Summary of Benefits Coverage: HMO & EPO, Child Dental Infertility
For detailed information about your plan’s coverage, please review the Summary of Benefits Coverage specific to Community Care Health’s HMO and EPO plans.
2024 Summary of Benefits Coverage – HMO, Child Dental Infertility
- 2024 SBC Bronze 60 HDHP HMO 7050_0+Child Dental INF
- 2024 SBC Bronze 60 HMO 6300_65+Child Dental INF
- 2024 SBC Silver 70 HDHP HMO 2850_25+Child Dental INF
- 2024 SBC Silver 70 HMO 2250_50+Child Dental INF
- 2024 SBC Silver 70 HMO HRA 2250_50+Child Dental INF
- 2024 SBC Gold 80 HMO 250_35+Child Dental INF
- 2024 SBC Gold 80 HMO 500_35+Child Dental INF
- 2024 SBC Gold 80 HMO 1000_35+Child Dental INF
- 2024 SBC Gold 80 HMO 750_30+Child Dental INF
- 2024 SBC Gold 80 HMO HRA 2150_35+Child Dental INF
- 2024 SBC Platinum 90 HMO 0_10_250 Child Dental INF
- 2024 SBC Platinum 90 HMO 0_10_500 Child Dental INF
- 2024 SBC Platinum 90 HMO 0_20 Child Dental INF
- 2024 SBC Platinum 90 HMO 0_25 Child Dental INF
2024 Summary of Benefits Coverage – EPO, Child Dental Infertility
- 2024 SBC Silver 70 EPO 1500_50+Child Dental INF
- 2024 SBC Silver 70 HDHP EPO 2850_25+Child Dental INF
- 2024 SBC Gold 80 EPO 250_30+Child Dental INF
- 2024 SBC Gold 80 EPO 500_30+Child Dental INF
- 2024 SBC Gold 80 EPO 750_30+Child Dental INF
- 2024 SBC Gold 80 EPO 1500_35+Child Dental INF
- 2024 SBC Platinum 90 EPO 0_25 Child Dental INF
- 2024 SBC Platinum 90 EPO 0-15 Child Dental INF
2023 Summary of Benefits Coverage – HMO, Child Dental Infertility
- 2023 SBC Bronze 60 HDHP HMO 7000_0+Child Dental INF
- 2023 SBC Bronze 60 HMO 6300_65+Child Dental INF
- 2023 SBC Gold 80 HMO 250_35+Child Dental INF
- 2023 SBC Gold 80 HMO 500_35+Child Dental INF
- 2023 SBC Gold 80 HMO 750_30+Child Dental INF
- 2023 SBC Gold 80 HMO 1000_35+Child Dental INF
- 2023 SBC Gold 80 HMO HRA 2150_35+Child Dental INF
- 2023 SBC Platinum 90 HMO 0_10_250 Child Dental INF
- 2023 SBC Platinum 90 HMO 0_10_500 Child Dental INF
- 2023 SBC Platinum 90 HMO 0_20 Child Dental INF
- 2023 SBC Platinum 90 HMO 0_25 Child Dental INF
- 2023 SBC Silver 70 HDHP HMO 2700_25+Child Dental INF
- 2023 SBC Silver 70 HMO 2250_50+Child Dental INF
- 2023 SBC Silver 70 HMO HRA 2250_50+Child Dental INF
2023 Summary of Benefits Coverage – EPO, Child Dental INF
- 2023 SBC Silver 70 HDHP EPO 2850_20+Child Dental INF
- 2023 SBC Silver 70 EPO 1500_50+Child Dental INF
- 2023 SBC Platinum 90 EPO 0-15 Child Dental INF
- 2023 SBC Platinum 90 EPO 0-25 Child Dental INF
- 2023 SBC Gold 80 EPO 1500_35+Child Dental INF
- 2023 SBC Gold 80 EPO 750_30+Child Dental INF
- 2023 SBC Gold 80 EPO 500_30+Child Dental INF
- 2023 SBC Gold 80 EPO 250_30+Child Dental INF