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Individual & Group Coverage: (800) 400-PCHP
Medicare Advantage: (877) 210-1719
TTY: 7-1-1

2016 Large Group Broker Materials

51+ Employees - Piedmont Plan Materials

Schedules of Benefits PPO
 

 

Forms

2016 PPO Large Group Plan Brochure
2016 PPO Large Group Rx Drug Formulary

 

 

Prescription Drug Options
(All non-HSA drug options have $0 deductible)

 Table1A

(Piedmont Preferred HSAs have $10/$30/$50 Rx copay after deductible)

 

Additional Riders

Table2A

 

Does this Coverage Provide Minimum Essential Coverage?
The Affordable Care Act requires most people to have health care coverage that qualifies as “minimum essential coverage”.  All plans shown do provide minimum essential coverage.

Does this Coverage Meet the Minimum Value Standard?
The Affordable Care Act establishes a minimum value standard of benefits of a health plan. The minimum value standard is 60% (actuarial value). All plans shown do meet the minimum value standard for the benefits it provides.