Summary of Benefits Coverage July 2021
English: Summary of Benefits Coverage (SBC) July 2021 (1/1 – 6/30/2021)
Spanish: Summary of Benefits Coverage (SBC) Julio 2021 (1/1 – 6/30/2021)
Plan A: Open Access POS Plan Plus
Plan B: Open Access POS Network Plan
Plan D: Facility High Deductible Plan
Plan F: Network Only High Plan
Plan G: Open Access POS Plan Basic
Plan H: Network Only Base Plan
Plan J: Network Only Basic Plan
Plan K: Network Only High Deductible Plan
Plan L: High Deductible Low Plan
Plan M: Aetna Whole Health Network Only (Gold)
Plan N: Aetna Whole Health High Deductible Network Only (HSA Silver)
Plan O: Network Only 70% Plan
Plan P: High Deductible 70% Plan
Plan R: HDHP-HSA Compatible
Plan S: HDHP-HSA Compatible High Option
Plan T: Network Only Plan
Plan U: High Deductible Network Only Plan
Plan V: High Deductible Catastrophic Plan
Plan W: HDHP-HSA Compatible Low Option
Plan X: Aetna Whole Health Network Only High (Silver)
Plan Y: Aetna Whole Health Network Only (Bronze)
Plan Z: Aetna Whole Health Network Only Low (Silver)