Individual Family Plans 2021 - Alliant Health Plans
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Individual Family Plans 2021
Alliant Health Plans guarantees you:
Local Customer Service
Our bilingual customer service representatives - located in our corporate office in
Dalton, GA - are ready to assist you.
No Charge for Preventive Care
Preventive Care is always covered at 100% in all of our plans,
using In-Network providers.
No Medical Qualifications
You will never deal with a “pre-existing condition” waiting period.
24-Hour Nurse Advice Line
Not feeling well at 2 a.m.? Call our 24-hour Nurse Advice Line toll-free at (855) 299-3087.
Only PPO Plans
You have a choice in which provider you use.
1 SoloCare Questions? Call us at (866) 403-2785 Visit AlliantPlans.com Contact your broker
Important Terms to Know
Understanding the Marketplace
The Marketplace, Exchange or HealthCare.gov (also known as the Federally Facilitated Exchange) is where
individuals and families can compare plans and purchase health insurance. You can purchase an Alliant plan Copayment
on the Marketplace or directly through us. Individuals who qualify for tax breaks or financial assistance from Your cost of the service being recieved. Copayments count
the government must purchase a plan through the Marketplace in order to take advantage of tax credits. toward the out-of-pocket maximum but not towards the
deductible. Copayments are available in most of our plans.
You May Qualify for Financial Assistance Deductible
An Advanced Premium Tax Credit (APTC) can lower the amount you pay toward your monthly premium. Tax credits
The amount you pay before any Alliant Health Plans
are available to individuals and families who earn at least 100% but not more than 400% of the Federal Poverty
payment is applied, unless there is a copayment.
Level. Only the Marketplace can determine if you are eligible and how much you may receive in tax credits.
Deductibles are paid first, and then coinsurance is applied.
There is a maximum dollar amount you have to pay in any
24/7 Access to Your Health Plan Information given calendar year.
Easy access to your health plan information when you need it. Alliant’s Member Portal gives you access to
Temporary Member ID cards, deductible accumulations, medical claims and Explanation of Benefits (EOBs). Coinsurance
Log in for the most current information on your health plan. The portion where Alliant shares the covered costs with
you. This amount is expressed as a percentage and is
applied after the deductible is met (For example, Alliant
Mobile Member App pays 80% and you pay 20%).
Alliant has a mobile app – available on the App Store or Google Play – with claims and plan information, EOB, Member
ID card and a Provider search tool. Search for Alliant Health Plans to download the Mobile Member App today! Out-of-Pocket Maximum
The maximum amount of money you will pay out-of-
pocket during a calendar year. It may include deductibles,
Online Access to Plan Information copayments and coinsurance but is in addition to your
Looking for a form or Summary of Benefits and Coverage? Searching for a doctor? Visit AlliantPlans.com regular monthly premium. After you reach your out-of-
pocket maximum, you would pay nothing for additional
covered In-network medical expenses for the rest of the
calendar year.
Premium
The total amount you pay to obtain and keep your
health insurance active.
2 SoloCare Questions? Call us at (866) 403-2785 Visit AlliantPlans.com Contact your broker
Choose the right plan for you.
All plans are categorized by metal levels. Find out what type of plan is right for you.
Health Care Reform, also known as the Affordable Care Act (ACA), established metal levels to indicate the value of your
insurance coverage: platinum, gold, silver and bronze. All plans cover the same essential health benefits, but your cost
share is different.
Platinum: This is the highest level with both the highest premium and the richest benefits. Good for people who frequently
P receive medical services and are willing to pay more each month for the lowest ongoing health care costs.
Gold: Gold has a higher level of benefits than silver but also a higher monthly premium. Beneficial for people who receive
G medical services regularly and who are okay with a higher monthly premium in order to have more costs covered.
Silver: This level has slightly higher monthly premiums than bronze but also richer benefits. Beneficial for people who want
S to keep monthly premiums and out-of-pocket costs balanced.
Bronze: This level has the lowest monthly premium but also the highest out-of-pocket costs. Beneficial for people who
B prefer lower monthly premiums and don’t expect to need a lot of medical services.
A Catastrophic plan level exists. However, Alliant does not offer a catastrophic plan; therefore, it is not listed.
