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Summary of Benefits and Coverage (SBC) for CMI Plans
- 2023
- 2022
- Jan.
- Feb.
- March
- April
- May
- June
- July
- Aug.
- Sept.
- Oct.
- Nov.
- Dec.
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
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Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
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Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
- Jan.
- Feb.
- March
- April
- May
- June
- July
- Aug.
- Sept.
- Oct.
- Nov.
- Dec.
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
-
Choice Mass HMO Copay $40
-
Choice Mass HMO Copay $2,000/$4,000 Ded.
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000 Ded.
-
Choice Mass HMO HSA $3,000/$6,000
-
Choice Mass POS Copay $40
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass POS HSA $5,600/$11,200
- Jan.
- Feb.
- March
- April
- May
- June
- July
- Aug.
- Sept.
- Oct.
- Nov.
- Dec.
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
-
Choice Mass HMO Copay $30
-
Choice Mass HMO Copay $2,000/$4,000
-
Choice Mass HMO Copay $2,500/$5,000
-
Choice Mass POS Copay $30
-
Choice Mass POS Copay $3,000/$6,000
-
Choice Mass POS HSA $2,500/$5,000
-
Choice Mass POS HSA $4,500/$9,000
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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.
Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary,or other plan documents for specific information about your benefits coverage.