Employer group health plans
Your plan documents
Certificate of Coverage
The Certificate of Coverage is your official policy. It outlines the covered and non-covered benefits, information on how to access benefits and details any exclusions/limitations associated with benefits. The Certificate of Coverage also includes term definitions, enrollment and disenrollment issues, coordination of benefit information, member rights/responsibilities and complaints/appeals procedures. If you can’t find the information you need in your certificate or if you need a copy of your certificate, please contact your human resources department or call Health Tradition at 1-877-832-1823.
Summary of Benefits and Coverage (SBC)
The Summary provides information on some covered and non-covered services, including some exclusions. It indicates your out-of-pocket maximums for annual deductible and coinsurance per member and per family, defines office copays, confinement fees and emergency room co-payments.
The summary provides a quick reference for many benefit questions but does not include everything and does not replace your Certificate of Coverage. Health Tradition sends a copy of your Summary of Benefits annually to your employer. To clarify which plan you have, or if you need additional information, please call us at 1-888-459-3020.
See the Summary of Benefits for your plan below:
HMO plans with coverage beginning after January 1, 2019
Platinum Level
Gold Level
- Health Tradition Gold 1000/80 w/copay
- Health Tradition Gold 1500/80
- Health Tradition Gold 2000/90
- Health Tradition Gold HDHP 100
Silver Level
- Health Tradition Silver 2600/80 w/copay
- Health Tradition Silver 1500/70 w/copay
- Health Tradition Silver 2000/70
- Health Tradition Silver HDHP 100
- Health Tradition Silver HDHP 90
Bronze Level
- Health Tradition Bronze HDHP 80
- Health Tradition Bronze HDHP 60
- Health Tradition Bronze HDHP 50
- Health Tradition Bronze 6500/60
- Health Tradition Bronze 7500/100
POS plans with coverage beginning after January 1, 2019
Platinum Level
Gold Level
- Health Tradition Gold 1000/80 w/copay POS
- Health Tradition Gold 1500/80 POS
- Health Tradition Gold 2000/90 POS
- Health Tradition Gold HDHP 100 POS
Silver Level
- Health Tradition Silver 2600/80 w/copay POS
- Health Tradition Silver 1500/70 w/copay POS
- Health Tradition Silver 2000/70 POS
- Health Tradition Silver HDHP 100 POS
- Health Tradition Silver HDHP 90 POS
Bronze Level
- Health Tradition Bronze HDHP 80 POS
- Health Tradition Bronze HDHP 60 POS
- Health Tradition Bronze HDHP 50 POS
- Health Tradition Bronze 6500/60 POS
- Health Tradition Bronze 7500/100 POS
HMO plans with coverage beginning after January 1, 2018
Platinum Level
Gold Level
- Health Tradition Gold 1000/80 w/copay
- Health Tradition Gold 1500/80
- Health Tradition Gold 2000/90
- Health Tradition Gold HDHP 100
Silver Level
- Health Tradition Silver 2500/80 w/copay
- Health Tradition Silver 1500/70 w/copay
- Health Tradition Silver 2000/70
- Health Tradition Silver HDHP 100
- Health Tradition Silver HDHP 90
Bronze Level
- Health Tradition Bronze HDHP 80
- Health Tradition Bronze HDHP 60
- Health Tradition Bronze HDHP 50
- Health Tradition Bronze 6500/60
- Health Tradition Bronze 7350/100
POS plans with coverage beginning after January 1, 2018
Platinum Level
Gold Level
- Health Tradition Gold 1000/80 w/copay POS
- Health Tradition Gold 1500/80 POS
- Health Tradition Gold 2000/90 POS
- Health Tradition Gold HDHP 100 POS
Silver Level
- Health Tradition Silver 2500/80 w/copay POS
- Health Tradition Silver 1500/70 w/copay POS
- Health Tradition Silver 2000/70 POS
- Health Tradition Silver HDHP 100 POS
- Health Tradition Silver HDHP 90 POS