Plan Deductible $1,000-1000

POS Upfront Plan Deductible $2000-2000

POS Upfront Plan Deductible $500-500

Golden Rule
Basic Plan SM-2500

Copay 25 SM-500

Copay 25 SM-750

Copay 25 SM-1250

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

Plan 100®-1000

Plan 100®-1500

Plan 100®-2500

Plan 100®-5000

Plan 80 SM-1000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-5000

Tonik
TONIK 1500-1500

TONIK 3000-3000

TONIK 5000-5000

DC

Aetna
First Dollar PPO 30-0

First Dollar PPO 40-0

PPO 1000-1000

PPO 2500-2500

PPO 5000-5000

PPO High Deductible 3000-3000

PPO High Deductible 5000-5000

PPO Value 2500-2500

Preventative and Hospital Care 1250-1250

Preventative and Hospital Care 3000-3000

CareFirst
Blue Choice Saver $30/$45-0

Blue Preferred 80/20 2500-2500

Blue Preferred 80/20 750-750

Blue Preferred HSA 1200-1200

Blue Preferred HSA 2700-2700

Blue Preferred Saver $2500-2500

Blue Preferred Saver $5000-5000

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Kaiser
$10/$20 Copay Option Plan-0

$1000 Deductible/30% Plan-1000

$1250 Deductible/20% Plan (HSA)-1250

$1750 Deductible/20% Plan (HSA)-1750

$20/$30 Copay Option Plan-0

$2500 Deductible/20% Plan (HSA)-2500

$30/$40 Copay Option Plan-0

$4000 Deductible/0% Plan (HSA)-4000

$500 Deductible/20% Plan-500

$750 Deductible/20% Plan with Rx-750

$750 Deductible/20% Plan without Rx-750

$8000 Deductible/0% Plan-8000

Delaware

Aetna
First Dollar PPO 25-0

First Dollar PPO 35-0

PPO 1500-1500

PPO 2500-2500

PPO 5000-5000

PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 2500-2500

Preventative and Hospital Care 1250-1250

Preventative and Hospital Care 3000 (HSA Compatible)-3000

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-1500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-2500

