On Exchange Zero Cost Plan Documents 2025
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 |
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 |
|---|---|
HMO Zero Cost Share |
| Plans | Download |
|---|---|
PPO Zero Cost Share |
| Plans | Download |
|---|---|
ACA StandardHealth with Health Choice Zero Cost Share |
Benefit Books
| HMO Base On Exchange Benefit Book | |
| PPO Base On Exchange Benefit Book | |
| HMO ACA StandardHealth with Health Choice Base On Exchange Benefit Book |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO ACA AdvanceHealth with Health Choice ZCS |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO AdvanceHealth ZCS |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO EverydayHealth ZCS |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO Portfolio ZCS |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| HMO StandardHealth ZCS |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| PPO PremierHealth ZCS |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| PPO Portfolio ZCS |
| DOCUMENTS | DOWNLOAD/ACCESS |
|---|---|
| PPO StandardHealth ZCS |