| Bronze 7500 $25 Generic Drugs |
Expanded Bronze | HMO | Indiana |
92 | $7,500 | $10,000 |
| Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness |
Expanded Bronze | HMO | Indiana |
92 | $7,500 | $10,000 |
| HSA Eligible Bronze 6000 |
Expanded Bronze | HMO | Indiana |
92 | $6,000 | $7,250 |
| Low Premium Bronze 10600 $25 Generic Drugs |
Expanded Bronze | HMO | Indiana |
92 | $10,600 | $10,600 |
| Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness |
Expanded Bronze | HMO | Indiana |
92 | $10,600 | $10,600 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services |
Gold | HMO | Indiana |
92 | $3,000 | $8,500 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Gold | HMO | Indiana |
92 | $3,000 | $8,500 |
| Gold 2000 $15 Generic Drugs |
Gold | HMO | Indiana |
92 | $2,000 | $8,200 |
| Gold 2000 $15 Generic Drugs + Adult Vision & Fitness |
Gold | HMO | Indiana |
92 | $2,000 | $8,200 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services |
Gold | HMO | Indiana |
92 | $3,000 | $8,500 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Gold | HMO | Indiana |
92 | $3,000 | $8,500 |
| Platinum Zero $5 Generic Drugs |
Platinum | HMO | Indiana |
92 | $0 | $5,200 |
| Platinum Zero $5 Generic Drugs + Adult Vision & Fitness |
Platinum | HMO | Indiana |
92 | $0 | $5,200 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services |
Silver | HMO | Indiana |
92 | $5,000 | $9,500 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Silver | HMO | Indiana |
92 | $5,000 | $9,500 |
| HDHP Preventive Silver 5500 $0 Chronic Care Drugs |
Silver | HMO | Indiana |
92 | $5,500 | $5,500 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services |
Silver | HMO | Indiana |
92 | $5,000 | $9,500 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Silver | HMO | Indiana |
92 | $5,000 | $9,500 |
| Low Premium Silver 6200 $3 Generic Drugs |
Silver | HMO | Indiana |
92 | $6,200 | $9,800 |
| Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness |
Silver | HMO | Indiana |
92 | $6,200 | $9,800 |
| Silver 6000 $20 Generic Drugs |
Silver | HMO | Indiana |
92 | $6,000 | $8,900 |
| Silver 6000 $20 Generic Drugs + Adult Vision & Fitness |
Silver | HMO | Indiana |
92 | $6,000 | $8,900 |
| Bronze 7500 $25 Generic Drugs |
Expanded Bronze | HMO | Ohio |
88 | $7,500 | $10,000 |
| Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness |
Expanded Bronze | HMO | Ohio |
88 | $7,500 | $10,000 |
| Low Premium Bronze 10600 $25 Generic Drugs |
Expanded Bronze | HMO | Ohio |
88 | $10,600 | $10,600 |
| Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness |
Expanded Bronze | HMO | Ohio |
88 | $10,600 | $10,600 |
| Core Gold 1500 $10 Generic Drugs |
Gold | HMO | Ohio |
88 | $1,500 | $8,000 |
| Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness |
Gold | HMO | Ohio |
88 | $1,500 | $8,000 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services |
Gold | HMO | Ohio |
88 | $3,000 | $8,500 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Gold | HMO | Ohio |
88 | $3,000 | $8,500 |
| Gold 2000 $15 Generic Drugs |
Gold | HMO | Ohio |
88 | $2,000 | $8,200 |
| Gold 2000 $15 Generic Drugs + Adult Vision & Fitness |
Gold | HMO | Ohio |
88 | $2,000 | $8,200 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services |
Gold | HMO | Ohio |
88 | $3,000 | $8,500 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Gold | HMO | Ohio |
88 | $3,000 | $8,500 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services |
Silver | HMO | Ohio |
77 | $5,000 | $9,500 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Silver | HMO | Ohio |
77 | $5,000 | $9,500 |
| HDHP Preventive Silver 5500 $0 Chronic Care Drugs |
Silver | HMO | Ohio |
77 | $5,500 | $5,500 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services |
Silver | HMO | Ohio |
77 | $5,000 | $9,500 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Silver | HMO | Ohio |
77 | $5,000 | $9,500 |
| Low Premium Silver 6200 $3 Generic Drugs |
Silver | HMO | Ohio |
77 | $6,200 | $9,800 |
| Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness |
Silver | HMO | Ohio |
77 | $6,200 | $9,800 |
| Silver 6000 $20 Generic Drugs |
Silver | HMO | Ohio |
88 | $6,000 | $8,900 |
| Silver 6000 $20 Generic Drugs + Adult Vision & Fitness |
Silver | HMO | Ohio |
77 | $6,000 | $8,900 |
| Bronze 7500 $25 Generic Drugs |
Expanded Bronze | HMO | West Virginia |
55 | $7,500 | $10,000 |
| Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness |
Expanded Bronze | HMO | West Virginia |
55 | $7,500 | $10,000 |
| Low Premium Bronze 10600 $25 Generic Drugs |
Expanded Bronze | HMO | West Virginia |
55 | $10,600 | $10,600 |
| Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness |
Expanded Bronze | HMO | West Virginia |
55 | $10,600 | $10,600 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services |
Gold | HMO | West Virginia |
55 | $3,000 | $8,500 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Gold | HMO | West Virginia |
55 | $3,000 | $8,500 |
| Gold 2000 $15 Generic Drugs |
Gold | HMO | West Virginia |
55 | $2,000 | $8,200 |
| Gold 2000 $15 Generic Drugs + Adult Vision & Fitness |
Gold | HMO | West Virginia |
55 | $2,000 | $8,200 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services |
Gold | HMO | West Virginia |
55 | $3,000 | $8,500 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Gold | HMO | West Virginia |
55 | $3,000 | $8,500 |
| Platinum Zero $5 Generic Drugs |
Platinum | HMO | West Virginia |
55 | $0 | $5,200 |
| Platinum Zero $5 Generic Drugs + Adult Vision & Fitness |
Platinum | HMO | West Virginia |
55 | $0 | $5,200 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services |
Silver | HMO | West Virginia |
55 | $5,000 | $9,500 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Silver | HMO | West Virginia |
55 | $5,000 | $9,500 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services |
Silver | HMO | West Virginia |
55 | $5,000 | $9,500 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
Silver | HMO | West Virginia |
55 | $5,000 | $9,500 |
| Low Deductible Silver 5000 $3 Generic Drugs |
Silver | HMO | West Virginia |
55 | $5,000 | $9,250 |
| Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness |
Silver | HMO | West Virginia |
55 | $5,000 | $9,250 |
| Low Premium Silver 6200 $3 Generic Drugs |
Silver | HMO | West Virginia |
55 | $6,200 | $9,800 |
| Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness |
Silver | HMO | West Virginia |
55 | $6,200 | $9,800 |
| Silver 6000 $20 Generic Drugs |
Silver | HMO | West Virginia |
55 | $6,000 | $8,900 |
| Silver 6000 $20 Generic Drugs + Adult Vision & Fitness |
Silver | HMO | West Virginia |
55 | $6,000 | $8,900 |