2015 Montana Individual and Family Plans

The information on this page is for plans beginning January 1, 2015. 

Need a 2014 plan summary? You can access 2014 summaries through InTouch for Agents. Log into InTouch >

PSN Plans


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  Plan  

Deductible  

Out-of-pocket Limit  

Co-insurance  

Plan Details  

  Balance Bronze PSN 4000
$4,000 / $8,000
$6,600 / $13,200
50%
Value Bronze PSN 6250  HSA-qualified
$6,250 / $12,500
$6,250 / $12,500
0%
  Balance Silver PSN 2500
$2,500 / $5,000
$6,000 / $12,000
30%
  Cost-sharing Plan
Available Only Through HealthCare.gov*

Deductible  

Out-of-pocket Limit  

Co-insurance  

Plan Details  

  Balance Silver PSN 2500 (73)
$2,000 / $4,000
$5,200 / $10,400
30% 
Balance Silver PSN 2500 (87)
$500 / $1,000 
$1,600 / $3,200 
30%
Balance Silver PSN 2500 (94)
$250 / $500
$600 / $1,200 
30% 

* These plans are only available to those who qualify financially and enroll through HealthCare.gov.

 

SmartHealth Plans


Visit our Montana Forms and Materials page for more sales materials.

  Plan

Deductible

Out-of-pocket Limit

Co-insurance

Plan Details

  SmartHealth Balance Bronze 6600
$6,600 / $13,200
$6,600 / $13,200
0%
SmartHealth Balance Bronze 4000
$4,000 / $8,000
$6,600 / $13,200
50%
SmartHealth Value Bronze 6250  HSA-qualified
$6,250 / $12,500
$6,250 / $12,500
0%
SmartHealth Value Bronze 3000  HSA-qualified
$3,000 / $6,000
$6,450 / $12,900
50%
  SmartHealth Balance Silver 2500
$2,500 / $5,000
$6,000 / $12,000
30%
SmartHealth Balance Silver 1500
$1,500 / $3,000
$6,600 / $13,200
30%
SmartHealth Value Silver 3600  HSA-qualified
$3,600 / $7,200
$3,600 / $7,200
0%
SmartHealth Value Silver 3000  HSA-qualified
$3,000 / $6,000
$3,000 / $6,000
0%
  SmartHealth Balance Gold 1000
$1,000 / $2,000
$5,250 / $10,500
20%
  SmartHealth Catastrophic
$6,600 / $13,200
$6,600 / $13,200
0%
  Cost-sharing Plan
Available Only Through HealthCare.gov*

Deductible

Out-of-pocket Limit

Co-insurance

Plan Details

  SmartHealth Balance Silver 2500 (73)
$2,000 / $4,000
$5,200 / $10,400
30%
SmartHealth Balance Silver 2500 (87)
$500 / $1,000
$1,600 / $3,200
30%
SmartHealth Balance Silver 2500 (94)
$250 / $500 
$600 / $1,200
30% 
SmartHealth Balance Silver 1500 (73)
$1,500 / $3,000
$5,200 / $10,400
30%
SmartHealth Balance Silver 1500 (87)
$500 / $1,000
 
$2,000 / $4,000
 
30%
 
SmartHealth Balance Silver 1500 (94)
$300 / $600
$700 / $1,400
30%
SmartHealth Value Silver 3600 (73)HSA-qualified
$2,800 / $5,600
$2,800 / $5,600
0%
SmartHealth Value Silver 3600 (87)HSA-qualified
$1,100 / $2,200
$1,100 / $2,200
0%
SmartHealth Value Silver 3600 (94)HSA-qualified
$500 / $1,000
$500 / $1,000
0%
SmartHealth Value Silver 3000 (73) – HSA-qualified
$2,650 / $5,300
$2,650 / $5,300
0%
SmartHealth Value Silver 3000 (87) – HSA-qualified
$1,100 / $2,200
$1,100 / $2,200 
0%
SmartHealth Value Silver 3000 (94) – HSA-qualified
$500 / $1,000
$500 / $1,000 
0%

* These plans are only available to those who qualify financially and enroll through HealthCare.gov.

 

American Indian Benefits


The Affordable Care Act (ACA) has special provisions for members of federally recognized American Indian tribes who purchase healthcare coverage through the Marketplace, including zero-cost health services for those whose income is at or below 300 percent of the Federal Poverty Level. Please note that even with a zero cost-sharing plan, out-of-network providers can bill for the amount over the network rate.

  PSN Plan  

Deductible  

Out-of-pocket Limit  

Co-insurance  

Plan Details  

  Balance Bronze PSN 4000 (0)
$0
$0
0%
Balance Bronze PSN 4000 (AI)
$4,000 / $8,000
$6,600 / $13,200
50%
Value Bronze PSN 6250 (0)
$0
$0
0%
Value Bronze PSN 6250 (AI)
$6,250 / $12,500
$6,250 / $12,500
0%
  Balance Silver PSN 2500 (0)
$0
$0
0%
Balance Silver PSN 2500 (AI)
$2,500 / $5,000
$6,000 / $12,000
30%
  SmartHealth Plan

Deductible

Out-of-pocket Limit

Co-insurance

Plan Details

  SmartHealth Balance Bronze 6600 (0)
$0
$0
0%
SmartHealth Balance Bronze 6600 (AI)
$6,600 / $13,200
$6,600 / $13,200
0%
SmartHealth Balance Bronze 4000 (0)
$0
$0
0%
SmartHealth Balance Bronze 4000 (AI)
$4,000 / $8,000
$6,600 / $13,200
50%
SmartHealth Value Bronze 6250 (0)
$0
$0
0%
SmartHealth Value Bronze 6250 (AI)
$6,250 / $12,500
$6,250 / $12,500
0%
SmartHealth Value Bronze 3000 (0)
$0
$0
0%
SmartHealth Value Bronze 3000 (AI)
$3,000 / $6,000
$6,450 / $12,900
50%
  SmartHealth Balance Silver 2500 (0)
$0
$0
0%
SmartHealth Balance Silver 2500 (AI)
$2,500 / $5,000
$6,000 / $12,000
30%
SmartHealth Balance Silver 1500 (0)
$0
$0
0%
SmartHealth Balance Silver 1500 (AI)
$1,500 / $3,000
$6,600 / $13,200
30%
SmartHealth Value Silver 3600 (0)
$0
$0
0%
SmartHealth Value Silver 3600 (AI) 
$3,600 / $7,200
$3,600 / $7,200
0%
SmartHealth Value Silver 3000 (0)
$0
$0
0%
SmartHealth Value Silver 3000 (AI)
$3,000 / $6,000
$3,000 / $6,000
0%
  SmartHealth Balance Gold 1000 (0)
$0
$0
0%
SmartHealth Balance Gold 1000 (AI)
$1,000 / $2,000
$5,250 / $10,500
20%

Dental Plans


Visit our Montana Forms and Materials page for more sales materials.

  Dental Choice 0/20/50
  Kids Dental Choice 0/20/50