Small business health plans in Georgia

Featured plans and benefits
Kaiser Permanente Plus™
Learn about KP Plus Kaiser Permanente Level Funded
Learn about Level Funded Empower your employees to lead healthier lives
Learn about fitness programs Find your health plan
Available plan type | Health Maintenance Organization (HMO) Plans | Deductible Health Maintenance Organization (DHMO) Plans | High Deductible Health Plan (HDHP) | Preferred Provider Organization (PPO) Plans |
What is it? | A plan that covers care from in-network physicians. With predictable costs and no deductibles, you know how much you’ll pay for services and prescriptions. | An HMO plan with a deductible that offers lower rates. Employers and employees share costs. | A health plan with a higher deductible than a traditional health plan but lower monthly rates. HDHPs can be paired with a health savings account (HSA), allowing you to use pretax money to pay for qualified medical expenses. | PPO plans are available alongside an HMO, a DHMO, or an HDHP. Get the convenience of one health plan for all your employee benefits. |
What's the advantage for employers? |
|
|
|
|
What’s the advantage for employees? |
|
|
|
|
Is there out-of-network coverage? | No (except for emergencies) | No (except for emergencies) | No (except for emergencies) | Yes, but at a higher cost |
Annual deductible? | No | Yes | Yes | Yes |
Copays? | Yes | Yes | No | Yes, for most in-network services; most out-of-network services require coinsurance payments |
Is a primary care physician required? | Yes | Yes | Yes | No |
Is a referral required to see a specialist? | Usually | Usually | Usually | No, but some services require precertification |
Available plan type
:
Health Maintenance Organization (HMO) Plans
What is it?
A plan that covers care from in-network physicians. With predictable costs and no deductibles, you know how much you’ll pay for services and prescriptions.
What's the advantage for employers?
- Comprehensive coverage
- Low, predictable out-of-pocket costs
- User friendly
- Easiest plan to administer
- Highest level of employee satisfaction
What’s the advantage for employees?
- Low out-of-pocket costs
- Care coordinated by a primary care physician
- Easy to understand
- No deductible
- Copay or coinsurance amounts are known up front
- Convenient for budgeting
- Additional payment options
Is there out-of-network coverage?
No (except for emergencies)
Annual deductible?
No
Copays?
Yes
Is a primary care physician required?
Yes
Is a referral required to see a specialist?
Usually
Available plan type
:
Deductible Health Maintenance Organization (DHMO) Plans
What is it?
An HMO plan with a deductible that offers lower rates. Employers and employees share costs.
What's the advantage for employers?
- Lower monthly rates
- Wide range of deductibles, copays, and coinsurance options
What’s the advantage for employees?
- Lower premiums than regular DHMO plans
- Care coordinated by a primary care physician
- Preventive services covered at little or no cost
Is there out-of-network coverage?
No (except for emergencies)
Annual deductible?
Yes
Copays?
Yes
Is a primary care physician required?
Yes
Is a referral required to see a specialist?
Usually
Available plan type
:
High Deductible Health Plan (HDHP)
What is it?
A health plan with a higher deductible than a traditional health plan but lower monthly rates. HDHPs can be paired with a health savings account (HSA), allowing you to use pretax money to pay for qualified medical expenses.
What's the advantage for employers?
- Lowest monthly rates
- Helps control costs with an HSA-qualified HDHP
- Comprehensive coverage with preventive services
- Cost-effective workforce health solutions that promote long-term health
What’s the advantage for employees?
- Lower premiums than regular DHMO plans
- Preventive services covered at little or no cost
- Federal tax-favored savings account used to pay qualified medical expenses with an HSA-qualified plan
Is there out-of-network coverage?
No (except for emergencies)
Annual deductible?
Yes
Copays?
No
Is a primary care physician required?
Yes
Is a referral required to see a specialist?
Usually
Available plan type
:
Preferred Provider Organization (PPO) Plans
What is it?
PPO plans are available alongside an HMO, a DHMO, or an HDHP. Get the convenience of one health plan for all your employee benefits.
What's the advantage for employers?
- Choice, flexibility, and convenience
- Coverage for employees living and working outside our service areas
- Referral-free access to an outside network of doctors and licensed providers
What’s the advantage for employees?
- Broader choice of primary care physicians
- No referrals required for specialists
Is there out-of-network coverage?
Yes, but at a higher cost
Annual deductible?
Yes
Copays?
Yes, for most in-network services; most out-of-network services require coinsurance payments
Is a primary care physician required?
No
Is a referral required to see a specialist?
No, but some services require precertification
Multimarket solution
Compare the cost of care
Learn more about our product offerings

HMO and deductible HMO plans

Health Payment Accounts

Employee assistance program (EAP)
Find the right plan for your business 866-727-3575