3 SoloCare Questions? Call us at (866) 403-2785 Visit AlliantPlans.com Contact your broker
Marketing and Rating Areas
2021 Benefit Year - County Map
4 SoloCare Questions? Call us at (866) 403-2785 Visit AlliantPlans.com Contact your broker
Marketing and Rating Areas 2021 Benefit Year - County List
COUNTY RATE AREA COUNTY RATE AREA COUNTY RATE AREA COUNTY RATE AREA
Atkinson 11 Dooly 12 Lumpkin 10 Sumter 1
Baker 1 Dougherty 1 Macon 8 Talbot 8
Baldwin 16 Elbert 2 Madison 2 Taliaferro 5
Banks 10 Fannin 9 Marion 8 Taylor 8
Barrow 2 Floyd 13 McDuffie 5 Telfair 11
Bibb 12 Franklin 10 Meriwether 8 Terrell 1
Bleckley 12 Gilmer 13 Mitchell 1 Towns 10
Burke 5 Glascock 5 Monroe 12 Troup 8
Calhoun 1 Gordon 13 Morgan 2 Twiggs 12
Carroll 4 Greene 2 Murray 9 Union 10
Catoosa 7 Habersham 10 Muscogee 8 Upson 8
Chattahoochee 8 Hall 10 Oconee 2 Walker 7
Chattooga 13 Hancock 16 Oglethorpe 2 Walton 3
Clarke 2 Haralson 4 Peach 12 Warren 5
Clay 1 Harris 8 Pickens 13 Washington 16
Clinch 15 Hart 10 Polk 13 Webster 8
Coffee 11 Heard 4 Pulaski 12 Wheeler 11
Colquitt 15 Houston 12 Putnam 12 White 10
Columbia 5 Jackson 2 Quitman 8 Whitfield 9
Crawford 12 Jeff Davis 11 Rabun 10 Wilcox 12
Crisp 1 Jefferson 5 Randolph 1 Wilkes 5
Dade 7 Jenkins 5 Richmond 5 Wilkinson 16
Dawson 10 Jones 12 Schley 1 Worth 1
Decatur 15 Lee 1 Stephens 10
Dodge 12 Lincoln 5 Stewart 8
5 SoloCare Questions? Call us at (866) 403-2785 Visit AlliantPlans.com Contact your brokerIndividual / Family Plans 2021
ON & OFF The Health Insurance Marketplace Alliant Network ONLY
In-Network Out-of-Network
We Pay You Pay We Pay You Pay
Coinsurance Deductible Out-of-Pocket Mental Health/ Coinsurance Deductible Out-of-Pocket
Plan Marketing Name After Individual/ Maximum Urgent PCP Specialist Substance Rx Generic/ Preferred/ Plan Pays After Individual/ Maximum
ER
Deductible Family Individual/Family Care Visit Visit Abuse Visit Brand/Specialty Deductible Family Individual/Family
$0/ $8,550/ 3 free $5/$15/ $20,000/ No
SoloCare Platinum Copay 40184 85% $225 $10 visits, $10 $5 60%
$0 $17,100 then $5 $30/$75 $40,000 Maximum
$2,300/ $8,550/ 3 free $15/$50/ $20,000/ No
SoloCare Gold PPO 40002 80% 20% $75 visits, $40 $20 60%
$4,600 $17,100 then $20 $150/50% $40,000 Maximum
$7,000/ $8,550/ 3 free $20/$65/ $20,000/ No
SoloCare Silver PPO 40017 70% 30% $75 visits, $120 $85 60%
$14,000 $17,100 then $85 $165/50% $40,000 Maximum
$0/ $8,550/ 3 free $30/$60/ $20,000/ No
SoloCare Silver Copay 40232 60% $750 $75 visits, $80 $50 60%
$0 $17,100 then $50 $75/$250 $40,000 Maximum
$8,550/ $8,550/ 100% until 3 free $20,000/ No
SoloCare Bronze PPO 40021 100% visits, 100% until deductible is met 60%
$17,100 $17,100 deductible is met then ded $40,000 Maximum
$6,950/ $6,950/ $20,000/ No
SoloCare Bronze HDHP 40031* 100%
$13,900 $13,900
100% until deductible is met 60%
$40,000 Maximum
Where coinsurance exists, benefits are first subject to the plan deductible.
*Indicates that the plan is HSA eligible.
6 SoloCare Questions? Call us at (866) 403-2785 Visit AlliantPlans.com Contact your brokerIndividual / Family Plans 2021
OFF The Health Insurance Marketplace Alliant Network ONLY
In-Network Out-of-Network
We Pay You Pay We Pay You Pay
Coinsurance Plan Deductible Out-of-Pocket Mental Health/ (You Pay) Coinsurance Deductible Out-of-Pocket
Urgent PCP Specialist
Plan Marketing Name Pays After Individual/ Maximum ER Substance Rx Generic/Preferred/ Plan Pays After Individual/ Maximum
Care Visit Visit
Deductible Family Individual/Family Abuse Visit Brand/Specialty Deductible Family Individual/Family
$1,750/ $6,950/ $20,000/ No
SoloCare GOLD HDHP 40324* 80% Deductible then 20% coinsurance 60%
Maximum
$3,500 $13,900 $40,000
$5,000/ $8,550/ 3 free $20/$65/ $20,000/ No
SoloCare Silver PPO 40007 70% 30% $75 visits, $65 $35 60%
Maximum
$10,000 $17,100 then $35 $150/50% $40,000
Where coinsurance exists, benefits are first subject to the plan deductible.
*Indicates that the plan is HSA eligible.
7 SoloCare Questions? Call us at (866) 403-2785 Visit AlliantPlans.com Contact your brokerYou can also read
