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For groups with up to 50 FTEs. Full, tiered and select network plan options to suit employers’ needs. HMOs require PCP selection and referrals for most specialist visits. See our complete small group benefit design chart.
Plan Name Year Overview (PDF document) Documents (PDF document) Administration Forms
HMO Core20182019A network HMO featuring copays for a set numbers of outpatient medical and behavioral health office visits. Other visits and services = deductible then coinsurance. Formerly named Core Coverage HMO.How it WorksPlan EnrollmentPre-RenewalChecklist
HMO HSA20182019A network product that gives members access to our participating providers and hospitals throughout New England with the added feature of being a qualified high deductible health plan. Referrals are required for most services. Coverage is in our service area only. Formerly named Best Buy HMO HSA.How it WorksPlan EnrollmentPre-RenewalChecklist
Maine’s Choice HMO HSA20182019The same network of Maine’s Choice HMO with the added feature of being a qualified high deductible health plan. Available for groups under 100 enrolled.Consumer BrochureFive FactsHow it WorksMapPlan EnrollmentPre-RenewalChecklist
Maine’s Choice HMO20182019A network product with two tiers. Lower out-of-pocket costs apply to Preferred Tier providers in Southern/Central Maine; higher cost sharing applies to Standard Tier providers. Referrals are required for most services. PCP must be from the Preferred Tier. Available for groups under 100 enrolled.Consumer BrochureFive FactsHow it WorksMapPlan EnrollmentPre-RenewalChecklist
HMO20182019A network product that gives members access to our participating providers and hospitals throughout New England. Referrals are required for most services. Coverage is in our service area only.Plan Enrollment