Important Announcement: 2026 Plan Information

Anthem Blue Cross and Blue Shield Parent Company has Acquired Indiana University Health Plans

IMPORTANT: Please note that effective January 1, 2025, Indiana University Health Plans was acquired by Elevance Health, the parent company of Anthem Blue Cross and Blue Shield in Indiana. IU Health Plans Medicare Advantage member’s coverage will not change in 2025 due to the change in ownership.

Medicare Advantage members have received additional information on enrollment for 2026. Additional information can be found at anthem.com/medicare or on the Sydney Health digital app. For questions related to plan year 2026, members can also contact Anthem customer service at 855.251.8827 (TTY/TDD) from 8 am - 8 pm, seven days a week (except Thanksgiving and Christmas) from October 1 - March 31. Language assistance is available.

For questions about Indiana University Health Plans related to plan year 2025 or 2025 enrollment, contact 800-455-9776, (TTY/TDD 711) from 8 am – 8 pm, seven days a week (except Thanksgiving and Christmas) from October 1 - December 31 to speak with a Member Advocate. Language assistance is available.

H7220_IUHS04_C

If you are a member of an IU Health Plans employer-sponsored plan, your employer will inform you of any changes to your health insurance benefits. The transition to Anthem platforms will occur at the end date of your plan year; please check with your employer for the specific date. Log in to the Member Portal for details about your 2025 plan. If you have questions, please call 866.895.5828 (TTY/TDD 711) from 7 am – 7 pm, Monday – Friday. Language assistance is available.

Attention Indiana University Health Employees: Beginning January 1, 2025, your benefits are administered by Anthem and you should have received a new ID card if you enrolled in IU Health employee benefits. This site no longer contains information relevant to your employee benefits. To access information on your 2025 benefit coverage please contact Anthem Member Services at 833.812.1795 or log into the Sydney Health digital app.

Important Announcement: 2026 Plan Information

Anthem Blue Cross and Blue Shield Parent Company has Acquired Indiana University Health Plans

IMPORTANT: Please note that effective January 1, 2025, Indiana University Health Plans was acquired by Elevance Health, the parent company of Anthem Blue Cross and Blue Shield in Indiana. IU Health Plans Medicare Advantage member’s coverage will not change in 2025 due to the change in ownership.

Medicare Advantage members have received additional information on enrollment for 2026. Additional information can be found at anthem.com/medicare or on the Sydney Health digital app. For questions related to plan year 2026, members can also contact Anthem customer service at 855.251.8827 (TTY/TDD) from 8 am - 8 pm, seven days a week (except Thanksgiving and Christmas) from October 1 - March 31. Language assistance is available.

For questions about Indiana University Health Plans related to plan year 2025 or 2025 enrollment, contact 800-455-9776, (TTY/TDD 711) from 8 am – 8 pm, seven days a week (except Thanksgiving and Christmas) from October 1 - December 31 to speak with a Member Advocate. Language assistance is available.

H7220_IUHS04_C

If you are a member of an IU Health Plans employer-sponsored plan, your employer will inform you of any changes to your health insurance benefits. The transition to Anthem platforms will occur at the end date of your plan year; please check with your employer for the specific date. Log in to the Member Portal for details about your 2025 plan. If you have questions, please call 866.895.5828 (TTY/TDD 711) from 7 am – 7 pm, Monday – Friday. Language assistance is available.

Attention Indiana University Health Employees: Beginning January 1, 2025, your benefits are administered by Anthem and you should have received a new ID card if you enrolled in IU Health employee benefits. This site no longer contains information relevant to your employee benefits. To access information on your 2025 benefit coverage please contact Anthem Member Services at 833.812.1795 or log into the Sydney Health digital app.

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Employer Plans - Small Group

Learn more about our Small Group options to see what plan best suits your needs:

2025 Employer Plans - Small Group

Non-HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Bronze 6650 Select Download Download
Bronze 6650 Download Download
Bronze 8200 Select Plus Download Download
Bronze 8200 Plus Download Download
Bronze 9200 Select Download Download
Bronze 9200 Download Download
Non-HSA Plans
Bronze 6650 Select

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 6650

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 8200 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 8200 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 9200 Select

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 9200

Summary of Benefits & Coverage

Schedule of Benefits

HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Bronze HSA 5600 Select Plus Download Download
Bronze HSA 5600 Plus Download Download
Bronze HSA 5600 Select Download Download
Bronze HSA 5600 Download Download
Bronze HSA 7050 Select Download Download
Bronze HSA 7050 Download Download
HSA Plans
Bronze HSA 5600 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 5600 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 5600 Select

