List of Proposed Essential Health Benefit Benchmark Plans for 2017...
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List of Proposed Essential Health Benefit Benchmark Plans for 2017...
List of Proposed Essential Health Benefit Benchmark Plans for 2017 and Beyond Alabama Small Group Market Blue Cross and Blue Shield of Alabama 320 Plan Supplemented Categories Pediatric dental Pediatric vision Alaska Small Group Market Premera Blue Cross Blue Shield of Alaska Heritage Select Envoy Pediatric dental Pediatric vision FEDVIP FEDVIP Arizona State Employee Plan The State of Arizona EPO Employee Health Plan Pediatric dental Pediatric vision FEDVIP FEDVIP Arkansas Small Group Market HMO Partners, Inc. - Small Group Gold 1000-1 Pediatric dental CHIP California Small Group Market Kaiser Foundation Health Plan Inc. - Small Group HMO 30 Pediatric dental Pediatric vision CHIP FEDVIP Colorado State Employee Plan Colorado State LG A230 State Employee Health Plan Pediatric dental CHIP Connecticut Small Group Market ConnectiCare Insurance Company, Inc. Connecticare Flex POS plan None None Delaware Small Group Market Highmark BCBSD Inc. - Small Group Shared Cost EPO $2000/100 Plan None None District of Columbia Small Group Market GHMSI - Blue Preferred PPO $1,000 100%/80% None None Florida Small Group Market Blue Cross and Blue Shield of Florida BlueOptions 5462 Pediatric dental Pediatric vision FEDVIP FEDVIP Georgia Small Group Market Humana Employers Health Plan of Georgia, Inc. - Copay Option 22 None None Hawaii Small Group Market Hawaii Medical Service Association Preferred Provider Plan 2010 Pediatric dental Pediatric vision CHIP FEDVIP Idaho Small Group Market Blue Cross of Idaho Health Service, Inc. Preferred Blue PPO Small Group Pediatric dental Pediatric vision FEDVIP FEDVIP Illinois Small Group Market Blue Cross Blue Shield of Illinois - Blue PPO Gold 011 Pediatric dental Pediatric vision CHIP FEDVIP State Plan Type Issuer and Plan Name Supplementary Plan Type FEDVIP FEDVIP List of Proposed Essential Health Benefit Benchmark Plans for 2017 and Beyond State Anthem Ins Companies Inc - Blue 6.0 Blue Access PPO Option 14, Rx G Supplemented Categories Pediatric dental Pediatric vision Supplementary Plan Type FEDVIP FEDVIP Wellmark Inc. - CompleteBlue 2000 None None Pediatric dental Pediatric vision CHIP CHIP None None Plan Type Issuer and Plan Name Indiana Small Group Market Iowa Small Group Market Blue Cross and Blue Shield of Kansas, Inc. Blue Choice Comprehensive Major Medical UnitedHealthcare of Kentucky, Ltd. Choice Plus Kansas Small Group Market Kentucky Small Group Market Louisiana Small Group Market Louisiana Health Service & Indemnity Company - GroupCare Copay 80/60 $1000 Pediatric dental Pediatric vision FEDVIP FEDVIP Maine Small Group Market Anthem Health Plans of Maine (Anthem BCBS) - Blue Choice, $30.00, $2,500 Ded Pediatric dental Pediatric vision FEDVIP FEDVIP Maryland Small Group Market None None Massachusetts Small Group Market Pediatric dental Pediatric vision CHIP FEDVIP Michigan Small Group Market PriorityHealth - PriorityHMO Pediatric dental Pediatric vision CHIP FEDVIP Minnesota Small Group Market HealthPartners, Inc. - HLPT-129123512 Pediatric dental FEDVIP Mississippi Small Group Market Blue Cross Blue Shield of Mississippi Network Blue Pediatric dental Pediatric vision CHIP CHIP Missouri Small Group Market Healthy Alliance Life Co (Anthem BCBS) PPO On Exchange Pediatric dental FEDVIP Montana Small Group Market Blue Cross and Blue Shield of Montana Blue Preferred Gold PPO 007 Pediatric dental FEDVIP CareFirst BlueChoice, Inc. - BlueChoice HMO HSA-HRA $1,500 Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. - HMO Blue New England $2000 Deductible List of Proposed Essential Health Benefit Benchmark Plans for 2017 and Beyond State Plan Type Issuer and Plan Name Supplemented Categories Supplementary Plan Type Nebraska Small Group Market Blue Cross and Blue Shield of Nebraska Blue Pride Plus Option 102 Gold None None Nevada Small Group Market Health Plan of Nevada, Inc. - HPN Solutions HMO Platinum 15/0/90% None None New Hampshire Small Group Market Anthem - Matthew Thornton Blue None None New Jersey Small Group Market Horizon Healthcare Services, Inc. Advantage EPO Silver 100/50 Pediatric dental CHIP New Mexico State Non-Medicaid HMO Presbyterian Health Plan Inc. - Individual Silver C HMO Pediatric dental Pediatric vision CHIP CHIP New York Small Group Market Oxford Health Insurance, Inc. - Oxford EPO None None North Carolina Small Group Market Blue Cross and Blue Shield of North Carolina - Blue Options PPO Pediatric dental FEDVIP North Dakota Small Group Market None None Ohio Small Group Market Pediatric dental FEDVIP Oklahoma Small Group Market None None Oregon Small Group Market Pediatric dental Pediatric vision OHP Plus FEDVIP Pennsylvania Small Group Market None None Rhode Island Small Group Market Pediatric dental FEDVIP Blue Cross Blue Shield of North Dakota BlueCare Gold 90 500 Community Insurance Company (Anthem BCBS) - Blue Access (PPO) - Standard Opt D55 Blue Cross Blue Shield of Oklahoma - Blue Options Gold 002 PacificSource Health Plans - Preferred Codeduct Value 3000+35/70% 0812 Tiered Value Rx 10/50/75 0812 Keystone Health Plan East, Inc. - Gold Premier HMO Blue Cross Blue Shield of Rhode Island VantageBlue 100/60 1500/3000 RX 3/12/35/60/100 WOPD List of Proposed Essential Health Benefit Benchmark Plans for 2017 and Beyond State Plan Type Issuer and Plan Name Supplemented Categories Supplementary Plan Type South Carolina Small Group Market Blue Cross and Blue Shield of South Carolina - Business Blue Complete Pediatric vision FEDVIP South Dakota Small Group Market Wellmark of South Dakota - Blue Select Primary PCP/NonPCP Copay Plan Pediatric dental Pediatric vision FEDVIP FEDVIP Tennessee Small Group Market BlueCross BlueShield of Tennessee - SG Gold 13S None None Texas Small Group Market Blue Cross Blue Shield of Texas - Blue Choice PPO RSH3 Pediatric dental Pediatric vision FEDVIP FEDVIP Utah State Employee Plan Public Employees Health Program (PEHP) Utah Basic Plus Plan None None Vermont Small Group Market The Vermont Health Plan, LLC - Silver CDHP Plan None None Virginia Small Group Market Anthem Health Plans of VA (Anthem BCBS) - Premier DirectAccess PPO Pediatric dental CHIP Washington Small Group Market Regence BlueShield - Regence Direct Gold + None None West Virginia Small Group Market Highmark Blue Cross Blue Shield West Virginia - Gold Shared Cost PPO $1000 None None Wisconsin Small Group Market UnitedHealthcare Insurance Company Choice Plus Pediatric dental Pediatric vision FEDVIP FEDVIP Wyoming Small Group Market Blue Cross Blue Shield of Wyoming BlueSelect Silver for Employer Groups None None