| HMO - OFF EXCHANGE without dental | SOB | SBC |
|---|---|---|
NH Local HMO Gold 1500 Standard MD0000201317 | ||
NH Local HMO Silver 5000 Standard MD0000201319 | ||
NH Local HMO Bronze 7500 Standard MD0000201324 | ||
NH Local Choice HMO HSA Silver 3500 MD0000201321 | ||
NH Local Choice HMO HSA Bronze 6000 MD0000201323 | ||
NH Local Choice HMO Gold MD0000201327 | ||
NH Local Choice HMO Gold 1400 MD0000201328 | ||
NH Local Choice HMO Silver 2500 MD0000201329 | ||
NH Local Choice HMO Silver 3500 MD0000201334 | ||
NH Local Choice HMO Silver 4000 MD0000201338 | ||
NH Local Choice HMO Silver 5000 MD0000201346 | ||
NH Local Choice HMO Bronze 6500 MD0000201351 | ||
NH Local Choice HMO Bronze 7200 MD0000201352 | ||
NH Local Choice HMO Bronze 8000 MD0000201318 |
| HMO - ON EXCHANGE without dental | SOB | SBC |
|---|---|---|
NH Local HMO Gold 1500 Standard MD0000201317 | ||
NH Local HMO Silver 5000 Standard MD0000201319 | ||
NH Local HMO Bronze 7500 Standard MD0000201324 | ||
NH Local Choice HMO HSA Bronze 6000 MD0000201323 | ||
NH Local Choice HMO Gold MD0000201327 | ||
NH Local Choice HMO Gold 1400 MD0000201328 | ||
NH Local Choice HMO Silver 3500 MD0000201334 | ||
NH Local Choice HMO Silver 5000 MD0000201346 | ||
NH Local Choice HMO Bronze 8000 MD0000201318 |
| HMO - ON EXCHANGE without dental - AI/AN - Limited | SOB | SBC |
|---|---|---|
NH Local HMO Gold 1500 Standard MD0000201317 | ||
NH Local HMO Silver 5000 Standard MD0000201319 | ||
NH Local HMO Bronze 7500 Standard MD0000201324 | ||
NH Local Choice HMO Bronze 6000 MD0000201325 | ||
NH Local Choice HMO Gold MD0000201327 | ||
NH Local Choice HMO Gold 1400 MD0000201328 | ||
NH Local Choice HMO Silver 3500 MD0000201334 | ||
NH Local Choice HMO Silver 5000 MD0000201346 | ||
NH Local Choice HMO Bronze 8000 MD0000201318 |
| HMO - ON EXCHANGE without dental - AI/AN - $0 Cost | SOB | SBC |
|---|---|---|
NH Local HMO CSR100 MD0000201350 | ||
NH Local HMO CSR100 MD0000201350 | ||
NH Local HMO CSR100 MD0000201350 | ||
NH Local Choice HMO CSR100 MD0000201344 | ||
NH Local Choice HMO CSR100 MD0000201344 | ||
NH Local Choice HMO CSR100 MD0000201344 | ||
NH Local Choice HMO CSR100 MD0000201344 | ||
NH Local Choice HMO CSR100 MD0000201344 | ||
NH Local Choice HMO CSR100 MD0000201344 |
| HMO - ON EXCHANGE without dental - CSR - 73% | SOB | SBC |
|---|---|---|
NH Local HMO Silver 3000 Standard CSR73 MD0000201322 | ||
NH Local Choice HMO Silver 2400 CSR73 MD0000201335 | ||
NH Local Choice HMO Silver 3400 CSR73 MD0000201343 |
| HMO - ON EXCHANGE without dental - CSR - 87% | SOB | SBC |
|---|---|---|
NH Local HMO Silver 500 Standard CSR87 MD0000201320 | ||
NH Local Choice HMO Silver Copay 1200 CSR87 MD0000201336 | ||
NH Local Choice HMO Silver 1400 CSR87 MD0000201347 |
| HMO - ON EXCHANGE without dental - CSR - 94% | SOB | SBC |
|---|---|---|
NH Local HMO Silver Standard CSR94 MD0000201326 | ||
NH Local Choice HMO Silver Copay 400 CSR94 MD0000201337 | ||
NH Local Choice HMO Silver 450 CSR94 MD0000201348 |
| HMO - OFF EXCHANGE with dental | SOB | SBC |
|---|---|---|
NH Local Choice HMO HSA Silver 3500 MD0000201321 | ||
NH Local Choice HMO HSA Bronze 6000 MD0000201323 | ||
NH Local Choice HMO Gold MD0000201327 | ||
NH Local Choice HMO Gold 1400 MD0000201328 | ||
NH Local Choice HMO Silver 2500 MD0000201329 | ||
NH Local Choice HMO Silver 3500 MD0000201333 | ||
NH Local Choice HMO Silver 4000 MD0000201338 | ||
NH Local Choice HMO Silver 5000 MD0000201345 | ||
NH Local Choice HMO Bronze 6500 MD0000201351 | ||
NH Local Choice HMO Bronze 7200 MD0000201352 | ||
NH Local Choice HMO Bronze 8000 MD0000201318 |