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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 2026 plan year

View Plan year: 2025

On-Exchange

Silver 2026

Plan Individual Policy Schedule of benefits Effective date
Silver Standardized 94% CSR Individual Policy Schedule of Benefits 1/1/2026
Silver AH Individual Policy Schedule of Benefits 1/1/2026
Silver AH 73% CSR Individual Policy Schedule of Benefits 1/1/2026
Silver AH 87% CSR Individual Policy Schedule of Benefits 1/1/2026
Silver AH 94% CSR Individual Policy Schedule of Benefits 1/1/2026
Silver AH (101% - 120% FPL) Individual Policy Schedule of Benefits 1/1/2026
Silver AH (21% - 40% FPL) Individual Policy Schedule of Benefits 1/1/2026
Silver AH (0% - 20% FPL) Individual Policy Schedule of Benefits 1/1/2026
Silver AH (121% - 138% FPL) Individual Policy Schedule of Benefits 1/1/2026
Silver AH (41% - 60% FPL) Individual Policy Schedule of Benefits 1/1/2026
Silver AH (61% - 80% FPL) Individual Policy Schedule of Benefits 1/1/2026
Silver AH (81% - 100% FPL) Individual Policy Schedule of Benefits 1/1/2026
Silver Standardized Individual Policy Schedule of Benefits 1/1/2026
Silver Standardized 73% CSR Individual Policy Schedule of Benefits 1/1/2026
Silver Standardized 87% CSR Individual Policy Schedule of Benefits 1/1/2026

Bronze  2026

Plan Individual Policy Schedule of benefits Effective date
Bronze Expanded Standardized Individual Policy Schedule of Benefits 1/1/2026
Bronze Value Individual Policy Schedule of Benefits 1/1/2026

Gold  2026

Plan Individual Policy Schedule of benefits Effective date
Gold Value Individual Policy Schedule of Benefits 1/1/2026
Gold Standardized Individual Policy Schedule of Benefits 1/1/2026

Catastrophic 2026

Plan Individual Policy Schedule of benefits Effective date
Catastrophic HDHP HSA Individual Policy Schedule of Benefits 1/1/2026

American Indian / Alaskan Native

Silver 2026

Plan Individual Policy Schedule of benefits Effective date
Silver AH AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Silver AH AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Silver Standardized AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Silver Standardized AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2026

Bronze 2026

Plan Individual Policy Schedule of benefits Effective date
Bronze Expanded Standardized AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Bronze Expanded Standardized AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Bronze Value AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Bronze Value AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2026

Gold 2026

Plan Individual Policy Schedule of benefits Effective date
Gold Value AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Gold Value AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Gold Standardized AI/AN < 300% FPL Individual Policy Schedule of Benefits 1/1/2026
Gold Standardized AI/AN > 300% FPL Individual Policy Schedule of Benefits 1/1/2026

Off-Exchange

Silver 2026

Plan Individual Policy Schedule of benefits Effective date
Silver Classic HSA Individual Policy Schedule of Benefits 1/1/2026
Silver Premier Individual Policy Schedule of Benefits 1/1/2026
Silver AH Individual Policy Schedule of Benefits 1/1/2026
Silver Standardized Individual Policy Schedule of Benefits 1/1/2026

Bronze 2026

Plan Individual Policy Schedule of benefits Effective date
Bronze Expanded Standardized Individual Policy Schedule of Benefits 1/1/2026
Bronze Classic HSA Individual Policy Schedule of Benefits 1/1/2026
Bronze Value Individual Policy Schedule of Benefits 1/1/2026

Gold 2026

Plan Individual Policy Schedule of benefits Effective date
Gold Value Individual Policy Schedule of Benefits 1/1/2026
Gold Classic HSA Individual Policy Schedule of Benefits 1/1/2026
Gold Standardized Individual Policy Schedule of Benefits 1/1/2026

Catastrophic 2026

Plan Individual Policy Schedule of benefits Effective date
Catastrophic HDHP HSA Individual Policy Schedule of Benefits 1/1/2026

*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.