Off Exchange Plan Documents 2025
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.
| Plans | Download |
|---|---|
EverydayHealth Gold | |
EverydayHealth Silver |
| Plans | Download |
|---|---|
AdvanceHealth Gold | |
AdvanceHealth Silver | |
AdvanceHealth Bronze |
| Plans | Download |
|---|---|
Portfolio Bronze |
| Plans | Download |
|---|---|
PPO PremierHealth Gold | |
PPO PremierHealth Silver |
| Plans | Download |
|---|---|
PPO Portfolio HSA Gold |
| Plans | Download |
|---|---|
StandardHealth Gold | |
StandardHealth Silver | |
StandardHealth Bronze |
| Plans | Download |
|---|---|
PPO StandardHealth Gold | |
PPO StandardHealth Silver |
| Plans | Download |
|---|---|
ACA StandardHealth Silver with Health Choice |
Benefit Books
| HMO Base Off Exchange Benefit Book | |
| PPO Base Off Exchange Benefit Book | |
| HMO ACA StandardHealth with Health Choice Base Off Exchange Benefit Book |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO AdvanceHealth Bronze 9000 | |
| HMO AdvanceHealth Gold 4375 | |
| HMO AdvanceHealth Silver 6600 |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO EverydayHealth Gold 1300 | |
| HMO EverydayHealth Silver 5000 |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO Portfolio HSA Bronze 7050 |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO StandardHealth Bronze 7500 | |
| HMO StandardHealth Gold 1500 | |
| HMO StandardHealth Silver 5000 |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO StandardHealth with Health Choice Silver 5000 |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| PPO Portfolio HSA Gold 2500 |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| PPO StandardHealth Gold 1500 | |
| PPO StandardHealth Silver 5000 |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| PPO PremierHealth Gold 1250 | |
| PPO PremierHealth Silver 3400 |