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Small Group Products

The following are Presbyterian's Summaries of Benefits for Small Group products.  Check our our Forms and Documents page for benefit brief comparisons.  All documents on this page are Adobe Acrobat files.

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PIC Health Care Reform Endorsement

HMO

Value Care 10/250 (10021) 
Value Care 15/250 (10027) 
Value Care 15/500 without Rx (10022) 
Value Care 20/500 (10029) 
Value Care 30/1000 (10031) 
Value Care 40/1500 (10053) 
 

Smart Care 500/30 (10039) 
Smart Care 750/300 (10040) 
Smart Care 1250/30 (10038) 
Smart Care 1250/30 without Rx (10050) 
Smart Care 2000/30 (10041) 
Smart Care 2500/30 (10073) 
Smart Care 5000/30 (10074)

 

POS 

Choice Care 15 (10002)
Choice Care 30 (10006)

 

PPO

Preferred Care $250 dd 80-20 (10015) 
Preferred Care $500 dd 80-20 (10003) 
Preferred Care $750 dd 80-20 (10004) 
Preferred Care $1,000 dd 80-20 (10005) 
Preferred Care $1,500 dd 80-20 (10006) 
Preferred Care $2,000 dd 80-20 (10007) 
Preferred Care $750 dd 70-30 (10009) 
Preferred Care $1,000 dd 70-30 (10010) 
Preferred Care $1,500 dd 70-30 (10011) 
Preferred Care $2,000 dd 70-30 (10012)

 

PresElect $500 / $2,000 / 80% / standard vision (10201)
PresElect $500 / $3,000 / 80% / standard vision (10202)
PresElect $500 / $4,000 / 80% / standard vision (10203)
PresElect $500 / $5,000 / 80% / standard vision (10204)
PresElect $500 / $10,000 / 80% / standard vision (10205)

PresElect $500 / $2,000 / 70% / standard vision (10227)
PresElect $500 / $3,000 / 70% / standard vision (10228)
PresElect $500 / $4,000 / 70% / standard vision (10229)
PresElect $500 / $5,000 / 70% / standard vision (10230)
PresElect $500 / $10,000 / 70% / standard vision (10231)

PresElect $500 / $2,000 / 80% / $20 / standard vision (10253)
PresElect $500 / $3,000 / 80% / $20 / standard vision (10254)
PresElect $500 / $4,000 / 80% / $20 / standard vision (10255)
PresElect $500 / $5,000 / 80% / $20 / standard vision (10256)
PresElect $500 / $10,000 / 80% / $20 / standard vision (10257)

PresElect $500 / $2,000 / 70% / $20 / standard vision (10279)
PresElect $500 / $3,000 / 70% / $20 / standard vision (10280)
PresElect $500 / $4,000 / 70% / $20 / standard vision (10281)
PresElect $500 / $5,000 / 70% / $20 / standard vision (10282)
PresElect $500 / $10,000 / 70% / $20 / standard vision (10283)
 

PresElect $500 / $2,000 / 80%  /enhanced vision (10201)
PresElect $500 / $3,000 / 80% / enhanced vision (10202)
PresElect $500 / $4,000 / 80% / enhanced vision (10203)
PresElect $500 / $5,000 / 80% / enhanced vision (10204)
PresElect $500 / $10,000 / 80% / enhanced vision (10205)

PresElect $500 / $2,000 / 70% / enhanced vision (10227)
PresElect $500 / $3,000 / 70% / enhanced vision (10228)
PresElect $500 / $4,000 / 70% / enhanced vision (10229)
PresElect $500 / $5,000 / 70% / enhanced vision (10230)
PresElect $500 / $10,000 / 70% / enhanced vision (10231)

PresElect $500 / $2,000 / 80% / $20 / enhanced vision (10253)
PresElect $500 / $3,000 / 80% / $20 / enhanced vision (10254)
PresElect $500 / $4,000 / 80% / $20 / enhanced vision (10255)
PresElect $500 / $5,000 / 80% / $20 / enhanced vision (10256)
PresElect $500 / $10,000 / 80% / $20 / enhanced vision (10257)

PresElect $500 / $2,000 / 70% / $20 / enhanced vision (10279)
PresElect $500 / $3,000 / 70% / $20 / enhanced vision (10280)
PresElect $500 / $4,000 / 70% / $20 / enhanced vision (10281)
PresElect $500 / $5,000 / 70% / $20 / enhanced vision (10282)
PresElect $500 / $10,000 / 70% / $20 / enhanced vision (10283)

 

PresElect $1000 / $2,000 / 80% / standard vision (10206)
PresElect $1000 / $3,000 / 80% / standard vision (10207)
PresElect $1000 / $4,000 / 80% / standard vision (10208)
PresElect $1000 / $5,000 / 80% / standard vision (10209)
PresElect $1000 / $10,000 / 80% / standard vision (10210)

