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2018 plans for large businesses

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NHP Prime Solutions HMO Plans

Our Prime Solutions HMO Plans Product Portfolio Reference Grid provides easy-to-compare information on NHP Prime Solutions HMO plans.

HMO Plans with no or low deductible

Monthly premiums are higher because out-of-pocket costs are lower.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions HMO 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 500/1000 20/35/150 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 500/1000 20/35 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 750/1500 25/40/150 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 750/1500 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1000/2000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1000/2000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1000/2000 30/45 20% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

HMO Plans with a medium deductible

More affordable monthly premiums are balanced with some out-of-pocket costs.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions HMO 1500/3000 25/40/150
FlexRx 6-Tier
SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1500/3000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1500/3000 25/50 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2000/4000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2000/4000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2000/4000 30/45 20% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

HMO Plans with a high deductible

More affordable monthly premiums are balanced with some out-of-pocket costs.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions HMO 2500/5000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2500/5000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2500/5000 30/50 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 3000/6000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 3000/6000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 3000/6000 30/45 20% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

HMO HRA Required Plans

Employers are required to contribute through a health reimbursement account to reduce employees’ medical costs.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions HMO 4000/8000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 5000/10000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

HMO HSA Compatible Plans

Low monthly premiums and higher out-of-pocket costs offset by tax savings when you open a
Health Savings Account.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

(D) then:
$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

(D) then:
$5 / $20 / $40 /
$65 / $100 / $150

(D) then:
$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions HMO HSA 1500/3000 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 1500/3000 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 2000/4000 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 2000/4000 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 3000/6000 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 3000/6000 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plus Plans*

Our Prime Solutions PPO Plus Plans Product Portfolio Reference Grid provides easy-to-compare information on NHP Prime Solutions PPO Plus plans.

PPO Plus Plans with a low deductible

Flexible plans with competitive premiums and nationwide access to providers through the NHP and PHCS networks.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions PPO Plus 500/1000 20/35/150 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 500/1000 20/35 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 750/1500 25/40/150 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 750/1500 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 1000/2000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 1000/2000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 1000/2000 30/45 20% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plus Plans with a medium deductible

Flexible plans with competitive premiums and nationwide access to providers through the NHP and PHCS networks.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions PPO Plus 1500/3000 25/40/150 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 1500/3000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 1500/3000 25/50 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 2000/4000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 2000/4000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 2000/4000 30/45 20% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plus Plans with a high deductible

Flexible plans with competitive premiums and nationwide access to providers through the NHP and PHCS networks.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions PPO Plus 2500/5000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 2500/5000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 2500/5000 30/50 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 3000/6000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 3000/6000 30/45 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 3000/6000 30/45 20% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plus HRA Required Plans

Employers are required to contribute through a health reimbursement account to reduce employees’ medical costs.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

$5 / $20 / $40 /
$65 / $100 / $150

$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions PPO Plus 4000/8000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus 5000/10000 25/40 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plus HSA Compatible Plans

Low monthly premiums and higher out-of-pocket costs offset by tax savings when you open a
Health Savings Account.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

IN (D) then:
$5 / $15 / $35 / $60 /
10% up to $200 per script max / 20% up to $250 per script max

IN (D) then:
$5 / $20 / $40 /
$65 / $100 / $150

IN (D) then:
$5 / $25 / $50 /
$100 / $150 / $200

Pharmacy Cost-Sharing by Tiers for a 30-day supply
1 / 2 / 3 / 4 / 5 / 6

NHP Prime Solutions PPO Plus HSA 1500/3000 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus HSA 1500/3000 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus HSA 2000/4000 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus HSA 2000/4000 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus HSA 3000/6000 FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO Plus HSA 3000/6000 10% FlexRx 6-Tier SOB / SBC SOB / SBC SOB / SBC

Get a quote now!

Get a fast quote from the NHP Sales Team at 866-643-8392 or brokers@nhp.org.

World class doctors and hospitals.

See our HMO service area map.

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