Platinum 90 HMO 0-10 +Child Dental Alt
Platinum 90 HMO 0-10 +Child Dental Alt - SBC
Platinum 90 HMO 0-20 +Child Dental Alt
Platinum 90 HMO 0-20 +Child Dental Alt - SBC
Gold 80 HMO 0-40 + Child Dental Alt
Gold 80 HMO 0-40 + Child Dental Alt - SBC
Gold 80 HMO 250-35 + Child Dental
Gold 80 HMO 250-35 + Child Dental - SBC
Gold 80 HMO 1000-40 + Child Dental Alt
Gold 80 HMO 1000-40 + Child Dental Alt - SBC
Silver 70 HMO 2000-65 + Child Dental Alt
Silver 70 HMO 2000-65 + Child Dental Alt - SBC
Silver 70 HMO 2500-55 + Child Dental
Silver 70 HMO 2500-55 + Child Dental - SBC
Silver 70 HDHP HMO 3200-25% + Child Dental
Silver 70 HDHP HMO 3200-25% + Child Dental - SBC
Bronze 60 HMO 5800-60 + Child Dental
Bronze 60 HMO 5800-60 + Child Dental - SBC
Bronze 60 HDHP HMO 7200-0 + Child Dental
Bronze 60 HDHP HMO 7200-0 + Child Dental - SBC
*Silver 70 HMO 2300-65 PCP + Child Dental Alt
*Silver 70 HMO 2300-65 PCP + Child Dental Alt - SBC
*Silver 70 HMO 3100-75 PCP + Child Dental Alt
*Silver 70 HMO 3100-75 PCP + Child Dental Alt - SBC
Kaiser Pediatric Vision
Kaiser Chiropractic and Acupuncture
*Grandfathered Plans
Summary of Benefits and Coverage
Effective 12/01/26 - 11/30/27
WHA Gateway 30 Platinum 90 HMO
Gateway 30 Platinum 90 HMO - SBC
WHA Gateway 70 Platinum 90 HMO
Gateway 70 Platinum 90 HMO - SBC
WHA Gateway 4010 Gold 80 HMO
Gateway 4010 Gold 80 HMO - SBC
WHA Gateway 5020 Silver 70 HMO
Gateway 5020 Silver 70 HMO - SBC
WHA Gateway 7200 Bronze 60 HDHP HMO
Gateway 7200 Bronze 60 HDHP HMO - SBC
WHA Gateway 2900 Gold 80 HDHP HMO
Gateway 2900 Gold 80 HDHP HMO Self - SBC
Gateway 2900 Gold 80 HDHP HMO FAM - SBC
WHA Pediatric Dental
WHA Pediatric Vision
VIsion