Summary of Benefits and Coverages (SBCs) provide standard plan information so you can see what is covered. Please use your company’s enrollment materials to determine the available plans.
2026 SBCs
PPO
- Bronze_PPO_5800_60_INF
- Bronze_PPO_5800_60
- Gold_PPO_0_35_INF
- Gold_PPO_0_35
- Gold_PPO_350_25_INF
- Gold_PPO_350_25
- Gold_PPO_500_20_INF
- Gold_PPO_500_20
- Gold_PPO_750_15_INF
- Gold_PPO_750_15
- Gold_PPO_1000_35_INF
- Gold_PPO_1000_35
- Gold_PPO_1500_20_INF
- Gold_PPO_1500_20
- Platinum_PPO_0_5_INF
- Platinum_PPO_0_5
- Platinum_PPO_0_15_INF
- Platinum_PPO_0_15
- Platinum_PPO_250_15_INF
- Platinum_PPO_250_15
- Silver_PPO_1700_50_INF
- Silver_PPO_1700_50
- Silver_PPO_2250_60_INF
- Silver_PPO_2250_60
- Silver_PPO_2500_50_INF
- Silver_PPO_2500_50
- Silver_PPO_2500_55_INF
- Silver_PPO_2500_55
HMO
- FullNetwork_HMO_Gold_30_INF
- FullNetwork_HMO_Gold_30
- FullNetwork_HMO_Gold_35_INF
- FullNetwork_HMO_Gold_35
- FullNetwork_HMO_Gold_40_INF
- FullNetwork_HMO_Gold_40
- FullNetwork_HMO_Gold_50_INF
- FullNetwork_HMO_Gold_50
- FullNetwork_HMO_Gold_55_INF
- FullNetwork_HMO_Gold_55
- FullNetwork_HMO_Platinum_0_INF
- FullNetwork_HMO_Platinum_0
- FullNetwork_HMO_Platinum_10_INF
- FullNetwork_HMO_Platinum_10
- FullNetwork_HMO_Platinum_20_INF
- FullNetwork_HMO_Platinum_20
- FullNetwork_HMO_Platinum_30_INF
- FullNetwork_HMO_Platinum_30
- FullNetwork_HMO_Platinum_35_INF
- FullNetwork_HMO_Platinum_35
- FullNetwork_HMO_Silver_55_INF
- FullNetwork_HMO_Silver_55
- SmartCare_HMO_Gold_30_INF
- SmartCare_HMO_Gold_30
- SmartCare_HMO_Gold_35_INF
- SmartCare_HMO_Gold_35
- SmartCare_HMO_Gold_40_INF
- SmartCare_HMO_Gold_40
- SmartCare_HMO_Gold_50_INF
- SmartCare_HMO_Gold_50
- SmartCare_HMO_Gold_55_INF
- SmartCare_HMO_Gold_55
- SmartCare_HMO_Platinum_0_INF
- SmartCare_HMO_Platinum_0
- SmartCare_HMO_Platinum_10_INF
- SmartCare_HMO_Platinum_10
- SmartCare_HMO_Platinum_20_INF
- SmartCare_HMO_Platinum_20
- SmartCare_HMO_Platinum_30_INF
- SmartCare_HMO_Platinum_30
- SmartCare_HMO_Platinum_35_INF
- SmartCare_HMO_Platinum_35
- SmartCare_HMO_Silver_55_INF
- SmartCare_HMO_Silver_55
- WholeCare_HMO_Gold_30_INF
- WholeCare_HMO_Gold_30
- WholeCare_HMO_Gold_35_INF
- WholeCare_HMO_Gold_35
- WholeCare_HMO_Gold_40_INF
- WholeCare_HMO_Gold_40
- WholeCare_HMO_Gold_50_INF
- WholeCare_HMO_Gold_50
- WholeCare_HMO_Gold_55_INF
- WholeCare_HMO_Gold_55
- WholeCare_HMO_Platinum_0_INF
- WholeCare_HMO_Platinum_0
- WholeCare_HMO_Platinum_10_INF
- WholeCare_HMO_Platinum_10
- WholeCare_HMO_Platinum_20_INF
- WholeCare_HMO_Platinum_20
- WholeCare_HMO_Platinum_30_INF
- WholeCare_HMO_Platinum_30
- WholeCare_HMO_Platinum_35_INF
- WholeCare_HMO_Platinum_35
- WholeCare_HMO_Silver_55_INF
- WholeCare_HMO_Silver_55
2025 SBCs
PPO
- Bronze_PPO_5800_60_INF
- Bronze_PPO_5800_60
- Gold_PPO_0_35_INF
- Gold_PPO_0_35
- Gold_PPO_350_25_INF
- Gold_PPO_350_25
- Gold_PPO_500_20_INF
- Gold_PPO_500_20
- Gold_PPO_750_15_INF
- Gold_PPO_750_15
- Gold_PPO_1000_35_INF
- Gold_PPO_1000_35
- Gold_PPO_1500_20_INF
- Gold_PPO_1500_20
- Platinum_PPO_0_5_INF
- Platinum_PPO_0_5
- Platinum_PPO_0_15_INF
- Platinum_PPO_0_15
