Home   Members   Providers  

Home > Brokers > Benefit Summaries > Iowa > Large Group >



Large Group 101+

Iowa Heritage Product Spec Sheet

Deductible (2013/2014)

Deductible with POS (2013/2014)

Health Reimbursement Arrangement (2013/2014)

Health Reimbursement Arrangement with POS (2013/2014)

Qualified HDHP (2013/2014)

Qualified HDHP with POS (2013/2014)

SelectAdvantage (2013/2014)

Split Copay Deductible (2013/2014)

Split Copay Deductible with POS (2013/2014)

Riders

Deductible with $0 Kid Copay (2013)

Deductible with POS with $0 Kid Copay (2013)

Percentage (2013)

Percentage with POS (2013)

Primary (2013)

Primary with POS (2013)

Split Copay Deductible with $0 Kid Copay (2013)

Split Copay Deductible with POS with $0 Kid Copay (2013)

Split Copay Percentage (2013)

Split Copay Percentage with POS (2013)


Small Group 51-100


Small Group 2-50

Deductible with POS

Changes are made frequently to commercial benefit plan summaries. Check back regularly for updates.

These plans are for effective dates January 1, 2014 and later.

IW00 (20/250/90%)
IW01 (20/500/90%)
IW02 (20/750/80%)
IW03 (30/1000/80%)

These plans are for effective dates prior to January 1, 2014.

From now until Aug. 1, 2012, health plans will have both a "G" series designation as well as a "W" plan designation. This change to the benefit plan name is to accommodate the expanded women's preventive services coverage effective for plans beginning on or renewing Aug. 1, 2012. The benefit summaries remain the same.

As of May 1, 2012, you must use the "W" plan for quotes for Aug. 1, 2012 new or renewing groups. For quotes with effective dates prior to Aug. 1, continue using the "G" series. The "G" plans will be termed Aug. 1, 2012, and only the "W" plans will remain. Our health plans comply with the Patient Protection and Affordable Care Act.

IA GDPC 10-10-1000-250 POS70 / IA WDPC 10-10-1000-250 POS70
IA GDPC 10-10-1500-500 POS70 / IA WDPC 10-10-1500-500 POS70
IA GDPC 10-10-2000-1000 POS70 / IA WDPC 10-10-2000-1000 POS70
IA GDPC 15-10-2000-750 POS70 / IA WDPC 15-10-2000-750 POS70
IA GDPC 20-20-2000-500 POS60 / IA WDPC 20-20-2000-500 POS60
IA GDPC 20-20-2500-1000 POS60 / IA WDPC 20-20-2500-1000 POS60
IA GDPC 20-20-3000-1500 POS60 / IA WDPC 20-20-3000-1500 POS60
IA GDPC 20-20-4000-2000 POS60 / IA WDPC 20-20-4000-2000 POS60
IA GDPC 25-20-5000-2500 POS60 / IA WDPC 25-20-5000-2500 POS60
IA GDPC 25-30-10000-5000 POS50 / IA WDPC 25-30-10000-5000 POS50
IA GDPC 30-20-6000-3000 POS60 / IA WDPC 30-20-6000-3000 POS60
IA GDPC 30-30-3000-1000 POS50 / IA WDPC 30-30-3000-1000 POS50
IA GDPC 30-30-3500-1500 POS50 / IA WDPC 30-30-3500-1500 POS50
IA GDPC 30-30-4500-2000 POS50 / IA WDPC 30-30-4500-2000 POS50
IA GDPC 30-30-6000-2500 POS50 / IA WDPC 30-30-6000-2500 POS50

For groups with an effective date of August 1, 2009 through September 22, 2010:

IA 9DPC 10-10-1000-250 POS70
IA 9DPC 10-10-1500-500 POS70
IA 9DPC 10-10-2000-1000 POS70
IA 9DPC 15-10-2000-750 POS70
IA 9DPC 20-20-2000-500 POS60
IA 9DPC 20-20-2500-1000 POS60
IA 9DPC 20-20-3000-1500 POS60
IA 9DPC 20-20-4000-2000 POS60
IA 9DPC 25-20-5000-2500 POS60
IA 9DPC 25-30-10000-5000 POS50
IA 9DPC 30-20-6000-3000 POS60
IA 9DPC 30-30-3000-1000 POS50
IA 9DPC 30-30-3500-1500 POS50
IA 9DPC 30-30-4500-2000 POS50
IA 9DPC 30-30-6000-2500 POS50

For groups with an effective date before August 1, 2009:

IA MDPC 10-10-1000-250 POS70
IA MDPC 10-10-1500-500 POS70
IA MDPC 15-10-2000-750 POS70
IA MDPC 20-20-2000-500 POS60
IA MDPC 20-20-2500-1000 POS60
IA MDPC 20-20-3000-1500 POS60
IA MDPC 20-20-4000-2000 POS60
IA MDPC 25-20-5000-2500 POS60
IA MDPC 25-30-10000-5000 POS50
IA MDPC 30-20-6000-3000 POS60

How to interpret the benefit plan naming system (for example, IA MDPC 10-10-1000-250 POS70):

IA = The state the benefit applies to
M = 2006 Mental Health Mandate
9 = 2009 Federal Mandate and other health plan changes
DPC = Type of benefit plan
10 = $10 (network) physician services copayment (does not necessarily apply to all physician services)
10 = 10 percent (network) coinsurance expressing member responsibility in a percentage amount
1000 = $1,000 (network) out-of-pocket maximum per individual per calendar year
250 = $250 (network) deductible per individual per calendar year
POS70 = 70 percent point of service option expressing plan responsibility in a percentage amount

Note: Please reference individual benefit summaries for specific benefit information.

 





Enrollment Forms

Click on a state to reveal downloadable enrollment forms.


Small Group - Illinois
Small Employer Application (Groups 2-99)
Standard Employee Application (Groups 2-50)
Employee Enrollment Form (Groups 51-99)
Employee Enrollment Form for Additions or Changes to Existing Groups (Groups 2-99)

Large Group - Illinois
Employee Enrollment Form (Groups 100+)

Large Group - Virginia
Large Group Insured Member Enrollment Application (PPO & HMO)

Small Group - Virginia
Employee Enrollment Form (Groups 2-24)
Employee Enrollment Form (Groups 25-99 and Self-Funded or Groups with no prior coverage 51-99)
Employee Enrollment Form (Groups 25-99)
Employer Enrollment Form (Groups 2-99)
Employer Health Addendum (Groups 25-99)

 



Find a Physician or Facility


Find a Physician

Search our online directory to Find a Physician or Facility. For a paper provider directory or assistance finding a provider, please call the Customer Care number on the back of your health plan ID card.


 
Popular Links
- Lab Corp (use to find laboratory services out of your local service area)
- National Committee for Quality Assurance (NCQA)
- NCQA HealthChoices
- Compare Hospital and Provider Quality