Alliant Plus
Offered by Group Health Options, Inc.
Benefits Effective Jan. 1, 2010 – Sept. 30, 2010*
| Plan |
Annual Deductible
Individual |
Family |
Office Visit/
Share |
Benefit Summary |
| Balance 250 |
$250 |
$750 |
$30 |
PDF |
| Balance 500 |
$500 |
$1500 |
$30 |
PDF |
| Balance 1000 |
$1000 |
$3000 |
$30 |
PDF |
| Balance 2000 |
$2000 |
$6000 |
$30 |
PDF |
| Welcome 250** |
$250 |
$750 |
$20+20% |
PDF |
| Welcome 500** |
$500 |
$1500 |
$20+20% |
PDF |
| Welcome 1000** |
$1000 |
$3000 |
$20+20% |
PDF |
| Welcome 2000** |
$2000 |
$6000 |
$20+20% |
PDF |
| Compass 500 |
$500 |
$1500 |
$20+20% |
PDF |
| Compass 1000 |
$1000 |
$3000 |
$20+20% |
PDF |
| Compass 0/50% |
$0 |
$0 |
50% |
PDF |
| HealthPays Health Savings Accounts: |
| 1500 |
$1500 |
$3000 |
20% |
PDF |
| 2500 |
$2500 |
$5000 |
20% |
PDF |
Benefits Effective Oct. 1, 2010 – Dec. 31, 2010*
| Plan |
Annual Deductible
Individual |
Family |
Office Visit/
Share |
Benefit Summary |
| Balance 250 |
$250 |
$750 |
$30 |
PDF |
| Balance 500 |
$500 |
$1500 |
$30 |
PDF |
| Balance 1000 |
$1000 |
$3000 |
$30 |
PDF |
| Balance 2000 |
$2000 |
$6000 |
$30 |
PDF |
| Welcome 250** |
$250 |
$750 |
$20+20% |
PDF |
| Welcome 500** |
$500 |
$1500 |
$20+20% |
PDF |
| Welcome 1000** |
$1000 |
$3000 |
$20+20% |
PDF |
| Welcome 2000** |
$2000 |
$6000 |
$20+20% |
PDF |
| Compass 500 |
$500 |
$1500 |
$20+20% |
PDF |
| Compass 1000 |
$1000 |
$3000 |
$20+20% |
PDF |
| Compass 0/50% |
$0 |
$0 |
50% |
PDF |
| HealthPays Health Savings Accounts: |
| 1500 |
$1500 |
$3000 |
20% |
PDF |
| 2500 |
$2500 |
$5000 |
20% |
PDF |
These forms and statements apply to Washington products and plans. For information about Idaho products and plans, please contact your account representative.
Full Summary of Benefits for All Small Group Plans (PDF)
(Benefits Effective Jan. 1, 2010 – Sept. 30, 2010)
Full Summary of Benefits for All Small Group Plans (PDF)
(Benefits Effective Oct. 1, 2010 – Dec. 31, 2010)
Service Area Map (PDF)
*Cost shares are for in-network services. Review the attached PDFs for details.
**First five outpatient visits covered with a $20 copayment.
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