- Covered CA_Platinum 90 HMO: English | Español | Chinese | Vietnemese
- Covered CA_Gold 80 HMO: English | Español | Chinese | Vietnemese
- Covered CA_Gold 80 HMO Coinsurance: English | Español | Chinese | Vietnemese
- Covered CA_Silver 70 HMO: English | Español | Chinese | Vietnemese
- Covered CA_Silver 73 HMO: English | Español | Chinese | Vietnemese
- Covered CA_Silver 87 HMO: English | Español | Chinese | Vietnemese
- Covered CA_Silver 94 HMO: English | Español | Chinese | Vietnemese
- Covered CA_Bronze 60 HMO: English | Español | Chinese | Vietnemese
- Covered CA_Bronze 60 HDHP HMO: English | Español | Chinese | Vietnemese
- Covered CA_Minimum Coverage HMO: English | Español | Chinese | Vietnemese
- Covered CA_$0 Cost Share HMO AI/AN: English | Español | Chinese | Vietnemese
Individual & family summary of benefits and coverage
Select a summary of benefits and coverage from the plan listings below.
- Platinum 90 HMO: English | Español | Chinese | Vietnemese
- Gold 80 HMO: English | Español | Chinese | Vietnemese
- Gold 80 HMO Coinsurance: English | Español | Chinese | Vietnemese
- Gold 80 HMO 0/30 PCP: English | Español | Chinese | Vietnemese
- Silver 70 HDHP HMO 3600/25% PCP: English | Español | Chinese | Vietnemese
- Silver 70 HMO 2850/50 PCP: English | Español | Chinese | Vietnemese
- Silver 70 HMO Off Exchange: English | Español | Chinese | Vietnemese
- Bronze 60 HDHP HMO: English | Español | Chinese | Vietnemese
- Bronze 60 HMO: English | Español | Chinese | Vietnemese
- Bronze 60 HMO 7500/0% PCP: English | Español | Chinese | Vietnemese
- Minimum Coverage HMO: English | Español | Chinese | Vietnemese
*Plans reviewed and updated on September 12, 2024.
If your plan is not listed above, please access these additional SBCs.
Archive
Review plan listings of previous summary of benefits and coverage documents.
Questions?
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