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Individual policy & schedule of benefits

To view the Individual Policy and Schedule of Benefits you are interested in, select the applicable plan name below.

You are now viewing 2027 plan year

View Plan year: 2026

On-Exchange

Silver 2027

Plan Individual Policy Schedule of benefits Effective date
Silver AH Individual Policy Schedule of Benefits 1/1/2027
Silver AH 73% CSR Individual Policy Schedule of Benefits 1/1/2027
Silver AH 87% CSR Individual Policy Schedule of Benefits 1/1/2027
Silver AH 94% CSR Individual Policy Schedule of Benefits 1/1/2027
Silver Standardized Individual Policy Schedule of Benefits 1/1/2027
Silver Standardized 73% CSR Individual Policy Schedule of Benefits 1/1/2027
Silver Standardized 87% CSR Individual Policy Schedule of Benefits 1/1/2027
Silver Standardized 94% CSR Individual Policy Schedule of Benefits 1/1/2027
Silver AH (0% - 20% FPL) Individual Policy Schedule of Benefits 1/1/2027
Silver AH (21% - 40% FPL) Individual Policy Schedule of Benefits 1/1/2027
Silver AH (41% - 60% FPL) Individual Policy Schedule of Benefits 1/1/2027
Silver AH (61% - 80% FPL) Individual Policy Schedule of Benefits 1/1/2027
Silver AH (81% - 100% FPL) Individual Policy Schedule of Benefits 1/1/2027
Silver AH (101% - 120% FPL) Individual Policy Schedule of Benefits 1/1/2027
Silver AH (121% - 138% FPL) Individual Policy Schedule of Benefits 1/1/2027
Catastrophic HDHP HSA Individual Policy Schedule of Benefits 1/1/2027

Bronze  2027

Plan Individual Policy Schedule of benefits Effective date
Bronze Value Individual Policy Schedule of Benefits 1/1/2027
Bronze Exp Standardized Individual Policy Schedule of Benefits 1/1/2027

Gold  2027

Plan Individual Policy Schedule of benefits Effective date
Gold Standardized Individual Policy Schedule of Benefits 1/1/2027
Gold Value Individual Policy Schedule of Benefits 1/1/2027

American Indian / Alaskan Native

Silver 2027

Plan Individual Policy Schedule of benefits Effective date
Silver AH AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Silver AH AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Silver Standardized AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Silver Standardized AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2027

Bronze 2027

Plan Individual Policy Schedule of benefits Effective date
Bronze Value AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Bronze Value AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Bronze Exp Standardized AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Bronze Exp Standardized AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2027

Gold 2027

Plan Individual Policy Schedule of benefits Effective date
Gold Standardized AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Gold Standardized AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Gold Value AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2027
Gold Value AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2027

Off-Exchange

Silver 2027

Plan Individual Policy Schedule of benefits Effective date
Silver AH (monthly billing) Individual Policy Schedule of Benefits 1/1/2027
Silver AH (quarterly billing) Individual Policy Schedule of Benefits 1/1/2027
Silver Standardized Individual Policy Schedule of Benefits 1/1/2027
Silver Classic HSA Individual Policy Schedule of Benefits 1/1/2027
Silver Premier Individual Policy Schedule of Benefits 1/1/2027
Silver Enhanced Individual Policy Schedule of Benefits 1/1/2027
Catastrophic HDHP HSA Individual Policy Schedule of Benefits 1/1/2027
Catastrophic Enhanced Individual Policy Schedule of Benefits 1/1/2027

Bronze 2027

Plan Individual Policy Schedule of benefits Effective date
Bronze Value Individual Policy Schedule of Benefits 1/1/2027
Bronze Exp Standardized Individual Policy Schedule of Benefits 1/1/2027
Bronze Classic HSA Individual Policy Schedule of Benefits 1/1/2027
Bronze Enhanced Individual Policy Schedule of Benefits 1/1/2027

Gold 2027

Plan Individual Policy Schedule of benefits Effective date
Gold Standardized Individual Policy Schedule of Benefits 1/1/2027
Gold Value Individual Policy Schedule of Benefits 1/1/2027
Gold Classic HSA Individual Policy Schedule of Benefits 1/1/2027
Gold Enhanced Individual Policy Schedule of Benefits 1/1/2027

*CSR-Cost sharing reduction: A discount that lowers the amount you have to pay out-of-pocket for deductibles, coinsurance, and copayments. You can get this reduction if you get health insurance through the Marketplace, your income is below a certain level and you choose a health plan from the Silver plan category. If you are a member of a federally recognized tribe, you may qualify for additional cost-sharing benefits.

Note: Policy ID may also be referenced as Certificate ID in other correspondence.