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 5600

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 7050 Select

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 7050

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Silver 2250 Select Download Download
Silver 2250 Download Download
Silver 2700 Plus Download Download
Silver 2700 Select Plus Download Download
Silver 2700 Select Download Download
Silver 2700 Download Download
Silver 3200 Plus Download Download
Silver 3200 Select Plus Download Download
Silver 3200 Select Download Download
Silver 3200 Download Download
Silver 4000 Select Download Download
Silver 4000 Download Download
Silver 5000 Plus Download Download
Silver 5000 Select Plus Download Download
Silver 5000 Select Download Download
Silver 5000 Download Download
Silver 5500 Plus Download Download
Silver 5500 Select Plus Download Download
Silver 5500 Select Download Download
Silver 5500 Download Download
Non-HSA Plans
Silver 2250 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2250

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200

Summary of Benefits & Coverage

Schedule of Benefits

Silver 4000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 4000

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500

Summary of Benefits & Coverage

Schedule of Benefits

HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Silver HSA 2300 Plus Download Download
Silver HSA 2300 Select Plus Download Download
Silver HSA 2300 Select Download Download
Silver HSA 2300 Download Download
Silver HSA 3300 Plus Download Download
Silver HSA 3300 Select Plus Download Download
Silver HSA 3300 Select Download Download
Silver HSA 3300 Download Download
Silver HSA 3500 Plus Download Download
Silver HSA 3500 Select Plus Download Download
Silver HSA 3500 Select Download Download
Silver HSA 3500 Download Download
Silver HSA 4000 Plus Download Download
Silver HSA 4000 Select Plus Download Download
Silver HSA 4000 Select Download Download
Silver HSA 4000 Download Download
Silver HSA 4500 Plus Download Download
Silver HSA 4500 Select Plus Download Download
Silver HSA 4500 Select Download Download
Silver HSA 4500 Download Download
Silver HSA 5000 Select Download Download
Silver HSA 5000 Download Download
Silver HSA 5100 Plus Download Download
Silver HSA 5100 Select Plus Download Download
Silver HSA 5100 Select Download Download
Silver HSA 5100 Download Download
HSA Plans
Silver HSA 2300 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 2300 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 2300 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 2300

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3300 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3300 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3300 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3300

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5000

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Gold 500 Plus Download Download
Gold 500 Select Plus Download Download
Gold 500 Select Download Download
Gold 500 Download Download
Gold 750 Plus Download Download
Gold 750 Select Plus Download Download
Gold 750 Select Download Download
Gold 750 Download Download
Gold 1250 Plus Download Download
Gold 1250 Select Plus Download Download
Gold 1250 Select Download Download
Gold 1250 Download Download
Gold 1500 Plus Download Download
Gold 1500 Select Plus Download Download
Gold 1500 Select Download Download
Gold 1500 Download Download
Gold 2500 Plus Download Download
Gold 2500 Select Plus Download Download
Gold 2500 Select Download Download
Gold 2500 Download Download
Non-HSA Plans
Gold 500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 500

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500

Summary of Benefits & Coverage

Schedule of Benefits

HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Gold HSA 1650 Plus Download Download
Gold HSA 1650 Select Plus Download Download
Gold HSA 1650 Select Download Download
Gold HSA 1650 Download Download
Gold HSA 2000 Plus Download Download
Gold HSA 2000 Select Plus Download Download
Gold HSA 2000 Select Download Download
Gold HSA 2000 Download Download
Gold HSA 3300 Plus Download Download
Gold HSA 3300 Select Plus Download Download
Gold HSA 3300 Select Download Download
Gold HSA 3300 Download Download
HSA Plans
Gold HSA 1650 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 1650 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 1650 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 1650

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3300 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3300 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3300 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3300

Summary of Benefits & Coverage

Schedule of Benefits

2024 Employer Plans - Small Group

Non-HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Bronze 6650 Select Download Download
Bronze 6650 Download Download
Bronze 8200 Select Plus Download Download
Bronze 8200 Plus Download Download
Non-HSA Plans
Bronze 6650 Select

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 6650

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 8200 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Bronze 8200 Plus

Summary of Benefits & Coverage

Schedule of Benefits

HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Bronze HSA 5600 Select Plus Download Download
Bronze HSA 5600 Plus Download Download
Bronze HSA 5700 Select Download Download
Bronze HSA 5700 Download Download
Bronze HSA 7050 Select Download Download
Bronze HSA 7050 Download Download
HSA Plans
Bronze HSA 5600 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 5600 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 5700 Select

