2027 Schedules of Benefits and SBCs: Maine

Small group effective 1/1/27

HMO - OFF EXCHANGE with dental SOBSBC
Clear Choice HMO Gold 2000 MD0000201883
Clear Choice Maine's Choice Plus HMO Gold 2000 MD0000201885
Clear Choice HMO Gold 3000 MD0000201886
Clear Choice Maine's Choice Plus HMO Gold 3000 MD0000201888
HMO Silver 4000 MD0000201893
Maine's Choice Plus HMO Silver 4000 MD0000201894
Clear Choice HMO Silver 4500 MD0000201896
Clear Choice Maine's Choice Plus HMO Silver 4500 MD0000201901
Clear Choice Maine's Choice Plus HMO HSA Silver 4000 MD0000201909
Clear Choice HMO HSA Silver 5000 MD0000201911
Clear Choice Maine's Choice Plus HMO HSA Silver 5000 MD0000201912
Clear Choice HMO Silver 6000 MD0000201916
Clear Choice Maine's Choice Plus HMO Silver 6000 MD0000201920
Maine's Choice Plus HMO Silver 7000 MD0000201924
Clear Choice HMO Bronze 7000 MD0000201925
Maine's Choice Plus HMO HSA Bronze 7200 MD0000201926
Clear Choice Maine's Choice Plus HMO Bronze 7000 MD0000201932
HMO HSA Bronze 7200 MD0000201933
Clear Choice HMO Bronze 7500 MD0000201939
Clear Choice Maine's Choice Plus HMO Bronze 7500 MD0000201944
Clear Choice HMO HSA Bronze 8700 MD0000201943
EPO - OFF EXCHANGE with dental SOBSBC
Clear Choice National Access Gold 3000 MD0000201889
Clear Choice National Access Silver 4500 MD0000201907
Clear Choice National Access HSA Silver 4000 MD0000201910
Clear Choice National Access Bronze 7500 MD0000201937
Clear Choice National Access HSA Bronze 8700 MD0000201936
National Access Silver 4000 MD0000201946
PPO - OFF EXCHANGE with dental SOBSBC
Clear Choice PPO Access Gold 3000 MD0000201892
PPO Access Silver 4000 MD0000201895
Clear Choice PPO Access Silver 4500 MD0000201908
Clear Choice PPO Access HSA Silver 5000 MD0000201915
Clear Choice PPO Access HSA Bronze 8700 MD0000201945