PresElect $1000 / $2,000 / 70% / standard vision (10232)
PresElect $1000 / $3,000 / 70% / standard vision (10233)
PresElect $1000 / $4,000 / 70% / standard vision (10234)
PresElect $1000 / $5,000 / 70% / standard vision (10235)
PresElect $1000 / $10,000 / 70 % / standard vision (10236)

PresElect $1000 / $2,000 / 80% / $20 / standard vision (10258)
PresElect $1000 / $3,000 / 80% / $20 / standard vision (10259)
PresElect $1000 / $4,000 / 80% / $20 / standard vision (10260)
PresElect $1000 / $5,000 / 80% / $20 / standard vision (10261)
PresElect $1000 / $10,000 / 80% / $20 / standard vision (10262)

PresElect $1000 / $2,000 / 70% / $20 / standard vision (10284)
PresElect $1000 / $3,000 / 70% / $20 / standard vision (10285)
PresElect $1000 / $4,000 / 70% / $20 / standard vision (10286)
PresElect $1000 / $5,000 / 70% / $20 / standard vision (10287)
PresElect $1000 / $10,000 / 70% / $20 / standard vision (10288)

 

PresElect $1000 / $2,000 / 80% / enhanced vision (10206)
PresElect $1000 / $3,000 / 80% / enhanced vision (10207)
PresElect $1000 / $4,000 / 80% / enhanced vision (10208)
PresElect $1000 / $5,000 / 80% / enhanced vision (10209)
PresElect $1000 / $10,000 / 80% / enhanced vision (10210)

PresElect $1000 / $2,000 / 70% / enhanced vision (10232)
PresElect $1000 / $3,000 / 70% / enhanced vision (10233)
PresElect $1000 / $4,000 / 70% / enhanced vision (10234)
PresElect $1000 / $5,000 / 70% / enhanced vision (10235)
PresElect $1000 / $10,000 / 70% / enhanced vision (10236)

PresElect $1000 / $2,000 / 80% / $20 / enhanced vision (10258)
PresElect $1000 / $3,000 / 80% / $20 / enhanced vision (10259)
PresElect $1000 / $4,000 / 80% / $20 / enhanced vision (10260)
PresElect $1000 / $5,000 / 80% / $20 / enhanced vision (10261)
PresElect $1000 / $10,000 / 80% / $20 / enhanced vision (10262)

PresElect $1000 / $2,000 / 70% / $20 / enhanced vision (10284)
PresElect $1000 / $3,000 / 70% / $20 / enhanced vision (10285)
PresElect $1000 / $4,000 / 70% / $20 / enhanced vision (10286)
PresElect $1000 / $5,000 / 70% / $20 / enhanced vision (10287)
PresElect $1000 / $10,000 / 70% / $20 / enhanced vision (10288)

 

PresElect $2000 / $2,000 / 80% / standard vision (10211)
PresElect $2000 / $3,000 / 80% / standard vision (10212)
PresElect $2000 / $4,000 / 80% / standard vision (10213)
PresElect $2000 / $5,000 / 80% / standard vision (10214)
PresElect $2000 / $10,000 / 80% / standard vision (10215)

PresElect $2000 / $2,000 / 70% / standard vision (10237)
PresElect $2000 / $3,000 / 70% / standard vision (10238)
PresElect $2000 / $4,000 / 70% / standard vision (10239)
PresElect $2000 / $5,000 / 70% / standard vision (10240)
PresElect $2000 / $10,000 / 70% / standard vision (10241)

PresElect $2000 / $2,000 / 80% / $20 / standard vision (10263)
PresElect $2000 / $3,000 / 80% / $20 / standard vision (10264)
PresElect $2000 / $4,000 / 80% / $20 / standard vision (10265)
PresElect $2000 / $5,000 / 80% / $20 / standard vision (10266)
PresElect $2000 / $10,000 / 80% / $20 / standard vision (10267)

PresElect $2000 / $2,000 / 70% / $20 / standard vision (10289)
PresElect $2000 / $3,000 / 70% / $20 / standard vision (10290)
PresElect $2000 / $4,000 / 70% / $20 / standard vision (10291)
PresElect $2000 / $5,000 / 70% / $20 / standard vision (10292)
PresElect $2000 / $10,000 / 70% /$20 / standard vision (10293)

 

PresElect $2000 / $2,000 / 80% / enhanced vision (10211)
PresElect $2000 / $3,000 / 80% / enhanced vision (10212)
PresElect $2000 / $4,000 / 80% / enhanced vision (10213)
PresElect $2000 / $5,000 / 80% / enhanced vision (10214)
PresElect $2000 / $10,000 / 80% / enhanced vision (10215)

