2026 Schedules of Benefits and SBCs: Maine

Small group effective 1/1/26

HMO - OFF EXCHANGE with dental SOBSBC
Clear Choice HMO Gold 1500 MD0000201704
Clear Choice HMO Gold 2500 MD0000201713
Clear Choice HMO Silver 4000 MD0000201714
Clear Choice HMO Silver 5000 MD0000201716
Clear Choice HMO Bronze 7500 MD0000201718
HMO Bronze 8500 MD0000201719
Clear Choice HMO HSA Silver 4500 MD0000201705
Clear Choice HMO HSA Bronze 6300 MD0000201699
Clear Choice HMO HSA Bronze 8000 MD0000201700
Clear Choice Maine's Choice Plus HMO Gold 1500 MD0000201701
Clear Choice Maine's Choice Plus HMO Gold 2500 MD0000201706
Clear Choice Maine's Choice Plus HMO Silver 4000 MD0000201707
Clear Choice Maine's Choice Plus HMO Silver 5000 MD0000201710
Maine's Choice Plus HMO Silver 6000 MD0000201742
Clear Choice Maine's Choice Plus HMO Bronze 7500 MD0000201731
Maine's Choice Plus HMO Bronze 8500 MD0000201737
Clear Choice Maine's Choice Plus HMO HSA Silver 4000 MD0000201698
Clear Choice Maine's Choice Plus HMO HSA Silver 4500 MD0000201711
Clear Choice Maine's Choice Plus HMO HSA Bronze 6300 MD0000201732
Maine's Choice Plus HMO HSA Bronze 7200 MD0000201733
PPO - OFF EXCHANGE with dental SOBSBC
Clear Choice PPO Access Gold 2500 MD0000201702
Clear Choice PPO Access Silver 4000 MD0000201743
Clear Choice PPO Access HSA Silver 4000 MD0000201703
Clear Choice PPO Access HSA Silver 4500 MD0000201738
Clear Choice PPO Access HSA Bronze 8000 MD0000201739