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Peak plan information

Find all the documents and details for your Peak plan.

Information about your plan

This is all the “fine print” about the insurance plans we offer.

If you’re looking for information that’s easy to read, the column labeled “Summary of Benefits and Coverage" is your best bet. These are also called SBCs. Use this document if you’re looking for detailed information about your plan. Plus, all SBCs are legally required to include the same information, so it’s easy to compare plans.

Here’s what you’ll find in the other documents:

  • Contract: This is the legal contract between you and HealthPartners. It includes all the details about your insurance plan.
  • Benefit charts: Use these charts to find the exact, legal terms of everything your plan covers.
  • Amendments and pediatric dental: Some insurance plans have dental benefits that only apply to people younger than 19. Those benefits are explained here. This also shows you if things have changed with your plans.
  • View the statement of nondiscrimination for health plan members

Questions about your plan? We’re here to help. Call Member Services at 952-967-7540.

2020 Off Exchange

2020 On Exchange

Plan name Contract Benefit charts Amendments/ pediatric dental Summary of Benefits and Coverage
Peak $1000 w/Copay Gold CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE672-1-20   Peak $1000 w/Copay Gold
Peak Gold Zero Cost Share Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE673-1-20   Peak Gold Zero Cost Share Plan
Peak $1000 w/Copay Gold Limited Cost Share Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE674-1-20   Peak $1000 w/Copay Gold Limited Cost Share Plan
Peak $3000 Plus Silver CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE653-1-20   Peak $3000 Plus Silver
Peak Silver Zero Cost Share Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE654-1-20   Peak Silver Zero Cost Share Plan
Peak $3000 Plus Silver Limited Cost Share Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE655-1-20   Peak $3000 Plus Silver Limited Cost Share Plan
Peak $100 Silver Cost Share Reduction Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE656-1-20   Peak $100 Silver Cost Share Reduction Plan
Peak $750 Silver Cost Share Reduction Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE657-1-20   Peak $750 Silver Cost Share Reduction Plan
Peak $2900 Silver Cost Share Reduction Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE658-1-20   Peak $2900 Silver Cost Share Reduction Plan
Peak $6000 Plus Bronze CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE681-1-20   Peak $6000 Plus Bronze
Peak Bronze Zero Cost Share Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE682-1-20   Peak Bronze Zero Cost Share Plan
Peak $6000 Plus Bronze Limited Cost Share Plan CON-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE683-1-20   Peak $6000 Plus Bronze Limited Cost Share Plan
Peak $3000 HSA Silver CON-103.6-GHI-IND-MKTHSA-1-20 BCH-103.6-GHI-IND-IE660-1-20   Peak $3000 HSA Silver
Peak Silver Zero Cost Share Plan Con-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE661-1-20   Peak Silver Zero Cost Share Plan
Peak $3000 Silver Limited Cost Share Plan Con-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE662-1-20   Peak $3000 Silver Limited Cost Share Plan
Peak $200 Silver Cost Share Reduction Plan Con-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE663-1-20   Peak $200 Silver Cost Share Reduction Plan
Peak $900 Silver Cost Share Reduction Plan Con-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE664-1-20   Peak $900 Silver Cost Share Reduction Plan
Peak $2200 Silver Cost Share Reduction Plan Con-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE665-1-20   Peak $2200 Silver Cost Share Reduction Plan
Peak $6750 HSA Bronze CON-103.6-GHI-IND-MKTHSA-1-20 BCH-103.6-GHI-IND-IE666-1-20   Peak $6750 HSA Bronze
Peak Bronze Zero Cost Share Plan Con-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE667-1-20   Peak Bronze Zero Cost Share Plan
Peak $6750 Bronze Limited Cost Share Plan Con-103.6-GHI-IND-MKT-1-20 BCH-103.6-GHI-IND-IE668-1-20   Peak $6750 Bronze Limited Cost Share Plan

2019 Off Exchange

2019 On Exchange

Plan name Contract Benefit charts Amendments/ pediatric dental Summary of Benefits and Coverage
Peak $1000 w/Copay Gold CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE672-1-19   Peak $1000 w/Copay Gold
Peak Gold Zero Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE673-1-19   Peak Gold Zero Cost Share Plan
Peak $1000 w/Copay Gold Limited Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE674-1-19   Peak $1000 w/Copay Gold Limited Cost Share Plan
Peak $3000 Plus Silver CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE653-1-19   Peak $3000 Plus Silver
Peak Silver Zero Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE654-1-19   Peak Silver Zero Cost Share Plan
Peak $3000 Plus Silver Limited Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE655-1-19   Peak $3000 Plus Silver Limited Cost Share Plan
Peak $100 Silver Cost Share Reduction Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE656-1-19   Peak $100 Silver Cost Share Reduction Plan
Peak $750 Silver Cost Share Reduction Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE657-1-19   Peak $750 Silver Cost Share Reduction Plan
Peak $2900 Silver Cost Share Reduction Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE658-1-19   Peak $2900 Silver Cost Share Reduction Plan
Peak $6000 Plus Bronze CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE681-1-19   Peak $6000 Plus Bronze
Peak Bronze Zero Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE682-1-19   Peak Bronze Zero Cost Share Plan
Peak $6000 Plus Bronze Limited Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE683-1-19   Peak $6000 Plus Bronze Limited Cost Share Plan
Peak $3000 HSA Silver CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE660-1-19   Peak $3000 HSA Silver
Peak Silver Zero Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE661-1-19   Peak Silver Zero Cost Share Plan
Peak $3000 Silver Limited Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE662-1-19   Peak $3000 Silver Limited Cost Share Plan
Peak $200 Silver Cost Share Reduction Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE663-1-19   Peak $200 Silver Cost Share Reduction Plan
Peak $800 Silver Cost Share Reduction Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE664-1-19   Peak $800 Silver Cost Share Reduction Plan
Peak $2200 Silver Cost Share Reduction Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE665-1-19   Peak $2200 Silver Cost Share Reduction Plan
Peak $6650 HSA Bronze CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE666-1-19   Peak $6650 HSA Bronze
Peak Bronze Zero Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE667-1-19   Peak Bronze Zero Cost Share Plan
Peak $6650 Bronze Limited Cost Share Plan CON-103.5-GHI-IND-MKT-1-19 BCH-103.5-GHI-IND-IE668-1-19   Peak $6650 Bronze Limited Cost Share Plan
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