PresElect $2000 / $2,000 / 70% / enhanced vision (10237)
PresElect $2000 / $3,000 / 70% / enhanced vision (10238)
PresElect $2000 / $4,000 / 70% / enhanced vision (10239)
PresElect $2000 / $5,000 / 70% / enhanced vision (10240)
PresElect $2000 / $10,000 / 70% / enhanced vision (10241)

PresElect $2000 / $2,000 / 80% / $20 / enhanced vision (10263)
PresElect $2000 / $3,000 / 80% / $20 / enhanced vision (10264)
PresElect $2000 / $4,000 / 80% / $20 / enhanced vision (10265)
PresElect $2000 / $5,000 / 80% / $20 / enhanced vision (10266)
PresElect $2000 / $10,000 / 80% / $20 / enhanced vision (10267)

PresElect $2000 / $2,000 / 70% / $20 / enhanced vision (10289)
PresElect $2000 / $3,000 / 70% / $20 / enhanced vision (10290)
PresElect $2000 / $4,000 / 70% / $20 / enhanced vision (10291)
PresElect $2000 / $5,000 / 70% / $20 / enhanced vision (10292)
PresElect $2000 / $10,000 / 70% / $20 / enhanced vision (10293)

 

PresElect $2500 / $3,000 / 80% / standard vision (10216)
PresElect $2500 / $4,000 / 80% / standard vision (10217)
PresElect $2500 / $5,000 / 80% / standard vision (10218)
PresElect $2500 / $10,000 / 80%/ standard vision (10219)

PresElect $2500 / $3,000 / 70% / standard vision (10242)
PresElect $2500 / $4,000 / 70% / standard vision (10243)
PresElect $2500 / $5,000 / 70% / standard vision (10244)
PresElect $2500 / $10,000 / 70% / standard vision (10245)

PresElect $2500 / $3,000 / 80% / $20 / standard vision (10268)
PresElect $2500 / $4,000 / 80% / $20 / standard vision (10269)
PresElect $2500 / $5,000 / 80% / $20 / standard vision (10270)
PresElect $2500 / $10,000 / 80% / $20 / standard vision (10271)

PresElect $2500 / $3,000 / 70% / $20 / standard vision (10294)
PresElect $2500 / $4,000 / 70% / $20 / standard vision (10295)
PresElect $2500 / $5,000 / 70% / $20 / standard vision (10296)
PresElect $2500 / $10,000 / 70% / $20 / standard vision (10297)

 

PresElect $2500 / $3,000 / 80% / enhanced vision (10216)
PresElect $2500 / $4,000 / 80% / enhanced vision (10217)
PresElect $2500 / $5,000 / 80% / enhanced vision (10218)
PresElect $2500 / $10,000 / 80% / enhanced vision (10219)

PresElect $2500 / $3,000 / 70% / enhanced vision (10242)
PresElect $2500 / $4,000 / 70% / enhanced vision (10243)
PresElect $2500 / $5,000 / 70% / enhanced vision (10244)
PresElect $2500 / $10,000 / 70% / enhanced vision (10245)

PresElect $2500 / $3,000 / 80% / $20 / enhanced vision (10268)
PresElect $2500 / $4,000 / 80% / $20 / enhanced vision (10269)
PresElect $2500 / $5,000 / 80% / $20 / enhanced vision (10270)
PresElect $2500 / $10,000 / 80% / $20 / enhanced vision (10271)

PresElect $2500 / $3,000 / 70% / $20 / enhanced vision (10294)
PresElect $2500 / $4,000 / 70% / $20 / enhanced vision (10295)
PresElect $2500 / $5,000 / 70% / $20 / enhanced vision (10296)
PresElect $2500 / $10,000 / 70% / $20 / enhanced vision (10297)

 

PresElect $3500 / $4,000 / 80% / standard vision (10220)
PresElect $3500 / $5,000 / 80% / standard vision (10221)
PresElect $3500 / $10,000 / 80% / standard vision (10222)

PresElect $3500 / $4,000 / 70% / standard vision (10246)
PresElect $3500 / $5,000 / 70% / standard vision (10247)
PresElect $3500 / $10,000 / 70% / standard vision (10248)

PresElect $3500 / $4,000 / 80% / $20 / standard vision (10272)
PresElect $3500 / $5,000 / 80% / $20 / standard vision (10273)
PresElect $3500 / $10,000 / 80% / $20 / standard vision (10274)

PresElect $3500 / $4,000 / 70% / $20 / standard vision (10298)
PresElect $3500 / $5,000 / 70% / $20 / standard vision (10299)
PresElect $3500 / $10,000 / 70% / $20 / standard vision (10300)

PresElect $3500 / 100% / standard vision (10305)
PresElect $3500 / 100% / $20 / standard vision (10306)

 

