Small Group Rate Calculator

2022 Small Group Plans - Rate Calculator - Rates effective 07/01/2022

 

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Directions: Please review our rate calculator instructions. Scroll down to see the rates for all carriers in the Small Group Market including Aetna Life, Aetna Health, Anthem, Community Health Options, Harvard Pilgrim, and United Healthcare. If you see "N/A" listed in the "Monthly Rate" column that plan is not available in your county. Plans may be available without Pediatric Dental, which would lower the cost slightly. For more information please see the Bureau of Insurance's "A Guide to Health Insurance for Small Businesses (PDF)".

Disclaimer: We have used the approved rates submitted by the insurance carriers in our calculation. While every attempt has been made to provide you with an accurate cost for the premium based on those rates, only the insurance carrier can provide you with an actual quote.

Note: Once rates have been calculated, clicking on a column header (except for the "Plan ID" column) will sort the table in either ascending or descending order based on that column.

Company Product Plan ID Metal Level Deductible Coinsurance OOP Max Monthly Rate
Aetna Health Inc. (a ME corp.) HMO Aetna ME Gold AWH HNOnly 2500 70 Off Marketplace Gold $2,500 30% $6,000  
Aetna Health Inc. (a ME corp.) HMO Aetna ME Silver AWH HNOnly 3500 90 HSA Off Marketplace Silver $3,500 10% $7,000  
Aetna Health Inc. (a ME corp.) HMO Aetna ME Bronze AWH HNOnly 5900 50 HSA OffMarketplace Bronze $5,900 50% $7,000  
Aetna Health Inc. (a ME corp.) HMO Aetna ME Silver AWH HNOnly 5500 70 Off Marketplace Silver $5,500 30% $7,500  
Aetna Life Insurance Company PPO Aetna ME Bronze PPO 5900 50/50 HSA Off Marketplace Bronze $5,900 50% $7,000  
Aetna Life Insurance Company PPO Aetna ME Gold PPO 2500 70/50 Off Marketplace Gold $2,500 30% $6,000  
Aetna Life Insurance Company PPO Aetna ME Silver PPO 5000 70/50 Off Marketplace Silver $5,000 30% $7,000  
Aetna Life Insurance Company PPO Aetna ME Silver PPO 5500 70/50 Off Marketplace Silver $5,500 30% $7,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold HMO Maine 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver HMO Maine 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver HMO Maine Chamber 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO Chamber 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO Chamber 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO Chamber 3000/20%/7050 w/HSA Silver $3,000 20% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO 3000/20%/7050 w/HSA Silver $3,000 20% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO 3000/20%/7050 w/HSA Silver $3,000 20% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options 1500/20%/5500 Gold $1,500 20% $5,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options 1500/20%/5500 Gold $1,500 20% $5,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options 2500/20%/6000 Gold $2,500 20% $6,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options 2500/20%/6000 Gold $2,500 20% $6,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 4000/30%/8000 Silver $4,000 30% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 4000/30%/8000 Silver $4,000 30% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 5000/40%/8000 RxD Silver $5,000 40% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 5000/40%/8000 RxD Silver $5,000 40% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 3000/20%/7050 w/HSA Silver $3,000 20% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 3000/20%/7050 w/HSA Silver $3,000 20% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options Chamber 1500/20%/5500 Gold $1,500 20% $5,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options Chamber 1500/20%/5500 Gold $1,500 20% $5,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 4000/25%/7050 w/HSA Silver $4,000 25% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 4000/25%/7050 w/HSA Silver $4,000 25% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Pathway HMO 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Pathway HMO 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Pathway HMO 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options Chamber 1500/20%/5500 Gold $1,500 20% $5,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 4000/25%/7050 w/HSA Silver $4,000 25% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 4000/30%/8000 Silver $4,000 30% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 4000/30%/8000 Silver $4,000 30% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 4000/30%/8000 Silver $4,000 30% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options 1500/20%/5500 Gold $1,500 20% $5,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Gold Maine HMO Tiered Options 2500/20%/6000 Gold $2,500 20% $6,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 4000/30%/8000 Silver $4,000 30% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 5000/40%/8000 RxD Silver $5,000 40% $8,000  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 3000/20%/7050 w/HSA Silver $3,000 20% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 