On Exchange Zero Cost Plan Documents 2023
Plans available through the Health Insurance Marketplace or Healthcare.gov. to American Indians/Native Alaskans who earn less than 300% of the Federal Poverty Level (FPL).
Formulary
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
AdvanceHealth, Cultivate, EverydayHealth, Individual PPO, and TrueHealth Plans | |
Standardized Plans | |
Portfolio and PPO Plans |
Benefit Books
| Documents | Download |
|---|---|
| HMO Base On Exchange | |
| PPO Base On Exchange | |
| HMO AdvanceHealth ZCS | |
| HMO EverydayHealth ZCS | |
| HMO Portfolio ZCS | |
| HMO Standardized ZCS | |
| HMO TrueHealth ZCS | |
| PPO ZCS | |
| PPO Portfolio ZCS | |
| PPO Standardized ZCS |
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 2PLANS DOWNLOAD/ACCESS PPO Standardized 2