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

Plan
Annual Deductible
Coinsurance
Out-of-pocket maximum

Platinum Level

Health Tradition Platinum 1000

$1,000 / $2,000
100%
$2,000 / $4,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Gold Level

Health Tradition Gold 1000/80 w/copay

$1,000 / $2,000
80%
$4,000 / $8,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Gold 1500/80

$1,500 / $3,000
80%
$4,000 / $8,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Gold 2000/90

$2,000 / $4,000
90%
$4,000 / $8,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Gold HDHP 100

$3,000 / $6,000
100%
$3,000 / $6,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Silver Level

Health Tradition Silver 2600/80 w/copay

$2,600 / $5,200
80%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver 1500/70 w/copay

$1,500 / $3,000
70%
$7,000 / $14,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver 2000/70

$2,000 / $4,000
70%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver HDHP 100

$5,000 / $10,000
100%
$5,000 / $10,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver HDHP 90

$3,500 / $7,000
90%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Bronze Level

Health Tradition Bronze HDHP 80

$6,000 / $12,000
80%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze HDHP 60

$5,000 / $10,000
60%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze HDHP 50

$4,500 / $9,000
50%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze 6500/60

$6,500 / $13,000
60%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze 7500/100

$7,500 / $15,000
100%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

POS plans with coverage beginning after January 1, 2019

Plan
Annual Deductible
Coinsurance
Out-of-pocket maximum

Platinum Level

Health Tradition Platinum 1000 POS

$1,000 / $2,000
100%
$2,000 / $4,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Gold Level

Health Tradition Gold 1000/80 w/copay POS

$1,000 / $2,000
80%
$4,000 / $8,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Gold 1500/80 POS

$1,500 / $3,000
80%
$4,000 / $8,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Gold 2000/90 POS

$2,000 / $4,000
90%
$4,000 / $8,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Gold HDHP 100 POS

$3,000 / $6,000
100%
$3,000 / $6,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Silver Level

Health Tradition Silver 2600/80 w/copay POS

$2,600 / $5,200
80%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver 1500/70 w/copay POS

$1,500 / $3,000
70%
$7,000 / $14,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver 2000/70 POS

$2,000 / $4,000
70%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver HDHP 100 POS

$5,000 / $10,000
100%
$5,000 / $10,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Silver HDHP 90 POS

$3,500 / $7,000
90%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Bronze Level

Health Tradition Bronze HDHP 80 POS

$6,000 / $12,000
80%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze HDHP 60 POS

$5,000 / $10,000
60%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze HDHP 50 POS

$4,500 / $9,000
50%
$6,750 / $13,500

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze 6500/60 POS

$6,500 / $13,000
60%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

Health Tradition Bronze 7500/100 POS

$7,500 / $15,000
100%
$7,500 / $15,000

What will I pay after meeting my deductible? [ See more + ] [ See less - ]

HMO plans with coverage beginning after January 1, 2018

Platinum Level

Gold Level

Silver Level

Bronze Level

POS plans with coverage beginning after January 1, 2018

Platinum Level

Gold Level

Silver Level

Bronze Level