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

HSA 100 SM-1100

HSA 100 SM-1900

HSA 100 SM-2900

HSA 100 SM-3500

HSA 100 SM-5000

HSA Saver SM-3500

HSA Saver SM-5000

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Florida

Aetna
Managed Choice OA First Dollar 35-0

Managed Choice OA Value 10000-10000

MC OA High Deductible 3000 (HSA Compatible)-3000

MC OA High Deductible 5000 (HSA Compatible)-5000

MC Open Access 1000-1000

MC Open Access 1500-1500

MC Open Access 2500-2500

MC Open Access 5000-5000

POS OA High Deductible 3000 (HSA Compatible)-3000

POS OA High Deductible 5000 (HSA Compatible)-5000

POS Open Access 1000-1000

POS Open Access 1500-1500

POS Open Access 2500-2500

POS Open Access 5000-5000

POS Open Access First Dollar 35-0

POS Open Access Value 10000-10000

Preventative & Hospital Care 1250-1250

Preventative & Hospital Care 3000 (HSA Compatible)-3000

Assurant
CoreMed Plan -2000

CoreMed Plan -2000

CoreMed Plan -3500

CoreMed Plan -3500

CoreMed Plan -5000

MaxPlan -2500

MaxPlan -2500

OneDeductible PPO -3750

OneDeductible PPO -5000

RightStart PPO -3000

RightStart PPO -3000

SaveRight HSA PPO-5100

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Georgia

Aetna
MC OA & PPO 1500-1500

MC OA & PPO 2500-2500

MC OA & PPO 3500-3500

MC OA & PPO 5000-5000

MC OA & PPO First Dollar 30-0

MC OA & PPO First Dollar 40-0

MC OA & PPO High Deductible 3000 (HSA Compatible)-3000

MC OA & PPO High Deductible 5000 (HSA Compatible)-5000

MC OA & PPO Value 10000-10000

MC OA & PPO Value 2000-2000

MC OA & PPO Value 5000-5000

PPO 1500-1500

PPO 2500-2500

PPO 3500-3500

PPO 5000-5000

PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 2000-2000

PPO Value 5000-5000

Preventative and Hospital Care 1250-1250

Preventative and Hospital Care 3000 (HSA Compatible)-3000

Preventive and Hospital Care 1250-1250

Preventive and Hospital Care 3000 (HSA Compatible)-3000

Assurant
CoreMed Plan -2000

CoreMed Plan -3500

CoreMed Plan -3500

CoreMed Plan -5000

MaxPlan -2500

MaxPlan -2500

OneDeductible PPO -3750

OneDeductible PPO -5000

SaveRight HSA PPO-5100

Blue Cross
Blue Choice PPO HSA Compatible 1150 100-1150

Blue Choice PPO HSA Compatible 1150 80-1150

Blue Choice PPO HSA Compatible 180...

Blue Choice PPO HSA Compatible 1800 80-1800

Blue Choice PPO HSA Compatible 2600 100-2600

Blue Choice PPO HSA Compatible 2600 80-2600

Blue Choice Premier PPO 10000-10000

Blue Choice Premier PPO 1500-1500

Blue Choice Premier PPO 20000-20000

Blue Choice Premier PPO 2500-2500

Blue Choice Premier PPO 5000-5000

Blue Choice Premier PPO 750-750

Blue Choice SmartSense PPO 10000-10000

Blue Choice SmartSense PPO 10000 w/Comp RX-10000

Blue Choice SmartSense PPO 1500-1500

Blue Choice SmartSense PPO 1500 w/Comp RX-1500

Blue Choice SmartSense PPO 20000-20000

Blue Choice SmartSense PPO 20000 w/Comp RX-20000

Blue Choice SmartSense PPO 2500-2500

Blue Choice SmartSense PPO 2500 w/Comp RX-2500

Blue Choice SmartSense PPO 5000-5000

Blue Choice SmartSense PPO 5000 w/Comp RX-5000

Blue Choice SmartSense PPO 750-750

Blue Choice SmartSense PPO 750 w/ Comp RX-750

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-2500

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

HSA 100 SM-1100

HSA 100 SM-1900

HSA 100 SM-2900

HSA 100 SM-3500

HSA 100 SM-5000

HSA Saver SM-3500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Tonik
TONIK 1500-1500

TONIK 3000-3000

TONIK 5000-5000

Illinois

Aetna
MC OA & PPO 2500-2500

MC OA & PPO 5000-5000

MC OA & PPO First Dollar 30-0

MC OA & PPO First Dollar 40-0

MC OA & PPO High Deductible 3000 (HSA Compatible)-3000

MC OA & PPO High Deductible 5000 (HSA Compatible)-5000

MC OA & PPO Value 5000-5000

MC OA & Preventive and Hospital Care 1250-1250

MC OA & Preventive and Hospital Care 3000 (HSA)-3000

Assurant
CoreMed Plan -2000

CoreMed Plan -2000

CoreMed Plan -3500

CoreMed Plan -3500

CoreMed Plan -5000

MaxPlan -2500

MaxPlan -2500

OneDeductible PPO -3750

OneDeductible PPO -5000

RightStart PPO -3000

RightStart PPO -3000

SaveRight HSA PPO-5100

BCBS
BlueEdge Individual HSA $1,750-1750

BlueEdge Individual HSA $2,600-2600

BlueEdge Individual HSA $5,000-5000

SelectBlue $1,000/80%-1000

SelectBlue $2,500/100%-2500

SelectBlue $2,500/80%-2500

SelectBlue $5,000/100%-5000

SelectBlue $5,000/80%-5000

SelectBlue $500/80%-500

SelectBlue Advantage $1,000/80%-1000

SelectBlue Advantage $1,750/80%-1750

SelectBlue Advantage $2,500/80%-2500

SelectBlue Advantage $5,000/80%-5000

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Sound
Curb Jumper aka 3000-3000

