Off Exchange Plan Documents 2023

Plan Year:


AdvanceHealth, Cultivate, EverydayHealth, Individual PPO, and TrueHealth Plans
StandardHealth Plans
Portfolio and PPO HSA Plans

Benefit Books

HMO Base Off Exchange
PPO Base Off Exchange
HMO AdvanceHealth Gold 4375
HMO AdvanceHealth Silver 6900
HMO AdvanceHealth Bronze 8700
HMO EverydayHealth Gold 2000
HMO EverydayHealth Silver 4750
HMO EverydayHealth Bronze 7500
HMO Portfolio HSA Bronze 7000
HMO TrueHealth Silver 6750
HMO Standardized Bronze 7500
HMO Standardized Gold 2000
HMO Standardized Silver 5800
PPO Gold 1250
PPO Silver 4100
PPO Portfolio HSA Gold 1500
PPO Standardized Gold 2000
PPO Standardized Silver 5800

Summary of Benefits and Coverage (SBC)

The Summary of Benefits and Coverage (SBC) provides a concise description of what services your plan covers along with what you will pay for covered benefits.