2026 年小型企業ACA計畫文件

計劃年度:

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Formulary EverydayHealth 和BlueSignature Prosano
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雇主健康計畫產品指南

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小型企業2026

福利與保障概要(SBC)

《福利與保障概要》(SBC)簡要描述了您的計劃涵蓋哪些服務以及您需要為涵蓋的福利支付多少費用。

計劃下載
BlueSignature Prosano PPO Gold 1000
BlueSignature Prosano PPO Gold 2250
BlueSignature Prosano PPO銀 5000
BlueSignature Prosano PPO銀 6500

計劃下載
每日健康PPO白金 500
EverydayHealth PPO Platinum 750
每日健康PPO白金 1000
每日健康PPO金裝 1000
EverydayHealth PPO Gold 1500
每日健康PPO黃金 2000
EverydayHealth PPO Gold 2500
每日健康PPO金裝 3000
EverydayHealth PPO Gold 3500
EverydayHealth PPO銀2500
EverydayHealth PPO銀3000
EverydayHealth PPO銀 3250 60
EverydayHealth PPO銀3500
EverydayHealth PPO銀4000
EverydayHealth PPO銀5000
EverydayHealth PPO銀 5800 100
EverydayHealth PPO銀6000
EverydayHealth PPO銀6500
EverydayHealth PPO青銅 7000
EverydayHealth PPO青銅 9150

計劃下載
EverydayHealth HMO黃金 1500
EverydayHealth HMO銀牌 3000
EverydayHealth HMO銀牌 4000
EverydayHealth HMO銀牌 5000
EverydayHealth HMO銀牌 6000
EverydayHealth HMO銅牌 7000
EverydayHealth HMO青銅 9150

計劃下載
Portfolio HSA PPO黃金 1700
Portfolio HSA PPO銀 3400
Portfolio HSA PPO銀 3750
Portfolio HSA PPO銀 4250
Portfolio HSA PPO青銅 5900
Portfolio HSA PPO青銅 7500

計劃下載
Portfolio HSA HMO銀 3750
Portfolio HSA HMO銀 4250
Portfolio HSA HMO銅牌 7500

福利書籍

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集團BlueSignature Prosano PPO基礎福利簿 場外交易
團體PPO基礎福利簿 場外交易
團體HMO基本福利 場外交易

BlueSignature Prosano PPO Gold 1000
BlueSignature Prosano PPO Gold 2250
BlueSignature Prosano PPO銀 5000
BlueSignature Prosano PPO銀 6500

EverydayHealth PPO白金 500
EverydayHealth PPO白金 750
EverydayHealth PPO白金 1000
EverydayHealth PPO Gold 1000
EverydayHealth PPO Gold 1500
EverydayHealth PPO Gold 2000
EverydayHealth PPO Gold 2500
EverydayHealth PPO Gold 3000
EverydayHealth PPO Gold 3500
EverydayHealth PPO銀 2500
EverydayHealth PPO銀 3000
EverydayHealth PPO銀 3250 / 60
EverydayHealth PPO銀 3500
EverydayHealth PPO銀 4000
EverydayHealth PPO銀 5000
EverydayHealth PPO銀 5800 / 100
EverydayHealth PPO銀 6000
EverydayHealth PPO銀 6500
EverydayHealth PPO青銅 7000
EverydayHealth PPO青銅 8950

EverydayHealth HMO黃金 1500
EverydayHealth HMO銀牌 3000
EverydayHealth HMO銀牌 4000
EverydayHealth HMO銀牌 5000
EverydayHealth HMO銀牌 6000
EverydayHealth HMO青銅 7000
EverydayHealth PPO青銅 8950

Portfolio HSA PPO Gold 1700
Portfolio HSA PPO銀 3300
Portfolio HSA PPO銀 3750
Portfolio HSA PPO銀 4250
Portfolio HSA PPO青銅 5900
Portfolio HSA PPO青銅 7500

Portfolio HSA HMO銀牌 3750
Portfolio HSA HMO銀牌 4250
Portfolio HSA HMO青銅 7500