Summary of Benefits & Coverage ( SBCs )

for 2021 Small Group Plans

2021 BSNENY Plan Summaries

Platinum POS Classic Copay

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Platinum Radius Copay

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Gold POS Classic

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Gold EPO High Copay

Gold Radius High Copay

Gold EX High Copay

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Gold EPO Hybrid

Gold POS Radius Hybrid

Gold EX Hybrid

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Gold Ascend Tiered Copay

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Silver POS Classic HD

Silver EX6300 HD-HSA

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Silver EX7000 HD-HSA

Silver EX8000 HD-HSA

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Bronze POS Classic HD

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2021 CDPHP Plan Summaries

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120 EPO

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121 EPO

130 EPO

220 EPO

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221 EPO Embrace

224 HMO

320 HD EPO

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324 HD HMO

328 HD EPO

421 HD EPO

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424 HD EPO

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425 EPO Copay First

​Delta Dental PPO

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Preventive Drug List

Member Education Materials

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2021 MVP Plan Summaries

BRONZE 2 EPO

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BRONZE 3 EPO

BRONZE 6 EPO

GOLD  1 EPO

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GOLD 2 EPO

GOLD 3 EPO

GOLD 4 EPO

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GOLD 6 EPO

GOLD 8 EPO

SILVER 1 EPO

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SILVER 3 HD EPO

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SILVER 7 EPO

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