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Content

Products, Plans and Benefits

An Affordable, Convenient Way to Access Quality Care

Sutter Health Plus offers a variety of health plan options to help meet your needs and budgets. Choose from traditional HMO plans or high-deductible health plans (HDHP) that are compatible with a health savings account (HSA):

  • Individual and Family HMO Plans
  • Small Group HMO Plans (1-100 employees)
  • Large Group HMO Plans (101+ employees)

Plan designs include:

  • Copayment plans that feature a set dollar amount for seeking medical care
  • Deductible plans that include a set deductible that must be paid before copayments or coinsurance and affordable monthly premiums
  • HDHP that offer affordable monthly premiums

We provide coverage for hospitalization, outpatient services, prescription drug coverage and no out-of-pocket cost preventive services, among others. Optional benefit plans include coverage for dental, vision, acupuncture and chiropractic, and infertility services.

A Focus on Prevention

Sutter Health Plus members have access to a variety of no-cost preventive care services. These services may help you and your family prevent or detect health problems early on. Here are some of the no-cost preventive services we cover:

  • Certain over-the-counter vitamins, supplements and products when prescribed by a participating provider
  • Health education counseling and programs
  • Immunizations administered by a participating provider
  • Maternity and newborn care
  • Routine physical maintenance exams, including well-woman exams
  • Routine preventive imaging services
  • Routine preventive laboratory tests and screenings (cervical cancer screenings, cholesterol tests, diabetes screening, fecal occult blood tests, HIV tests, prostate specific antigen tests, certain sexually transmitted disease tests)
  • Smoking cessation interventions, including medications and counseling
  • Tuberculosis tests
  • Well-child preventive care exams

OpenEvidence of Coverage

Evidence of Coverage

For more information about Sutter Health Plus’ health plans, you may download and view the Evidence of Coverage for individuals, small and large groups. For assistance or if you have difficulty accessing the information you need, please contact Sutter Health Plus Member Services, weekdays, 8:00 am – 7:00 pm at (855) 315-5800 or TTY: (855) 830-3500.

2018 Individual and Family HMO Plans: For Plans Effective 1/1/18 Through 12/31/18

  • 2018 IFP EOC Platinum MI01
  • 2018 IFP EOC Gold MI02
  • 2018 IFP EOC Silver MI03
  • 2018 IFP EOC Bronze MI04

2018 Large Group HMO Plans: For Plans Effective 1/1/18 Through 12/31/18

  • 2018 Large Group EOC HMO
  • 2018 Large Group EOC HDHP HMO
  • 2018 Large Group EOC HMO ML34-ML37
  • 2018 Large Group EOC HMO ML50-ML51

2018 Small Group HMO Plans: For Plans Effective 1/1/18 Through 12/31/18

  • 2018 Small Group EOC HMO
  • 2018 Small Group EOC HDHP HMO
  • 2018 Small Group EOC Plus HMO
  • 2018 Small Group EOC Plus HDHP HMO

2017 Individual and Family HMO Plans: For Plans Effective 1/1/17 Through 12/31/17

  • 2017 Individual Evidence of Coverage Plan MI01
  • 2017 Individual Evidence of Coverage Plan MI02
  • 2017 Individual Evidence of Coverage Plan MI03
  • 2017 Individual Evidence of Coverage Plan MI04

2017 Large Group HMO Plans: For Plans Effective 1/1/17 Through 12/31/17

  • 2017 Large Group HMO Evidence of Coverage Template
  • 2017 Large Group HMO Evidence of Coverage Template for plans ML34-ML37
  • 2017 Large Group HDHP Evidence of Coverage Template

2017 Small Group HMO Plans: For Plans Effective 1/1/17 Through 12/31/17

  • 2017 Small Group HMO Evidence of Coverage Template
  • 2017 Small Group HMO Plus Plan Evidence of Coverage Template
  • 2017 Small Group HDHP Evidence of Coverage Template

CloseEvidence of Coverage

OpenProduct Portfolio

Sutter Health Plus Product Portfolio

2018 Product Portfolio

  • Large Group Plans
  • Small Group Plans
  • Individual and Family Plans
  • Optional Benefit Plans

2017 Product Portfolio

  • Large Group Plans
  • Small Group Plans
  • Individual and Family Plans
  • Dental Plans
  • Vision Plans
  • Acupuncture and Chiropractic Plans
  • Infertility and Orthotics

CloseProduct Portfolio

Contact Us

Employer Group
For more information about Sutter Health Plus’ products, plans, benefits and services or for a list of our broker partners, please contact Account Services, weekdays, 8:00 am – 5:00 pm at (855) 325-5200.

Individual or Family Plan
If you’re looking for information or a quote for an individual or family plan, please contact Member Services, weekdays, 8:00 am – 7:00 pm at (855) 320-2350, or email us at shpifp@sutterhealth.org.

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