Gravity Bender aka 5000-5000

The Cruiser aka 1500-1500

Unicare
HSA-Compatible Plan 2-2600

HSA-Compatible Plan 3-5000

HSA-Compatible Variable Contribution-2850

HSA-Compatible Variable-Deductible Plan-1100

Illinois FIT 1000-1000

Illinois FIT 1500-1500

Illinois FIT 2000-2000

Illinois FIT 3000-3000

Illinois FIT 500-500

Illinois FIT 5000-5000

Saver 2000-2000

Indiana

Anthem
Blue Access Economy 1500 -1500

Blue Access Economy 500 -500

Blue Access PPO Plan 1 1000-1000

Blue Access PPO Plan 1 2500-2500

Blue Access PPO Plan 2 1000-1000

Blue Access PPO Plan 2 2500-2500

Blue Access PPO Plan 2 500-500

Blue Access PPO Plan 3 2500-2500

Blue Access PPO Plan 3 5000-5000

Blue Access Value 10,000-10000

Blue Access Value 2000-2000

Blue Access Value 3000-3000

Blue Access Value 5000-5000

Lumenos HSA 1500 -1500

Lumenos HSA 3000 -3000

Lumenos HSA 5000-5000

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Unicare
UniCare 1000-1000

UniCare 1500-1500

UniCare 2000-2000

UniCare 3000-3000

UniCare 500-500

UniCare 5000-5000

UniCare Saver 2000-2000

Iowa

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Kansas

Aetna
First Dollar 30-0

First Dollar 40-0

PPO 1000-1000

PPO 2500-2500

PPO 5000-5000

PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 1500-1500

PPO Value 2500-2500

Preventative and Hospital Care 1250-1250

Preventative and Hospital Care 3000 (HSA Compatible)-3000

Celtic
Basic 1500-1500

Basic 2500-2500

Basic 5000-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-1500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CelticSaver HSA-1500

CelticSaver HSA-1500

CelticSaver HSA-2600

CelticSaver HSA-2600

CelticSaver HSA-5000

Golden Rule
Copay Saver SM-2500

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

HSA 100 SM-1100

HSA 100 SM-1900

HSA 100 SM-2900

HSA 100 SM-3500

HSA 100 SM-5000

HSA Saver SM-1100

HSA Saver SM-1900

HSA Saver SM-2900

HSA Saver SM-3500

HSA Saver SM-5000

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-500

Saver 80 SM-1000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-3500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Kentucky

Anthem
Blue Access Plan 2 1000-1000

Blue Access Plan 2 2500-2500

Blue Access Plan 2 500-500

Blue Access Plan 3 2500-2500

Blue Access Plan 3 5000-5000

Blue Access Value 2000-2000

Blue Access Value 3000-3000

Blue Access Value 5000-5000

Lumenos HSA 1500 -1500

Lumenos HSA 3000 -3000

Lumenos HSA 5000-5000

Golden Rule
Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-1100

HSA Saver®-1900

HSA Saver®-2900

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-500

Saver 80 SM-1000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-3500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Louisiana

