2020 individual plan summaries of benefits and coverage
Summaries of benefits and coverage
Gold
- Gold Option A 58326WI0090001-00 (Off Exchange) OR 01 (On Exchange) 2020
- Gold Option B Standard 58326WI0090012-00 (Off Exchange) OR 01 (On Exchange) 2020
- Gold Option C 58326WI0090013-00 (Off Exchange) OR 01 (On Exchange) 2020
Silver
- Silver Option A 58326WI0090002-00 (Off Exchange) OR 01 (On Exchange) 2020
- Silver Option B 58326WI0090015-00(Off Exchange) OR 01 (On Exchange) 2020
- Silver Option C 58326WI0090016-00 (Off Exchange) OR 01 (On Exchange) 2020
Bronze
- Bronze Option A 58326WI0090006-00 (Off Exchange) OR 01 (On Exchange) 2020
- Bronze Option B Standard 58326WI0090018-00 (Off Exchange) OR 01 (On Exchange) 2020
- Bronze Option C 58326WI0090019-00 (Off Exchange) OR 01 (On Exchange) 2020
- Bronze Option D 58326WI0090020-00 (Off Exchange) OR 01 (On Exchange) 2020
Summaries of benefits and coverage: Only available on Exchange
Gold
- Gold Option A
- Gold Option B
- Gold Option C
Silver
- Silver Option A
- Silver Option B
- Silver Option C
Bronze
- Bronze Option A
- Bronze Option B
- Bronze Option C
- Bronze Option D
2019 individual plan summaries of benefits and coverage
Summaries of benefits and coverage
Gold
- Gold Option A 58326WI0090001 2019
- Gold Option B- Standard – 58326WI0090012 2019
- Gold Option C 58326WI0090013 2019
Silver
- Silver Option A 58326WI009002 2019
- Silver Option A 94% 58326WI009002-06 2019– 94% (only available through the marketplace)
- Silver-Option-A-87-58326WI009002-05-2019– 87% (only available through the marketplace)
- Silver Option A 73% 58326WI009002-04 2019 (only available through the marketplace)
- Silver Option B 58326WI0090015 2019
- Silver Option B 94% 58326WI0090015-06 2019– 94% (only available through the marketplace)
- Silver Option B 87% 58326WI0090015-05 2019– 87% (only available through the marketplace)
- Silver Option B 73% 58326WI0090015-04 2019 – 73% (only available through the marketplace)
- Silver Option C 58326WI0090016 2019
- Silver Option C 94% 58326WI0090016-06 2019 – 94% (only available through the marketplace)
- Silver Option C 87% 58326WI0090016-05 2019 – 87% (only available through the marketplace)
- Silver Option C 73% 58326WI0090016-04 2019– 73% (only available through the marketplace)
Bronze
- Bronze Option A 58326WI0090006 2019
- Bronze Option B Standard 58326WI0090018 2019
- Bronze Option C 58326WI0090019 2019
- Bronze Option D 58326WI0090020 2019
Limited and zero cost sharing plans
Health insurance plans (only available on the Marketplace)
Summaries of benefits and coverage
Gold
- Gold Option A
- Gold Option B – Standard Plan
- Gold Option C
Silver
- Silver Option A
- Silver Option B – Standard Plan
- Silver Option C
Bronze
- Bronze Option A
- Bronze Option B – Standard Plan
- Bronze Option C
- Bronze Option D