PresElect $3500 / $4,000 / 80% / enhanced vision (10220)
PresElect $3500 / $5,000 / 80% / enhanced vision (10221)
PresElect $3500 / $10,000 / 80% / enhanced vision (10222)

PresElect $3500 / $4,000 / 70% / enhanced vision (10246)
PresElect $3500 / $5,000 / 70% / enhanced vision (10247)
PresElect $3500 / $10,000 / 70% / enhanced vision (10248)

PresElect $3500 / $4,000 / 80% / $20 / enhanced vision (10272)
PresElect $3500 / $5,000 / 80% / $20 / enhanced vision (10273)
PresElect $3500 / $10,000 / 80% / $20 / enhanced vision (10274)

PresElect $3500 / $4,000 / 70% / $20 / enhanced vision (10298)
PresElect $3500 / $5,000 / 70% / $20 / enhanced vision (10299)
PresElect $3500 / $10,000 / 70% / $20 / enhanced vision (10300)

PresElect $3500 / 100% / enhanced vision (10305)
PresElect $3500 / 100% / $20 / enhanced vision (10306)

 

PresElect $5000 / $5,000 / 80% / standard vision (10223)
PresElect $5000 / $10,000 / 80% / standard vision (10224)
PresElect $5000 / $5,000 / 70% / standard vision (10249)
PresElect $5000 / $10,000 / 70% / standard vision (10250)
PresElect $5000 / $5,000 / 80% / $20 / standard vision (10275)
PresElect $5000 / $10,000 / 80% / $20 / standard vision (10276)
PresElect $5000 / $5,000 / 70% / $20 / standard vision (10301)
PresElect $5000 / $10,000 / 70 / $20 / standard vision (10302)
PresElect $5000 / $5,000 / 100% / standard vision (10306)
PresElect $5000 / 100 % / $20 / standard vision (10310)

 

PresElect $5000 / $5,000 / 80% / enhanced vision (10223)
PresElect $5000 / $10,000 / 80% / enhanced vision (10224)
PresElect $5000 / $5,000 / 70% / enhanced vision (10249)
PresElect $5000 / $10,000 / 70% / enhanced vision (10250)
PresElect $5000 / $5,000 / 80% / enhanced vision (10275)
PresElect $5000 / $10,000 / 80% / $20 / enhanced vision (10276)
PresElect $5000 / $5,000 / 70% / $20 / enhanced vision (10301)
PresElect $5000 / $10,000 / 70% / $20 / enhanced vision (10302)
PresElect $5000 / $5,000 / 100% / enhanced vision (10306)
PresElect $5000 / 100% / $20 / enchanced vision (10310)

 

PresElect $7500 / $10,000 / 80% / standard vision (10225)
PresElect $7500 / $10,000 / 70% / standard vision (10251)
PresElect $7500 / $10,000 / 80% / $20 standard vision (10277)
PresElect $7500 / $10,000 / 70% / $20 standard vision (10303)
PresElect $7500 / 100% / standard vision (10307)
PresElect $7500 / 100% / $20 standard vision (10311)
 

PresElect $7500 / $10,000 / 80% / enhanced vision (10225)
PresElect $7500 / $10,000 / 70% / enhanced vision (10251)
PresElect $7500 / $10,000 / 80% / $20 enhanced vision (10277)
PresElect $7500 / $10,000 / 70% / $20 enhanced vision (10303)
PresElect $7500 / 100% / enhanced vision (10307)
PresElect $7500 / 100% / $20 enhanced vision (10311)
 

PresElect $10,000 / $10,000 / 80% / standard vision (10226)
PresElect $10,000 / $10,000 / 70% / standard vision  (10252)
PresElect $10,000 / $10,000 / 80% / $20 / standard vision (10278)
PresElect $10,000 / $10,000 / 70% / $20 / standard vision (10304)
PresElect $10,000 / 100% / standard vision (10308)
PresElect $10,000 / 100% / $20 / standard vision (10312)

 

PresElect $10,000 / $10,000 / 80% / enhanced vision (10226)
PresElect $10,000 / $10,000 / 70% / enhanced vision (10252)
PresElect $10,000 / $10,000 / 80% / $20 / enhanced vision (10278)
PresElect $10,000 / $10,000 / 70% / $20 / enhanced vision (10304)
PresElect $10,000 / 100% / enhanced vision (10308)
PresElect $10,000 / 100% / $20 / enhanced vision (10312)

 

 

High Deductible Health Plan (HDHP) without Rx

Advantage Care 1200/80 (10022) 
Advantage Care 2500/100 (10023)
 
Advantage Care 2500/80 (10024) 
Advantage Care 5000/100 (10025)

 HDHP PPO Plans with Rx

Advantage Care 1200/80 (10022) 
Advantage Care 2500/100 (10023)
 
Advantage Care 2500/80 (10024) 
Advantage Care 5000/100 (10025)