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Core plans feature lower monthly premiums with higher out-of-pocket costs for covered services. These plans generally include higher copayments and annual deductibles, and sometimes feature coinsurance that applies to covered services.
SBC = Summary of Benefits and CoverageEOC = Explanation of Coverage
Essential plans feature intermediate pricing for both monthly premiums and out-of-pocket costs.
Premium plans have higher monthly premiums, but lower out-of-pocket costs for covered services. These plans feature low copayments, and typically do not include deductibles.
Thrive Plans feature modest premiums with low out-of-pocket expenses for routine and maintenance care paired with significant cost-share for non-routine services.
Wise plans feature lower monthly premiums with higher out-of-pocket costs for covered services. They require full payment of their deductible before most services are covered. They are typically paired with a Health Savings Account that can be used by the member to pay for health related expenses and deductibles.
Essential plans feature intermediate pricing for both monthly premiums and out-of- pocket costs.
2021 Large Group HMO Plan Comparison
2021 Large Group PPO Plan Comparison
2021 Small Group Plans
2021 Connector Plans
2020 Small Group Plans
2020 Large Group Plans
2020 Connector Plans