2021 Coverage Year Cost-Share Reduction & Native American Summary of Benefit Charts (SBCs)

Cost-Share Reduction SBC's

• Vermont Preferred Silver 73%
• Vermont Preferred Silver 77%
• Vermont Preferred Silver 87%
• Vermont Preferred Silver 94%

• Vermont Select CDHP Silver 73%
• Vermont Select CDHP Silver 77%
• Vermont Select CDHP Silver 87%
• Vermont Select CDHP Silver 94%

• Silver 73%
• Silver CDHP 73% 
• Silver 77%
• Silver CDHP 77%
• Silver 87%
• Silver CDHP 87%
• Silver 94%
• Silver CDHP 94%

Native American SBC's

• Vermont Preferred Gold Native American
• Vermont Preferred Silver Native American
• Vermont Preferred Bronze Native American
• Vermont Select CDHP Gold Native American
• Vermont Select CDHP Silver Native American
• Vermont Select CDHP Bronze Native America
• Platinum Native American
• Gold Native American
• Silver Native American
• Silver CDHP Native American
• Bronze Standard $6,250 Native American 
• Bronze Standard $8,400 Native American (Without RX MOOP) 
• Bronze CDHP Native American