Small Group Plans
Montana Business Plans
Choose a level of coverage
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Bronze
Basic plans for infrequent trips to the doctor and mild medical requirements.
….
Silver
Great plans for families or individuals seeking more coverage throughout the year.
….
Gold
Highest coverage for those who frequently visit their doctor.
Bronze Small Group Plans
SG Bronze
CO-OP Plus
Please Note: Highlighted benefits reflect In-Network coverage
$7,800
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$15,600
Family Deductible
$17,100
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
60%
Coinsurance after deductible
$10 copay
Primary care visit - (Tier 1 - $10 copay, Tier 2 - 60% coinsurance)
70% copay
Urgent Care Visit
70% copay
Specialist visit
$15 copay after deductible
Tier 1- Preferred Generic Drugs
SG Bronze
Connected Care
Please Note: Highlighted benefits reflect In-Network coverage
$7,200
Individual Deductible
$8,150
Individual Out-of-pocket Maximum
$14,400
family Deductible
$16,300
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
60%
Coinsurance after deductible
$60 copay
Primary care visit
70% coinsurance
Urgent Care Visit
70% after deductible
Specialist visit
$15 after deductible
Tier 1- Preferred Generic Drugs
SG Bronze
Connected Care Plus
Please Note: Highlighted benefits reflect In-Network coverage
$7,000
Individual Deductible
$7,000
Individual Out-of-pocket Maximum
$14,000
family Deductible
$14,000
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: Yes
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$14,000
Preventive care
0%
Coinsurance after deductible
0% after deductible
Primary care visit
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
0% after deductible
Tier 1- Preferred Generic Drugs
SG Bronze
Expanded Connected Care
Please Note: Highlighted benefits reflect In-Network coverage
$6,500
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$13,000
family Deductible
$17,100
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
50%
Coinsurance after deductible
$60 copay
Primary care visit
$110
Urgent Care Visit
$75 after deductible
Specialist visit
$15 after deductible
Tier 1- Preferred Generic Drugs
Silver Small Group Plans
SG Silver
CO-OP Plus
Please Note: Highlighted benefits reflect In-Network coverage
$5,300
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$10,600
family Deductible
$17,100
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
40%
Coinsurance after deductible
$10 copay
Primary care visit - (Tier 1 - $10 copay, Tier 2 - 40% coinsurance)
$110
Urgent Care Visit
$75 copay
Specialist visit
$10 copay
Tier 1- Preferred Generic Drugs
SG Silver
Connected Care
Please Note: Highlighted benefits reflect In-Network coverage
$4,000
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$8,000
family Deductible
$17,100
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
40%
Coinsurance after deductible
$35 copay
Primary care visit
$110
Urgent Care Visit
$75 copay
Specialist visit
$10 copay
Tier 1- Preferred Generic Drugs
SG Silver
Connected Care PLUS
Please Note: Highlighted benefits reflect In-Network coverage
$4,400
Individual Deductible
$4,400
Individual Out-of-pocket Maximum
$8,800
family Deductible
$8,800
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: Yes
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
0% after deductible
Primary care visit
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
0% after deductible
Tier 1- Preferred Generic Drugs
SG Silver
Connected Care Option 2
Please Note: Highlighted benefits reflect In-Network coverage
$5,700
Individual Deductible
$7,500
Individual Out-of-pocket Maximum
$11,400
family Deductible
$15,000
Family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
40%
Coinsurance after deductible
$40 copay
Primary care visit
$110
Urgent Care Visit
$75 after deductible
Specialist visit
$10 copay
Tier 1- Preferred Generic Drugs
Gold Small Group Plans
SG GOLD
CO-OP Plus
Please Note: Highlighted benefits reflect In-Network coverage
$1,000
Individual Deductible
$7,000
Individual Out-of-pocket Maximum
$2,000
family Deductible
$14,000
family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
30%
Coinsurance after deductible
$5 copay
Primary care visit - (Tier 1 - $5 copay, Tier 2 - 30% coinsurance)
30% after deductible
Urgent Care Visit
$50 copay
Specialist visit
$5 copay
Tier 1- Preferred Generic Drugs
SG Gold
Connected Care
Please Note: Highlighted benefits reflect In-Network coverage
$1,000
Individual Deductible
$6,500
Individual Out-of-pocket Maximum
$2,000
family Deductible
$13,000
Family Out-of-pocket Maximum
Hospital Network: Network Provider Finder for all types of providers
Plan Type: PPO
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.