SimpleCare Summary of Benefits and Coverage Plans
Small Groups (50 and less)

 OFF Marketplace – 50000 Series

 Alliant Health Plans Network

Silver

simplecare-silver 0050156
OFF Marketplace

simplecare-silver0050158
OFF Marketplace

simplecare-silver0050160
OFF Marketplace

simplecare-silver0050162
OFF Marketplace

simplecare-silver0050164
OFF Marketplace

simplecare-silver0050166
OFF Marketplace

simplecare-silver0050168
OFF Marketplace

simplecare-silver0050170
OFF Marketplace

Bronze

simplecare-bronze0050172
OFF Marketplace

simplecare-bronze0050174
OFF Marketplace

OFF Marketplace – 80000 Series

Alliant Health Plans Network & PHCS Wrap Network

Platinum

simplecare-platinum-768x768-10080140
OFF Marketplace

simplecare-platinum-768x768-10080142
OFF Marketplace

simplecare-platinum-768x768-10080144 OFF Marketplace

Gold

simplecare-gold0080146
OFF Marketplace

simplecare-gold0080148
OFF Marketplace

simplecare-gold0080150
OFF Marketplace

simplecare-gold0080152
OFF Marketplace

simplecare-gold0080154
OFF Marketplace

OFF Marketplace – 90000 Series (High Deductible Health Plans)

Alliant Health Plans Network & PHCS Wrap Network

Silver and Bronze Plans

Alliant Health Plans Network

Silver

Bronze

simplecare-bronze0090180
OFF Marketplace

simplecare-bronze0090181
OFF Marketplace


ON & OFF Marketplace – 50000 Series

 Alliant Health Plans Network

OFF Marketplace – 80000 Series

Alliant Health Plans Network & PHCS Wrap Network

Platinum

simplecare-platinum-768x768-10080040
OFF Marketplace

simplecare-platinum-768x768-10080042
OFF Marketplace

simplecare-platinum-768x768-10080044
OFF Marketplace

Gold

simplecare-gold0080046
OFF Marketplace

simplecare-gold0080048
OFF Marketplace

simplecare-gold0080050
OFF Marketplace

simplecare-gold0080052
OFF Marketplace

simplecare-gold0080054
OFF Marketplace

Silver

simplecare-silver0080056
OFF Marketplace

simplecare-silver0080058
OFF Marketplace

simplecare-silver0080060
OFF Marketplace

simplecare-silver0080062
OFF Marketplace

simplecare-silver0080064
OFF Marketplace

simplecare-silver0080066
OFF Marketplace

simplecare-silver0080068
OFF Marketplace

simplecare-silver0080070
OFF Marketplace

Bronze

simplecare-bronze0080074
OFF Marketplace

OFF Marketplace – 900 Series

Alliant Health Plans Network & PHCS Wrap Network

Silver

Bronze

simplecare-bronze0090080
OFF Marketplace

simplecare-bronze0090081
OFF Marketplace


2016

ON & OFF Marketplace – 50000 Series

Alliant Health Plans Network

OFF Marketplace – 80000 & 90000 Series

Alliant Health Plans & PHCS Wrap Network

Gold

simplecare-gold0080023
OFF Marketplace

simplecare-gold0080024
OFF Marketplace

simplecare-gold0080025
OFF Marketplace

simplecare-gold0080026
OFF Marketplace

simplecare-gold0080027
OFF Marketplace

Silver

simplecare-silver0080029
OFF Marketplace

simplecare-silver0080030
OFF Marketplace

simplecare-silver0080031
OFF Marketplace

simplecare-silver0080032
OFF Marketplace

simplecare-silver0080033
OFF Marketplace

simplecare-silver0080034
OFF Marketplace

simplecare-silver0080035
OFF Marketplace

simplecare-silver0080036
OFF Marketplace

simplecare-silver0080037
OFF Marketplace

simplecare-silver0080038
OFF Marketplace

simplecare-silver0080041
OFF Marketplace

simplecare-silver0080042
OFF Marketplace

Bronze

simplecare-bronze0080039
OFF Marketplace

simplecare-bronze0080040
OFF Marketplace


Transitional Plans

501
02 07 09
18 19 32

1002
02 07 09
18 19 32

2002
02 07 09
18 19 32

2505
02 07 09
18 19 32

5001
02 07 09
18 19 32

7501
02 07 09
18 19 32

502
02 07 09
19 Rx19

1500
02 07 09
18 19 32

2501
02 07 09
18 19 32

3001
02 07 09
18 19 32

5003
02 07 09
18 19 32

7502
02 07 09
18 19 32

1000
02 07 09
18 19 32

1501
02 07 09
18 19 32

2502
02 07 09
18 19 32

3002
02 07 09
18 19 32

5004
02 07 09
18 19 32

1001
02 07 09
18 19 32

2001
02 07 09
18 19 32

2504
02 07 09
18 19 32

3003
02 07 09
18 19 32

5005
02 07 09
18 19 32

1500
14


5000
14

2501
14

2502
14

3000
14

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