Small Groups

Alliant Plus

Plans offered by Group Health Options, Inc.

Benefits Effective Jan. 1, 2013 – Dec. 31, 2013*

Plan Annual Deductible
Individual


Family
Primary Care Visit/
Share
Specialty Care Visit/
Share
Benefit Summary
Welcome 500** $500 $1500 $20+20%
(after deductible)
$40+20%
(after deductible)
PDF
Welcome 1000** $1000 $3000 $20+20%
(after deductible)
$40+20%
(after deductible)
PDF
Welcome 2000** $2000 $6000 $20+20%
(after deductible)
$40+20%
(after deductible)
PDF
Welcome 3500** $3500 $10,500 $20+20%
(after deductible)
$40+20%
(after deductible)
PDF
Balance 500 $500 $1500 $30
(no deductible)
$50
(no deductible)
PDF
Balance 1000 $1000 $3000 $30
(no deductible)
$50
(no deductible)
PDF
Balance 2000 $2000 $6000 $30
(no deductible)
$50
(no deductible)
PDF
Balance 3500 $3500 $10,500 $30
(no deductible)
$50
(no deductible)
PDF
Compass 500 $500 $1500 $20+20%
(after deductible)
$40+20%
(after deductible)
PDF
Compass 1000 $1000 $3000 $20+20%
(after deductible)
$40+20%
(after deductible)
PDF
Compass 2000 $2000 $6000 $20 + 20%
(after deductible)
$40 + 20%
(after deductible)
PDF
HealthPays Health Savings Accounts:
2000 $2000 $4000 20%
(after deductible)
N/A PDF
3500 $3500 $7000 20%
(after deductible)
N/A PDF

Also see:

2013 Full Summary of Benefits (PDF)
Service Area Map (PDF)

*Cost shares listed are for in-network services. Review the attached PDFs for full details.
**First four outpatient visits covered with only a copayment.