- Platinum_PPO_250_15_INF
- Platinum_PPO_250_15
- Silver_PPO_1700_50_INF
- Silver_PPO_1700_50
- Silver_PPO_2250_60_INF
- Silver_PPO_2250_60
- Silver_PPO_2500_50_INF
- Silver_PPO_2500_50
- Silver_PPO_2500_55_INF
- Silver_PPO_2500_55
HMO
- Full Network HMO Gold-30 INF
- Full Network HMO Gold-30
- FullNetwork_HMO_Gold-35
- FullNetwork_HMO_Gold-35 INF
- FullNetwork_HMO_Gold-40
- FullNetwork_HMO_Gold-40 INF
- FullNetwork_HMO_Gold-50
- FullNetwork_HMO_Gold-50 INF
- FullNetwork_HMO_Gold-55
- FullNetwork_HMO_Gold-55 INF
- FullNetwork_HMO_Platinum-0
- Full Network HMO Platinum-0 INF
- FullNetwork_HMO_Platinum-10
- FullNetwork_HMO_Platinum-10 INF
- FullNetwork_HMO_Platinum-20
- FullNetwork_HMO_Platinum-20 INF
- FullNetwork_HMO_Platinum-30
- Full Network HMO Platinum-30 INF
- FullNetwork_HMO_Platinum-35
- FullNetwork_HMO_Platinum-35 INF
- FullNetwork_HMO_Silver-55
- FullNetwork_HMO_Silver-55 INF
- HMO_Gold_30
- HMO_Gold_35
- HMO_Gold_40
- HMO_Gold_50
- HMO_Gold_55
- HMO_Platinum_0
- HMO_Platinum_10
- HMO_Platinum_20
- HMO_Platinum_30
- HMO_Platinum_35
- HMO_Silver_55
- Salud_HMO_y_Mas_Gold_30
- Salud HMO y Mas_Gold_35 INF
- Salud HMO y Mas_Gold_40 INF
- Salud HMO y Mas_Gold_50
- Salud HMO y Mas_Gold_55 INF
- Salud HMO y Mas_Platinum-0
- Salud HMO y Mas_Platinum-10 INF
- Salud HMO y Mas_Platinum-20
- Salud HMO y Mas_Platinum-30
- Salud HMO y Mas_Platinum-35
- SaludHMOyMas_Silver_55 INF
- SIMNSA_Network_Salud_HMO_y_Mas
- Salud HMO y Mas Gold $30 INF
- Salud HMO y Mas Gold $35
- Salud HMO y Mas Gold $40
- Salud HMO y Mas Gold $50 INF
- Salud HMO y Mas Gold $55
- Salud HMO y Mas Platinum $0 INF
- Salud HMO y Mas Platinum $10
- Salud HMO y Mas Platinum $20 INF
- Salud HMO y Mas Platinum $30 INF
- Salud HMO y Mas Platinum $35 INF
- Salud HMO y Mas Silver $55
- Salud-HMO y Mas-Platinum $10 INF
- Salud-HMO y Mas-Platinum $20
- SmartCare_HMO_Gold-30
- SmartCare_HMO_Gold-30 INF
- SmartCare_HMO_Gold-35
- SmartCare_HMO_Gold-35 INF
- SmartCare_HMO_Gold-40
- SmartCare_HMO_Gold-40 INF
- SmartCare_HMO_Gold-50
- SmartCare_HMO_Gold-50 INF
- SmartCare_HMO_Gold-55
- SmartCare_HMO_Gold-55 INF
- SmartCare_HMO_Platinum-0
- SmartCare HMO Platinum-0 INF
- SmartCare_HMO_Platinum-10
- SmartCare HMO Platinum-10 INF
- SmartCare_HMO_Platinum-20
- SmartCare_HMO_Platinum_20 INF
- SmartCare_HMO_Platinum-30
- SmartCare_HMO_Platinum-30 INF
- SmartCare_HMO_Platinum-35
- SmartCare_HMO_Platinum-35 INF
- SmartCare_HMO_Silver-55
- SmartCare_HMO_Silver-55 INF
- WholeCare_HMO_Gold-30
- WholeCare_HMO_Gold-30 INF
- WholeCare_HMO_Gold-35
- WholeCare_HMO_Gold-35 INF
- WholeCare_HMO_Gold-40
- WholeCare_HMO_Gold-40 INF
- WholeCare_HMO_Gold-50
- WholeCare_HMO_Gold-50 INF
- WholeCare_HMO_Gold-55
- WholeCare_HMO_Gold-55 INF
- WholeCare_HMO_Platinum-0
- WholeCare HMO Platinum-0 INF
- WholeCare_HMO_Platinum-10
- WholeCare HMO Platinum-10 INF
- WholeCare_HMO_Platinum-20
- WholeCare_HMO_Platinum-20 INF
- WholeCare_HMO_Platinum-30
- WholeCare_HMO_Platinum-30 INF
- WholeCare_HMO_Platinum-35
- WholeCare_HMO_Platinum-35 INF
- WholeCare_HMO_Silver-55
- WholeCare_HMO_Silver-55 INF
