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2017 plans for large businesses

How to read our plan names

NHP Prime Solutions HMO Plans

Our Prime Solutions 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/$60/20% up
to $250 per script max

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

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

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

NHP Prime Solutions HMO 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 500/1000 20/35/150 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 500/1000 20/35 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 750/1500 25/40/150 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 750/1500 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1000/2000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1000/2000 30/45 FlexRx 5-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/$60/20% up
to $250 per script max

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

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

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

NHP Prime Solutions HMO 1500/3000 25/40/150 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 1500/3000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2000/4000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2000/4000 30/45 FlexRx 5-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/$60/20% up
to $250 per script max

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

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

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

NHP Prime Solutions HMO 2500/5000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 2500/5000 30/45 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 3000/6000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 3000/6000 30/45 FlexRx 5-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/$60/20% up
to $250 per script max

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

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

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

NHP Prime Solutions HMO 4000/8000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO 5000/10000 25/40 FlexRx 5-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/$60/20% up to $250 per script max

(D) then:
$5/$20/$40/$65/$150
 

(D) then:
$5/$25/$50/$100/$200
 

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

NHP Prime Solutions HMO HSA 1500/3000 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 1500/3000 10% FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 2000/4000 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 2000/4000 10% FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 3000/6000 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions HMO HSA 3000/6000 10% FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plans*

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

PPO Plans with a low deductible

Members with highly-specialized network needs can access 675,000 preferred providers in the
PHCS network.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

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

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

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

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

NHP Prime Solutions PPO 500/1000 20/35/150 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 500/1000 20/35 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 750/1500 25/40/150 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 750/1500 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 1000/2000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 1000/2000 30/45 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plans with a medium deductible

Members with highly-specialized network needs can access 675,000 preferred providers in the
PHCS network.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

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

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

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

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

NHP Prime Solutions PPO 1500/3000 25/40/150 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 1500/3000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 2000/4000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 2000/4000 30/45 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC

PPO Plans with a high deductible

Members with highly-specialized network needs can access 675,000 preferred providers in the
PHCS network.

Plan Name

Pharmacy Option A

Pharmacy Option B

Pharmacy Option C

 

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

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

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

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

NHP Prime Solutions PPO 2500/5000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 2500/5000 30/45 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 3000/6000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 3000/6000 30/45 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC

PPO 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/ 20% up
to $250 per script max

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

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

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

NHP Prime Solutions PPO 4000/8000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO 5000/10000 25/40 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC

PPO 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/$60/20% up
to $250 per script max

IN (D) then:
$5/$20/$40/$65/$150
 

IN (D) then:
$5/$25/$50/$100/$200
 

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

NHP Prime Solutions PPO HSA 1500/3000 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO HSA 1500/3000 10% FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO HSA 2000/4000 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO HSA 2000/4000 FlexRx 5-Tier 10% FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO HSA 3000/6000 FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC
NHP Prime Solutions PPO HSA 3000/6000 10% FlexRx 5-Tier SOB / SBC SOB / SBC SOB / SBC

Looking for 2016 plans?

See NHP Prime Solutions plans for large groups

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.