SimpleCare Large Groups
SBCs and Rates

For more information about the Large Group plans offered by Alliant Health Plans, please fill out a contact form and a representative will contact you.

2024 SimpleCare 14CY1000

GA

Overall Deductible

In Network: $1,000/Individual, $3,000/Family
Out of Network: $3,000/Individual, $9,000/Family

Overall Out of Pocket limit

In Network: $1,000/Individual, $3,000/Family
Out of Network: $6,000/Individual, $18,000/Family

HSA Eligible: No

Plan Documents

  • Rx01

  • Rx07

  • Rx19

  • Rx20

  • Rx25

  • Rx32

  • Rx50

  • RxG

  • RxPHS

2024 SimpleCare 14CY1000A

GA

Overall Deductible

In Network: $1,000/Individual, $3,000/Family
Out of Network: $3,000/Individual, $9,000/Family

Overall Out of Pocket limit

In Network: $6,350/Individual, $12,700/Family
Out of Network: $9,000/Individual, $27,000/Family

HSA Eligible: No

Plan Documents

  • Rx01

  • Rx07

  • Rx19

  • Rx20

  • Rx25

  • Rx32

  • Rx50

  • RxG

  • RxPHS

2024 SimpleCare 14CY1001

GA

Overall Deductible

In Network: $1,000/Individual, $3,000/Family
Out of Network: $3,000/Individual, $9,000/Family

Overall Out of Pocket limit

In Network: $4,000/Individual, $12,000/Family
Out of Network: $12,000/Individual, $36,000/Family

HSA Eligible: No

Plan Documents

  • Rx01

  • Rx07

  • Rx19

  • Rx20

  • Rx25

  • Rx32

  • Rx50

  • RxG

  • RxPHS

2024 SimpleCare 14CY1002

GA

Overall Deductible

In Network: $1,000/Individual, $3,000/Family
Out of Network: $3,000/Individual, $9,000/Family

Overall Out of Pocket limit

In Network: $3,000/Individual, $9,000/Family
Out of Network: $9,000/Individual, $27,000/Family

HSA Eligible: No

Plan Documents

  • Rx01

  • Rx07

  • Rx19

  • Rx20

  • Rx25

  • Rx32

  • Rx50

  • RxG

  • RxPHS

2024 SimpleCare 14CY1250

GA

Overall Deductible

In Network: $1,250/Individual, $3,750/Family
Out of Network: $3,750/Individual, $11,250/Family

Overall Out of Pocket limit

In Network: $4,000/Individual, $12,000/Family
Out of Network: $12,000/Individual, $36,000/Family

HSA Eligible: No

Plan Documents

  • Rx01

  • Rx07

  • Rx19

  • Rx20

  • Rx25

  • Rx32

  • Rx50

  • RxG

  • RxPHS

2024 SimpleCare 14CY1500

GA

Overall Deductible

In Network: $1,500/Individual, $4,500/Family
Out of Network: $3,000/Individual, $9,000/Family

Overall Out of Pocket limit

In Network: $4,500/Individual, $12,700/Family
Out of Network: $13,000/Individual, $39,000/Family

HSA Eligible: No

Plan Documents

  • Rx01

  • Rx07

  • Rx19

  • Rx20

  • Rx25

  • Rx32

  • Rx50

  • RxG

  • RxPHS

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Individual

In-Network
Overall Deductible

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$500 — $9100

Out-Of-Network
Overall Deductible

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$1,000 — $18,200

Family

In-Network
Overall Deductible

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$1500 — $20000

Out-Of-Network
Overall Deductible

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$4500 — $40000