3000/25%/7500 Silver $3,000 25% $7,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 3000/25%/7500 Silver $3,000 25% $7,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 3000/25%/7500 Silver $3,000 25% $7,500  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 4000/25%/7050 w/HSA Silver $4,000 25% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 4000/25%/7050 w/HSA Silver $4,000 25% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 4000/25%/7050 w/HSA Silver $4,000 25% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 5000/15%/6600 w/HSA Silver $5,000 15% $6,600  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 5000/15%/6600 w/HSA Silver $5,000 15% $6,600  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options 5000/15%/6600 w/HSA Silver $5,000 15% $6,600  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 5000/15%/6600 w/HSA Silver $5,000 15% $6,600  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 5000/15%/6600 w/HSA Silver $5,000 15% $6,600  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Maine HMO Tiered Options Chamber 5000/15%/6600 w/HSA Silver $5,000 15% $6,600  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Maine HMO Tiered Options 6000/40%/8700 Bronze $6,000 40% $8,700  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Maine HMO Tiered Options 6000/40%/8700 Bronze $6,000 40% $8,700  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Maine HMO Tiered Options 6000/40%/8700 Bronze $6,000 40% $8,700  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Maine HMO Tiered Options 6150/40%/7050 w/HSA Bronze $6,150 40% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Maine HMO Tiered Options 6150/40%/7050 w/HSA Bronze $6,150 40% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Maine HMO Tiered Options 6150/40%/7050 w/HSA Bronze $6,150 40% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Pathway HMO 6500/50%/7050 w/HSA Bronze $6,500 50% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Pathway HMO 6500/50%/7050 w/HSA Bronze $6,500 50% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Bronze Pathway HMO 6500/50%/7050 w/HSA Bronze $6,500 50% $7,050  
Anthem Health Plans of Maine, Inc. HMO Anthem Silver Pathway HMO 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. POS Anthem Silver Pathway Enhanced POS 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. POS Anthem Silver Pathway Enhanced POS 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. POS Anthem Gold Pathway Enhanced POS 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. POS Anthem Gold Pathway Enhanced POS 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. POS Anthem Silver Pathway Enhanced POS 4000/30%/7050 w/HSA Silver $4,000 30% $7,050  
Anthem Health Plans of Maine, Inc. POS Anthem Silver Pathway Enhanced POS 4000/30%/7050 w/HSA Silver $4,000 30% $7,050  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO Chamber 3500/30%/8500 Silver $3,500 30% $8,500  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO 3000/20%/7050 w/HSA Silver $3,000 20% $7,050  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO Chamber 5000/30%/8500 Silver $5,000 30% $8,500  
Anthem Health Plans of Maine, Inc. PPO Anthem Gold Blue Choice PPO 1500/30%/5500 Gold $1,500 30% $5,500  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO 4000/30%/7050 w/HSA Silver $4,000 30% $7,050  
Anthem Health Plans of Maine, Inc. PPO Anthem Gold Blue Choice PPO 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO 5000/30%/8500 Silver $5,000 30% $8,500  
Anthem Health Plans of Maine, Inc. PPO Anthem Gold Blue Choice PPO Chamber 2500/30%/6500 Gold $2,500 30% $6,500  
Anthem Health Plans of Maine, Inc. PPO Anthem Bronze Blue Choice PPO 8000/50%/8700 Bronze $8,000 50% $8,700  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO 5000/10%/6850 w/HSA Silver $5,000 10% $6,850  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO 3000/30%/8000 Silver $3,000 30% $8,000  
Anthem Health Plans of Maine, Inc. PPO Anthem Gold Blue Choice PPO 750/20%/8000 Gold $750 20% $8,000  
Anthem Health Plans of Maine, Inc. PPO Anthem Gold Blue Choice PPO 3000/10%/4100 w/HSA Gold $3,000 10% $4,100  
Anthem Health Plans of Maine, Inc. PPO Anthem Silver Blue Choice PPO 6000/40%/8700 Silver $6,000 40% $8,700  
Anthem Health Plans of Maine, Inc. PPO Anthem Bronze Blue Choice PPO Chamber 6500/50%/7050 w/HSA Bronze $6,500 50% $7,050  
Anthem Health Plans of Maine, Inc. PPO Anthem Bronze Blue Choice PPO 6500/50%/7050 w/HSA Bronze $6,500 50% $7,050  
Anthem Health Plans of Maine, Inc. PPO Anthem Bronze Blue Choice PPO 7000/50%/8700 Bronze $7,000 50% $8,700  
Maine Community Health Options PPO Community Access HSA Bronze $7,000 0% $7,000  
Maine Community Health Options PPO Community Balance HSA Silver $2,800 20% $5,400  
Maine Community Health Options PPO Community Core HSA Silver $3,000 10% $7,000  
Maine Community Health Options PPO Community Option Silver $5,000 10% $8,500  
Maine Community Health Options PPO Community Preferred Silver $3,000 30% $8,400  
Maine Community Health Options PPO Community Advantage Gold $1,000 30% $4,500  
Maine Community Health Options PPO Community Prime Gold $1,500 30% $6,000  
