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    Healthcare Plan Information

    2015 Summary of Benefits for New York

    Choose a Plan & Enroll


    Nationwide Fee-for-Service Open to All
    Plan Plan Code Plan Type Summary of Benefits
    Blue Cross and Blue Shield Service Benefit Plan Nationwide 10 Standard Go
    Blue Cross and Blue Shield Service Benefit Plan Nationwide 11 Basic Go
    GEHA Benefit Plan Nationwide 31 High Go
    GEHA Benefit Plan Nationwide 31 Standard Go
    NALC Nationwide 32 High Go
    NALC Nationwide 32 CDHP Go
    GEHA High Deductible Health Plan Nationwide 34 HDHP Go
    MHBP - Value Plan Nationwide 41 Basic Go
    SAMBA Nationwide 44 High Go
    SAMBA Nationwide 44 Standard Go
    MHBP - Std Nationwide 45 Standard Go
    APWU Health Plan Nationwide 47 High Go
    APWU Health Plan Nationwide 47 CDHP Go
    MHBP - Consumer Option Nationwide 48 HDHP Go
    NALC Value Option Nationwide KM Basic Go

    Nationwide Fee-for-Service Plans Open Only to Specific Groups
    Plan Plan Code Plan Type Summary of Benefits
    Rural Carrier Benefit Plan Specific Areas 38 High Go
    Foreign Service Benefit Plan 40 High Go
    Compass Rose Health Plan Specific Areas 42 High Go
    Panama Canal Area Benefit Plan Specific Areas 43 High Go

    State Specific HMO, HDHP and CDHP Plans
    Plan Plan Code Plan Type Summary of Benefits
    Aetna Direct Most of New York N6 CDHP Go
    MVP Health Care Mid-Hudson Region MX High Go
    MVP Health Care Mid-Hudson Region MX Standard Go
    MVP Health Care Central Region M9 High Go
    MVP Health Care Central Region M9 Standard Go
    MVP Health Care Northern Region MF High Go
    MVP Health Care Northern Region MF Standard Go
    Independent Health Assoc Western New York QA High Go
    Independent Health Assoc Western New York QA HDHP Go
    CDPHP Universal Benefits, Inc. Upstate, Hudson Valley, Central NY SG High Go
    CDPHP Universal Benefits, Inc. Upstate, Hudson Valley, Central NY SG Standard Go
    Aetna Open Access NYC Area/Upstate NY JC High Go
    Aetna Open Access NYC Area/Upstate NY JC Basic Go
    MVP Health Care Eastern Region GA High Go
    MVP Health Care Eastern Region GA Standard Go
    MVP Health Care Western Region GV High Go
    MVP Health Care Western Region GV Standard Go
    Aetna Healthfund HDHP Most of New York 22 CDHP Go
    Aetna Healthfund HDHP Most of New York 22 HDHP Go
    HIP Health of Greater New York New York City area including Long Island 51 High Go
    HIP Health of Greater New York New York City area including Long Island 51 Standard Go
    GHI Health Plan All of New York 80 High Go
    GHI Health Plan All of New York 80 Standard Go
    Aetna HealthFund CDHP and Value Plan Most of New York EP Basic Go
    Aetna HealthFund CDHP and Value Plan Most of New York EP CDHP Go
    Independent Health Association Western New York C5 Standard Go
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