On Exchange Zero Cost Plan Documents 2024
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, BlueSignature Prosano, Cultivate, EverydayHealth, and PPO PremierHealth | |
ACA StandardHealth with Health Choice, and StandardHealth Plans | |
Portfolio and Portfolio 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 HMO Zero Cost SharePlans Download ACA StandardHealth with Health Choice Zero Cost SharePlans Download PPO 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