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 EverydayHealth 2PLANS DOWNLOAD TrueHealth 2Plans Download Portfolio 2PLANS DOWNLOAD AdvanceHealth 2PLANS Download PPO 2PLANS DOWNLOAD/ACCESS Standardized 2PLANS DOWNLOAD/ACCESS PPO Standardized 2