2018 Montana Small Group Plans

The information on this page is for small group plans beginning January 1, 2018. Small groups in Montana are employers with one to 50 employees.

Medical Plans 

Deductible and out-of-pocket limit amounts shown below are the costs for individuals. Amounts for families are twice the individual amounts. If members receive services from out-of-network providers, their deductible and out-of-pocket limit will be higher than the amounts listed in the chart below. All network plans are available direct with PacificSource and through HealthCare.gov, unless noted.  

Medical handbook samples: 


Plan

Deductible

Out-of-pocket limit

Office visits
Services performed during an office visit may be billed separately.

Co-insurance

SBCs
by Network
Summaries
by Network
Bronze HSA 4000
$4,000
$6,550 
After deductible, 50%
After deductible, 50%
Bronze HSA 6550
$6,550
$6,550 
After deductible, covered in full
After deductible, covered in full
Bronze 7350
$7,350
$7,350 
$20 co-pay^
After deductible, covered in full
Silver HSA 2700
$2,700
$6,550 
After deductible, 20%
After deductible, covered in full
Silver HSA 3600
$3,600
$3,600
After deductible, covered in full
After deductible, covered in full
Silver 3000
$3,000
$7,350 
$20 co-pay^ 
After deductible, 30%
Silver 3000 VH
$3,000
$7,350 
$20 co-pay^ 
After deductible, 30%
Silver 4000
$4,000
$7,350
$20 co-pay^
After deductible, 30%
Silver 4000 VH
$4,000
$7,350
$20 co-pay^
After deductible, 30%
Silver 5000 
$5,000
$7,350
$20 co-pay^
After deductible, 30%
Silver 5000 VH
$5,000
$7,350
$20 co-pay^
After deductible, 30%
Gold 1000
$1,000
$5,000
$20 co-pay^
After deductible, 20%
Gold 1000 VH
$1,000
$5,000
$20 co-pay^
After deductible, 20%
Gold 2000
$2,000
$5,000
$20 co-pay^
After deductible, 20%
Gold 2000 VH
$2,000
$5,000
$20 co-pay^
After deductible, 20%

^Not subject to annual deductible. 

 

Dental Plans 

Dental handbook samples: 


Dental Choice Core
 
Dental Choice 0/20/50 50-750  
 
Dental Choice 0/20/50 50-1000*
Dental Choice Plus 0/20/50 25-1000*
Dental Choice Plus 0/20/50 25-1500*
Kids Dental Choice 0/20/50*
Ortho 1000 WP*  

*Available direct from PacificSource only.

 

Brochures and Forms 


Montana Small Group Kit

You can now order sales kits for individual and small group clients online!

Order printed materials today >  

 

Brochures:

Quote Request and Enrollment Forms: 

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

 

Network Availability (Medical)


Network availability varies depending on geographic location. 

PacificSource Network (PSN)

 

Availability: All Montana businesses can choose health plans on the PacificSource Network, regardless of location.

Notable features: The PacificSource Network (PSN) includes the broadest access to in-network providers and facilities, such as hospitals and urgent care centers. Plans on the PacificSource Network will typically cost more because members will have more providers to choose from.

 

SmartHealth Network

 

Availability: Businesses located in the following counties can choose plans on the SmartHealth Network:

  • Carbon
  • Missoula
  • Musselshell
  • Park
  • Stillwater
  • Sweet Grass
  • Yellowstone

Notable features: The SmartHealth Network is designed to give members a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care for members at a lower cost.