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CareConnect (North Shore LIJ) Insurance Information

CareConnect (North Shore LIJ) Insurance Information

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2016

2016 CareConnect INDIVIDUAL Rates and Enrollment Kit

2016 Care Connect NSLIJ Rates and Full Individual Enrollment Kit

Doctor Search Link:

www.providerlookuponline.com/northshore

2016 CareConnect INDIVIDUAL SBC’s (Summary of Benefits & Coverage)

2016 Care Connect Standard IND Bronze HSA SBC

2016 Care Connect Standard IND Bronze SBC

2016 Care Connect Standard IND Silver SBC

2016 Care Connect Standard IND Gold SBC

2016 Care Connect Standard IND Platinum SBC

2016 Care Connect IND Value Silver 75% SBC

2016 Care Connect IND Value Silver 100% SBC

2016 Care Connect IND Value Gold 100% SBC

2016 Care Connect IND Value Platinum 100% SBC

2016 Care Connect IND Tradition Bronze HSA 70% SBC

2016 Care Connect IND Tradition Silver 40-60 SBC

2016 Care Connect IND Tradition Gold 30-50 SBC

2016 Care Connect IND Tradition Platinum 30-30 SBC

2015 CareConnect (NSLIJ) INDIVIDUAL Rates and Enrollment Kit

2015 Care Connect NSLIJ Rates and Individual Enrollment Kit

Doctor Search Link:

https://provider.careconnect.com

SBC’s

Individual –

2015 CC IND SBC Std Bronze

2015 CC IND SBC Std Silver

2015 CC IND SBC Std Gold

2015 CC IND SBC Std Platinum

2015 CC IND Tradition_Platinum_30High_Rx

2015 CC IND Tradition_Gold_30-50_Low_Rx

2015 CC IND Tradition_Gold_30-50_High_Rx

2015 CC IND Tradition_Platinum_30Low_Rx

2015 CC IND SBC Tradition Silver 40-60 High Rx

2015 CC IND SBC Tradition Silver 40-60 Low Rx

Group-

2015 1Q CC SG SBC std Bronze

2015 1Q CC SG SBC Std Silver

2015 1Q CC SG SBC Std Gold

2015 1Q CC SG SBC Std Platinum

2015 1Q CC SG Tradition_Gold_Copay

2015 1Q CC SG Tradition_Platinum_30_High_Rx

2015 1Q CC SG Tradition_Platinum_30Low_Rx

2015 1Q CC SG Tradition_Gold_20-40_High_Rx

2015 1Q CC SG Tradition_Gold_20-40_Low_Rx

2015 1Q CC SG Tradition_Gold_30-50_High_Rx

2015 1Q CC SG Tradition_Gold_30-50_Low_Rx

2015 1Q CC SG Tradition_Gold_40-60_High_Rx

2015 1Q CC SG Tradition_Gold_40-60_Low_Rx

2015 1Q CC SG SBC Tradition SILVER 40-60 High Rx

2015 1Q CC SG SBC Tradition Silver 40-60 Low Rx

2015 1Q CC SG Tradition_Silver_30-50_Low_Rx

Drug (Rx) Formulary

2015 Care Connect NSLIJ Formulary