Off Exchange Plan Documents 2026
Formulary
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
AdvanceHealth, Cultivate, EverydayHealth, Individual PPO, and TrueHealth Plans | |
StandardHealth Plans | |
Portfolio and PPO HSA Plans |
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 PPO PremierHealth GoldPPO PremierHealth SilverPlans Download EverydayHealth GoldEverydayHealth SilverPlans Download AdvanceHealth GoldAdvanceHealth SilverAdvanceHealth BronzePlans Download Portfolio BronzePlans Download StandardHealth GoldStandardHealth SilverStandardHealth BronzePlans Download ACA StandardHealth Silver with Health Choice
Benefit Books
| HMO Base Off Exchange Benefit Book | |
| HMO EverydayHealth Prosano Base Off Exchange Benefit Book | |
| HMO ACA StandardHealth with Health Choice Base Off Exchange Benefit Book |
DOCUMENTS DOWNLOAD/ACCESS HMO EverydayHealth Prosano Gold 1475 HMO EverydayHealth Prosano Silver 7500 DOCUMENTS DOWNLOAD/ACCESS HMO EverydayHealth Gold 1475 HMO EverydayHealth Silver 7500 DOCUMENTS DOWNLOAD/ACCESS HMO AdvanceHealth Bronze 10150 HMO AdvanceHealth Gold 4800 HMO AdvanceHealth Silver 7200 DOCUMENTS DOWNLOAD/ACCESS HMO Portfolio HSA Bronze 7100 DOCUMENTS DOWNLOAD/ACCESS HMO StandardHealth Bronze 7500 HMO StandardHealth Gold 2000 HMO StandardHealth Silver 6000 DOCUMENTS DOWNLOAD/ACCESS HMO StandardHealth with Health Choice Silver 6000