Maine Community Health Options PPO Community Progress Bronze $8,700 0% $8,700  
Maine Community Health Options PPO Community Accord Silver $4,000 30% $8,500  
Maine Community Health Options PPO Community Flex Gold $2,000 30% $6,500  
Maine Community Health Options PPO Community Elite Gold $1,500 25% $7,900  
Maine Community Health Options PPO Community Premier Gold $2,000 20% $5,500  
Maine Community Health Options PPO Community Option HSA Bronze $6,200 30% $7,000  
Maine Community Health Options PPO Community Shield Bronze $6,500 40% $8,500  
Maine Community Health Options PPO Community Peak Silver $6,200 0% $6,200  
Maine Community Health Options PPO Community Progress New England Bronze $8,700 0% $8,700  
Maine Community Health Options PPO Community Preferred New England Silver $3,400 30% $8,600  
Maine Community Health Options PPO Community Elite New England Gold $1,500 25% $7,900  
HPHC Insurance Company, Inc. PPO PPO 1500 Gold $1,500 30% $6,000  
HPHC Insurance Company, Inc. PPO PPO 2500 Gold $2,500 30% $7,000  
HPHC Insurance Company, Inc. PPO PPO 3500 Gold $3,500 30% $8,000  
HPHC Insurance Company, Inc. PPO PPO 4500 Silver $4,500 35% $8,700  
HPHC Insurance Company, Inc. PPO PPO 5500 Silver $5,500 35% $8,700  
HPHC Insurance Company, Inc. PPO PPO 7000 Silver $7,000 30% $8,700  
HPHC Insurance Company, Inc. PPO PPO 8300 Bronze $8,300 50% $8,700  
HPHC Insurance Company, Inc. PPO PPO HSA 3000 Silver $3,000 20% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 4000 Silver $4,000 20% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 5000 Silver $5,000 10% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 7000 Bronze $7,000 0% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 6000 Bronze $6,000 50% $7,050  
HPHC Insurance Company, Inc. PPO PPO 1500 Gold $1,500 30% $6,000  
HPHC Insurance Company, Inc. PPO PPO 2500 Gold $2,500 30% $7,000  
HPHC Insurance Company, Inc. PPO PPO 3500 Gold $3,500 30% $8,000  
HPHC Insurance Company, Inc. PPO PPO 4500 Silver $4,500 35% $8,700  
HPHC Insurance Company, Inc. PPO PPO 5500 Silver $5,500 35% $8,700  
HPHC Insurance Company, Inc. PPO PPO 7000 Silver $7,000 30% $8,700  
HPHC Insurance Company, Inc. PPO PPO 8300 Bronze $8,300 50% $8,700  
HPHC Insurance Company, Inc. PPO PPO HSA 3000 Silver $3,000 20% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 4000 Silver $4,000 20% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 5000 Silver $5,000 10% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 7000 Bronze $7,000 0% $7,000  
HPHC Insurance Company, Inc. PPO PPO HSA 6000 Bronze $6,000 50% $7,050  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 1500 Gold $1,500 30% $6,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 2500 Gold $2,500 30% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 3500 Gold $3,500 30% $8,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 4500 Silver $4,500 35% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 5500 Silver $5,500 35% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 7000 Silver $7,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 8300 Bronze $8,300 50% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 3000 Silver $3,000 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 4000 Silver $4,000 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 5000 Silver $5,000 10% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 6000 Bronze $6,000 50% $7,050  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 7000 Bronze $7,000 0% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 1500 Gold $1,500 20% $6,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 2500 Gold $2,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 3000 Gold $3,000 30% $7,500  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 3500 Silver $3,500 35% $8,500  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 4000 Silver $4,000 30% $8,500  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 5000 Silver $5,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO HSA 3000 Silver $3,000 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO HSA 4500 Silver $4,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO HSA 6300 Bronze $6,300 50% $7,050  
HARVARD PILGRIM HEALTH CARE, INC. HMO SimplyVirtualSM HMO 4500 Silver $4,500 35% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO SimplyVirtualSM HMO 2500 Gold $2,500 30% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Virtual ChoiceSM HMO 3500 Gold $3,500 10% $8,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Virtual ChoiceSM HMO 5500 Silver $5,500 15% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 1500 Gold $1,500 30% $6,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 2500 Gold $2,500 30% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 3500 Gold $3,500 30% $8,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 4500 Silver $4,500 35% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 5500 Silver $5,500 35% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 7000 Silver $7,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO 8300 Bronze $8,300 50% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 3000 Silver $3,000 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 4000 Silver $4,000 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 5000 Silver $5,000 10% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 6000 Bronze $6,000 50% $7,050  
