| HMO - OFF EXCHANGE with dental | SOB | SBC |
|---|---|---|
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201756 | ||
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201758 | ||
NH Local Choice HMO Silver 2500 + $0 Rx list + $0 Virtual Urgent Care MD0000201771 | ||
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201761 | ||
NH Local Choice HMO HSA Silver 3500 MD0000201763 | ||
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201765 | ||
NH Local Choice HMO Bronze 6500 + $0 Rx list + $0 Virtual Urgent Care MD0000201767 | ||
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201768 | ||
NH Local Choice HMO HSA Bronze 6000 MD0000201769 |
| HMO - OFF EXCHANGE without dental | SOB | SBC |
|---|---|---|
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201756 | ||
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201758 | ||
NH Local Choice HMO Silver 2500 + $0 Rx list + $0 Virtual Urgent Care MD0000201759 | ||
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201760 | ||
NH Local Choice HMO HSA Silver 3500 MD0000201762 | ||
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201764 | ||
NH Local Choice HMO Bronze 6500 + $0 Rx list + $0 Virtual Urgent Care MD0000201767 | ||
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201768 | ||
NH Local Choice HMO HSA Bronze 6000 MD0000201769 | ||
NH Local HMO Gold 2500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201772 | ||
NH Local HMO Silver 6400 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201774 | ||
NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201775 |
| HMO - ON EXCHANGE without dental | SOB | SBC |
|---|---|---|
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201756 | ||
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201758 | ||
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201760 | ||
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201764 | ||
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201768 | ||
NH Local Choice HMO HSA Bronze 6000 MD0000201769 | ||
NH Local HMO Gold 2500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201772 | ||
NH Local HMO Silver 6400 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201774 | ||
NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201775 |
| HMO - ON EXCHANGE without dental - AI/AN - Limited | SOB | SBC |
|---|---|---|
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201756 | ||
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201758 | ||
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201760 | ||
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201764 | ||
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201768 | ||
NH Local Choice HMO Bronze 6000 MD0000201770 | ||
NH Local HMO Gold 2500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201772 | ||
NH Local HMO Silver 6400 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201774 | ||
NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201775 |
| HMO - ON EXCHANGE without dental - AI/AN - $0 cost | SOB | SBC |
|---|---|---|
NH Local Choice HMO CSR100 MD0000201757 | ||
NH Local Choice HMO CSR100 MD0000201757 | ||
NH Local Choice HMO CSR100 MD0000201757 | ||
NH Local Choice HMO CSR100 MD0000201757 | ||
NH Local Choice HMO CSR100 MD0000201757 | ||
NH Local Choice HMO CSR100 MD0000201757 | ||
NH Local HMO CSR100 MD0000201773 | ||
NH Local HMO CSR100 MD0000201773 | ||
NH Local HMO CSR100 MD0000201773 |
| HMO - ON EXCHANGE without dental - CSR - 73% | SOB | SBC |
|---|---|---|
NH Local Choice HMO Silver 2500 CSR73 + $0 Rx list + $0 Virtual Urgent Care MD0000201776 | ||
NH Local Choice HMO Silver 3500 CSR73 + $0 Rx list + $0 Virtual Urgent Care MD0000201779 | ||
NH Local HMO Silver 2900 Standard CSR73 + $0 Rx list + $0 Virtual Urgent Care MD0000201782 |
| HMO - ON EXCHANGE without dental - CSR - 87% | SOB | SBC |
|---|---|---|
NH Local Choice HMO Silver 1400 CSR87 + $0 Rx list + $0 Virtual Urgent Care MD0000201777 | ||
NH Local Choice HMO Silver 1600 CSR87 + $0 Rx list + $0 Virtual Urgent Care MD0000201780 | ||
NH Local HMO Silver 800 Standard CSR87 + $0 Rx list + $0 Virtual Urgent Care MD0000201783 |
| HMO - ON EXCHANGE without dental - CSR - 94% | SOB | SBC |
|---|---|---|
NH Local Choice HMO Silver 400 CSR94 + $0 Rx list + $0 Virtual Urgent Care MD0000201778 | ||
NH Local Choice HMO Silver 500 CSR94 + $0 Rx list + $0 Virtual Urgent Care MD0000201781 | ||
NH Local HMO Silver Standard CSR94 + $0 Rx list + $0 Virtual Urgent Care MD0000201784 |