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Documents Off Exchange 2023

Off Exchange Plan Documents 2023

Plan Year:

Transitional

Plans	Download
ACA StandardHealth Silver with Health Choice	Summary of Benefits (Opens in a new tab)

Plans	Download
AdvanceHealth Gold	Summary of Benefits (Opens in a new tab)
AdvanceHealth Silver	Summary of Benefits (Opens in a new tab)
AdvanceHealth Bronze	Summary of Benefits (Opens in a new tab)

Plans	Download
EverydayHealth Gold	Summary of Benefits (Opens in a new tab)
EverydayHealth Silver	Summary of Benefits (Opens in a new tab)

Plans	Download
EverydayHealth Prosano Gold	Summary of Benefits (Opens in a new tab)
EverydayHealth Prosano Silver	Summary of Benefits (Opens in a new tab)

Plans	Download
Portfolio Bronze	Summary of Benefits (Opens in a new tab)

Plans	Download
StandardHealth Gold	Summary of Benefits (Opens in a new tab)
StandardHealth Silver	Summary of Benefits (Opens in a new tab)
StandardHealth Bronze	Summary of Benefits (Opens in a new tab)

Benefit Books

DOCUMENTS	DOWNLOAD
HMO Base Off Exchange	Base Benefit Book (Opens in a new tab)
PPO Base Off Exchange	Base Benefit Book (Opens in a new tab)
HMO AdvanceHealth Gold 4375	Plan Attachment (Opens in a new tab)
HMO AdvanceHealth Silver 6900	Plan Attachment (Opens in a new tab)
HMO AdvanceHealth Bronze 8700	Plan Attachment (Opens in a new tab)
HMO EverydayHealth Gold 2000	Plan Attachment (Opens in a new tab)
HMO EverydayHealth Silver 4750	Plan Attachment (Opens in a new tab)
HMO EverydayHealth Bronze 7500	Plan Attachment (Opens in a new tab)
HMO Portfolio HSA Bronze 7000	Plan Attachment (Opens in a new tab)
HMO TrueHealth Silver 6750	Plan Attachment (Opens in a new tab)
HMO Standardized Bronze 7500	Plan Attachment (Opens in a new tab)
HMO Standardized Gold 2000	Plan Attachment (Opens in a new tab)
HMO Standardized Silver 5800	Plan Attachment (Opens in a new tab)
PPO Gold 1250	Plan Attachment (Opens in a new tab)
PPO Silver 4100	Plan Attachment (Opens in a new tab)
PPO Portfolio HSA Gold 1500	Plan Attachment (Opens in a new tab)
PPO Standardized Gold 2000	Plan Attachment (Opens in a new tab)
PPO Standardized Silver 5800	Plan Attachment (Opens in a new tab)

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.