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2024 Individual & Family Plans
Summary of Benefits and Coverage (SBC)
Direct Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OffEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx ZCS
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OffEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx ZCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 73%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 87%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 94%
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx ZCS
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDFSchedule of Benefits (SOB)
Direct Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OffEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx ZCS
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OffEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx ZCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 73%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 87%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 94%
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx ZCS
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDFEvidence of Coverage (EOC)
Direct Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OffEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx ZCS
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OffEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx ZCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 73%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 87%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 94%
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx ZCS
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDF