SimpleCare Small Group (2 – 50)
SBC and Rates

 OFF Marketplace – 50000 Series – Single Network Option

Alliant Health Plans Network OR PHCS Primary Network

 

Subscribers (and all dependents) are assigned a network based upon their residential address.

  • Subscribers who reside within the Alliant Network Area are assigned the Alliant Only network.

  • Subscribers who reside outside the Alliant Network Area are assigned the PHCS Primary network; this assignment does not provide access to the Alliant network.

 

The Alliant Network Area is defined by the Georgia and Tennessee counties shown below.

Platinum 

simplecare-platinum-768x768-1SimpleCare Platinum PPO 50080
OFF Marketplace

 

Gold 

simplecare-goldSimpleCare Gold PPO 50086
OFF Marketplace

 

Silver 

simplecare-silverSimpleCare Silver PPO 50056
OFF Marketplace

 

 

Bronze 

simplecare-bronzeSimpleCare Bronze PPO 50072
OFF Marketplace

simplecare-platinum-768x768-1SimpleCare Platinum PPO 50082
OFF Marketplace

 

simplecare-goldSimpleCare Gold PPO 50088
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 50058
OFF Marketplace

 

 

simplecare-bronzeSimpleCare Bronze PPO 50074
OFF Marketplace

simplecare-platinum-768x768-1SimpleCare Platinum PPO 50084
OFF Marketplace

simplecare-goldSimpleCare Gold PPO 50090
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 50060
OFF Marketplace

 

 

simplecare-platinum-768x768-1SimpleCare Platinum Copay 50096
OFF Marketplace

 

simplecare-goldSimpleCare Gold PPO 50092
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 50062
OFF Marketplace

 

simplecare-goldSimpleCare Gold PPO 50094
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 50064
OFF Marketplace

 

 

simplecare-goldSimpleCare Gold PPO 50098
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 50066 
OFF Marketplace

 

 

simplecare-silverSimpleCare Silver PPO 50068
OFF Marketplace

 

 

simplecare-silver SimpleCare Silver PPO 50070
OFF Marketplace

 

 

simplecare-silverSimpleCare Silver Copay 50100
OFF Marketplace

 

 

OFF Marketplace – 90000 Series (High Deductible Health Plans) – Single Network Option (see explanation for 50000 Series)

Alliant Health Plans Network OR PHCS Primary Network

Gold 

Silver 

Bronze 

simplecare-goldSimpleCare Gold HDHP 90076
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 90078
OFF Marketplace

 

 

simplecare-bronzeSimpleCare Bronze HDHP 90080
OFF Marketplace

simplecare-goldSimpleCare Gold HDHP 90077
OFF Marketplace

 

simplecare-silverSimpleCare Silver HDHP 90079
OFF Marketplace

 

 

simplecare-bronzeSimpleCare Bronze HDHP 90081
OFF Marketplace

OFF Marketplace – 80000 Series – Dual Network Option (access to both networks)

Alliant Health Plans Network & PHCS Wrap Network

Platinum 

simplecare-platinum-768x768-1SimpleCare Platinum PPO 80040
OFF Marketplace

 

Gold 

simplecare-goldSimpleCare Gold PPO 80046
OFF Marketplace

 

Silver 

simplecare-silverSimpleCare Silver PPO 80096
OFF Marketplace

 

 

Bronze 

simplecare-bronzeSimpleCare Bronze PPO 80112
OFF Marketplace

simplecare-platinum-768x768-1SimpleCare Platinum PPO 80042
OFF Marketplace

 

simplecare-goldSimpleCare Gold PPO 80048
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 80098
OFF Marketplace

 

 

simplecare-bronzeSimpleCare Bronze PPO 80114
OFF Marketplace

simplecare-platinum-768x768-1SimpleCare Platinum PPO 80044
OFF Marketplace

 

simplecare-goldSimpleCare Gold PPO 80050
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 80100
OFF Marketplace

 

 

simplecare-platinum-768x768-1SimpleCare Platinum Copay 80116
OFF Marketplace

 

simplecare-goldSimpleCare Gold PPO 80052
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 80102
OFF Marketplace

 

 

simplecare-goldSimpleCare Gold PPO 80054
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 80104
OFF Marketplace

 

 

simplecare-goldSimpleCare Gold Copay 80118
OFF Marketplace

 

simplecare-silverSimpleCare Silver PPO 80106
OFF Marketplace

 

 

simplecare-silverSimpleCare Silver PPO 80108
OFF Marketplace

 

 

simplecare-silverSimpleCare Silver PPO 80110
OFF Marketplace

 

 

simplecare-silverSimpleCare Silver Copay 80120
OFF Marketplace

 

 

OFF Marketplace – 90000 Series (High Deductible Health Plans) – Dual Network Option (access to both networks)

Alliant Health Plans Network & PHCS Wrap Network

Gold 

Silver 

Bronze 

simplecare-goldSimpleCare Gold HDHP 90086
OFF Marketplace

 

simplecare-silverSimpleCare Silver HDHP 90088
OFF Marketplace

 

 

simplecare-bronzeSimpleCare Bronze HDHP 90090
OFF Marketplace

simplecare-goldSimpleCare Gold HDHP 90087
OFF Marketplace

 

simplecare-silverSimpleCare Silver HDHP 90089
OFF Marketplace

 

 

simplecare-bronzeSimpleCare Bronze HDHP 90091
OFF Marketplace


OFF Marketplace – 50000 Series

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


2017

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


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

c