HARVARD PILGRIM HEALTH CARE, INC. HMO HMO HSA 7000 Bronze $7,000 0% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 1500 Gold $1,500 20% $6,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 2500 Gold $2,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 3000 Gold $3,000 30% $7,500  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 3500 Silver $3,500 35% $8,500  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 4000 Silver $4,000 30% $8,500  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO 5000 Silver $5,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO HSA 3000 Silver $3,000 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO HSA 4500 Silver $4,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Maine's Choice PlusSM HMO HSA 6300 Bronze $6,300 50% $7,050  
HARVARD PILGRIM HEALTH CARE, INC. HMO SimplyVirtualSM HMO 4500 Silver $4,500 35% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. HMO SimplyVirtualSM HMO 2500 Gold $2,500 30% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Virtual ChoiceSM HMO 3500 Gold $3,500 10% $8,000  
HARVARD PILGRIM HEALTH CARE, INC. HMO Virtual ChoiceSM HMO 5500 Silver $5,500 15% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 2000 Gold $2,000 20% $6,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 3000 Gold $3,000 30% $8,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 4000 Silver $4,000 35% $8,550  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 5000 Silver $5,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 6000 Silver $6,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 3500 Silver $3,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 4500 Silver $4,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 7000 Bronze $7,000 0% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 6300 Bronze $6,300 30% $7,050  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 2000 Gold $2,000 20% $6,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 3000 Gold $3,000 30% $8,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 4000 Silver $4,000 35% $8,550  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 5000 Silver $5,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. POS POS 6000 Silver $6,000 30% $8,700  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 3500 Silver $3,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 4500 Silver $4,500 20% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 7000 Bronze $7,000 0% $7,000  
HARVARD PILGRIM HEALTH CARE, INC. POS POS HSA 6300 Bronze $6,300 30% $7,050  
UHC of New England, Inc. HMO COFC Bronze $6,950 0% $7,050  
UHC of New England, Inc. HMO COFD Silver $4,000 20% $7,050  
UHC of New England, Inc. HMO COFE Gold $1,500 20% $7,500  
UHC of New England, Inc. HMO COFF Gold $3,000 20% $8,000  
UHC of New England, Inc. HMO COFG Gold $5,000 0% $8,700  
UnitedHealthcare Insurance Company PPO CEAL Bronze $6,000 50% $6,950  
UnitedHealthcare Insurance Company PPO CEAM Gold $2,500 20% $6,000  
UnitedHealthcare Insurance Company PPO CEAN Gold $3,000 10% $6,500  
UnitedHealthcare Insurance Company PPO CEAO Gold $2,000 10% $5,500  
UnitedHealthcare Insurance Company PPO CEAP Silver $4,500 30% $8,500  
UnitedHealthcare Insurance Company PPO CEAQ Silver $6,000 20% $8,500  
UnitedHealthcare Insurance Company PPO CEAR Silver $3,500 25% $8,500  
UnitedHealthcare Insurance Company PPO CEAS Silver $3,500 20% $6,950  
UnitedHealthcare Insurance Company PPO CEAT Silver $3,000 20% $6,950  
UnitedHealthcare Insurance Company PPO CEAU Gold $0 0% $8,500  
UnitedHealthcare Insurance Company PPO CEAV Bronze $6,700 0% $6,950  
UnitedHealthcare Insurance Company PPO CEAW Bronze $6,250 20% $6,950  
UnitedHealthcare Insurance Company PPO CEAX Silver $4,000 30% $8,500  
UnitedHealthcare Insurance Company PPO CEAY Silver $5,000 20% $8,500  
UnitedHealthcare Insurance Company PPO CEAZ Gold $1,500 30% $6,000  
UnitedHealthcare Insurance Company PPO CEA2 Silver $4,000 0% $8,500  
UnitedHealthcare Insurance Company PPO CEA3 Silver $4,000 0% $8,500  
UnitedHealthcare Insurance Company PPO CEA4 Silver $7,000 0% $8,500  
UnitedHealthcare Insurance Company PPO COFH Gold $2,500 0% $5,750  
UnitedHealthcare Insurance Company PPO COFI Gold $3,000 10% $6,500  
UnitedHealthcare Insurance Company PPO CEA7 Silver $6,000 20% $8,500  
UnitedHealthcare Insurance Company PPO CEA8 Silver $4,000 10% $6,950  
UnitedHealthcare Insurance Company PPO CEA9 Bronze $6,100 30% $6,950  
UnitedHealthcare Insurance Company PPO CEBA Bronze $6,700 0% $6,950  
UnitedHealthcare Insurance Company PPO CEBB Silver $4,000 30% $8,500  
UnitedHealthcare Insurance Company PPO CEBC Silver $5,000 30% $8,500  
UnitedHealthcare Insurance Company PPO CEBD Silver $3,500 20% $6,950  
UnitedHealthcare Insurance Company PPO CEBE Silver $5,000 0% $8,500  

For those plans that mention tiers in their plan ID the deductible and benefit amount shown applies to Tier 1 providers; These plans have different amounts for Tier 2 providers. Contact the carrier for details.