Aetna
First Dollar 30-0

First Dollar 40-0

PPO 1000-1000

PPO 2500-2500

PPO 5000-5000

PPO High Deductible 3000 (HSA Compatible)-3000

PPO High Deductible 5000 (HSA Compatible)-5000

PPO Value 2500-2500

Preventative and Hospital Care 1250-1250

Preventative and Hospital Care 3000 (HSA Compatible)-3000

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

CoventryOne
HDHP 1700/0%-1700

HDHP 1700/20%-1700

HDHP 2500/0%-2500

HDHP 2500/20%-2500

HDHP 5000/0%-5000

HDHP 5000/20%-5000

HDHP Universal 2500/0%-2500

HDHP Universal 2500/20%-2500

POS Copay 1000-1000

POS Copay 1500-1500

POS Copay 2500-2500

POS Copay 500-500

POS Copay 5000-5000

POS Copay 750-750

POS Copay Value 1000-1000

POS Copay Value 2500-2500

POS Copay Value 500-500

POS Copay Value 5000-5000

POS Copay Value 7500-7500

Golden Rule
Copay Saver SM-2500

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (HSA)-3000

AutographTotal (HSA)-4000

AutographTotal (HSA)-5200

AutographTotal Plus Rx (HSA)-1500

AutographTotal Plus Rx (HSA)-2500

AutographTotal Plus Rx (HSA)-3500

AutographTotal Plus Rx (HSA)-5000

Monogram Total Plus Rx-7500

Portrait Share 80 Plus RX Unlimited-1000

Portrait Share 80 Plus RX Unlimited-2500

Maryland

Aetna
High Deductible PPO 1 (HSA Compatible)-2750

High Deductible PPO 2 (HSA Compatible)-5000

PPO 20-500

PPO 25-1500

PPO 30-2500

PPO 40-5000

CareFirst
Blue Choice Saver $30/$40-0

Blue Preferred HSA 1200-1200

Blue Preferred HSA 2700-2700

Blue Preferred Saver $2500-2500

Blue Preferred Saver $5000-5000

Personal Comp $1000-1000

Personal Comp $200-200

Personal Comp $2500-2500

Personal Comp $400-400

Personal Comp $800-800

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Kaiser
$10/$20 Copay Option Plan-0

$1000 Deductible/30% Plan-1000

$1250 Deductible/20% Plan (HSA)-1250

$1750 Deductible/20% Plan (HSA)-1750

$20/$30 Copay Option Plan-0

$2500 Deductible/20% Plan (HSA)-2500

$30/$40 Copay Option Plan-0

$4000 Deductible/0% Plan (HSA)-4000

$500 Deductible/20% Plan-500

$750 Deductible/20% Plan with Rx-750

$750 Deductible/20% Plan without Rx-750

$8000 Deductible/0% Plan-8000

Michigan

Aetna
First Dollar PPO 30-0

First Dollar PPO 40-0

High Deductible 3000 (HSA Compatible)-3000

High Deductible 5000 (HSA Compatible)-5000

PPO 1500-1500

PPO 2500-2500

PPO 5000-5000

PPO Value 5000-5000

Preventive and Hospital Care 1250-1250

Preventive and Hospital Care 3000 (HSA Compatible)-3000

Assurant
CoreMed Plan -2000

CoreMed Plan -2000

CoreMed Plan -3500

CoreMed Plan -3500

CoreMed Plan -5000

MaxPlan -2500

MaxPlan -2500

OneDeductible PPO -3750

OneDeductible PPO -5000

RightStart PPO -3000

RightStart PPO -3000

SaveRight HSA PPO-5100

Celtic
Celtic Basic-1500

Celtic Basic-2500

Celtic Basic-5000

CeltiCare Preferred Select PPO-500

CeltiCare Preferred Select PPO-1000

CeltiCare Preferred Select PPO-2500

CeltiCare Preferred Select PPO-5000

CeltiCare Preferred Select PPO-5000

Saver HSA-1500

Saver HSA-1500

Saver HSA-2600

Saver HSA-2600

Saver HSA-5000

Golden Rule
Copay Saver SM-1500

Copay Saver SM-2500

Copay Saver SM-5000

Copay Select SM-500

Copay Select SM-1000

Copay Select SM-1500

Copay Select SM-2500

Copay Select SM-5000

HSA 100®-1100

HSA 100®-1900

HSA 100®-2900

HSA 100®-3500

HSA 100®-5000

HSA Saver®-3500

HSA Saver®-5000

Plan 100®-1500

Plan 100®-2500

Plan 100®-3500

Plan 100®-5000

Plan 80 SM-1500

Plan 80 SM-2500

Plan 80 SM-3500

Plan 80 SM-5000

Saver 80 SM-1500

Saver 80 SM-2500

Saver 80 SM-5000

Humana
Autograph Share 70 Plus Rx-2500

Autograph Share 70 Plus Rx-5000

Autograph Share 80 (HSA)-2000

Autograph Share 80 (HSA)-3000

Autograph Share 80 Plus Rx-5000

Autograph Share 80 Plus Rx-6000

AutographTotal (HSA)-2000

AutographTotal (