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 5700

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 7050 Select

Summary of Benefits & Coverage

Schedule of Benefits

Bronze HSA 7050

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Silver 2250 Select Download Download
Silver 2250 Download Download
Silver 2700 Select Plus Download Download
Silver 2700 Select Download Download
Silver 2700 Plus Download Download
Silver 2700 Download Download
Silver 3200 Select Plus Download Download
Silver 3200 Select Download Download
Silver 3200 Plus Download Download
Silver 3200 Download Download
Silver 4000 Select Download Download
Silver 4000 Download Download
Silver 5000 Select Plus Download Download
Silver 5000 Select Download Download
Silver 5000 Plus Download Download
Silver 5000 Download Download
Silver 5500 Select Plus Download Download
Silver 5500 Select Download Download
Silver 5500 Plus Download Download
Silver 5500 Download Download
Non-HSA Plans
Silver 2250 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2250

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 2700

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 3200

Summary of Benefits & Coverage

Schedule of Benefits

Silver 4000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 4000

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5000

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver 5500

Summary of Benefits & Coverage

Schedule of Benefits

HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Silver HSA 2300 Select Plus Download Download
Silver HSA 2300 Select Download
Silver HSA 2300 Plus Download Download
Silver HSA 2300 Download Download
Silver HSA 3200 Select Plus Download Download
Silver HSA 3200 Select Download Download
Silver HSA 3200 Plus Download Download
Silver HSA 3200 Download Download
Silver HSA 3500 Select Plus Download Download
Silver HSA 3500 Select Download Download
Silver HSA 3500 Plus Download Download
Silver HSA 3500 Download Download
Silver HSA 4000 Select Plus Download Download
Silver HSA 4000 Select Download Download
Silver HSA 4000 Plus Download Download
Silver HSA 4000 Download Download
Silver HSA 4500 Select Plus Download Download
Silver HSA 4500 Select Download Download
Silver HSA 4500 Plus Download Download
Silver HSA 4500 Download Download
Silver HSA 5000-2 Select Download Download
Silver HSA 5000-2 Download Download
Silver HSA 5100 Select Plus Download Download
Silver HSA 5100 Select Download Download
Silver HSA 5100 Plus Download Download
Silver HSA 5100 Download Download
HSA Plans
Silver HSA 2300 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 2300 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 2300 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 2300

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3200 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3200 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3200 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3200

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 3500

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4000

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 4500

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5000-2 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5000-2

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100 Select

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Silver HSA 5100

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Gold 500 Plus Download Download
Gold 500 Select Plus Download Download
Gold 500 Select Download Download
Gold 500 Download Download
Gold 750 Plus Download Download
Gold 750 Select Plus Download Download
Gold 750 Select Download Download
Gold 750 Download Download
Gold 1250 Plus Download Download
Gold 1250 Select Plus Download Download
Gold 1250 Select Download Download
Gold 1250 Download Download
Gold 1500 Plus Download Download
Gold 1500 Select Plus Download Download
Gold 1500 Select Download Download
Gold 1500 Download Download
Gold 2500 Plus Download Download
Gold 2500 Select Plus Download Download
Gold 2500 Select Download Download
Gold 2500 Download Download
Non-HSA Plans
Gold 500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 500

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 750

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1250

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 1500

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold 2500

Summary of Benefits & Coverage

Schedule of Benefits

HSA Plans Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Gold HSA 1600 Plus Download Download
Gold HSA 1600 Select Plus Download Download
Gold HSA 1600 Select Download Download
Gold HSA 1600 Download Download
Gold HSA 2000 Plus Download Download
Gold HSA 2000 Select Plus Download Download
Gold HSA 2000 Select Download Download
Gold HSA 2000 Download Download
Gold HSA 3200 Plus Download Download
Gold HSA 3200 Select Plus Download Download
Gold HSA 3200 Select Download Download
Gold HSA 3200 Download Download
HSA Plans
Gold HSA 1600 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 1600 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 1600 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 1600

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 2000

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3200 Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3200 Select Plus

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3200 Select

Summary of Benefits & Coverage

Schedule of Benefits

Gold HSA 3200

Summary of Benefits & Coverage

Schedule of Benefits

Drug Formulary – Small Group

Formulary Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
2024 Small Group Drug Formulary Guide Download N/A
2025 Small Group Drug Formulary Guide Download N/A
Formulary Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
2024 Small Group Drug Formulary Guide

Summary of Benefits & Coverage HEY

N/A

2025 Small Group Drug Formulary Guide

Summary of Benefits & Coverage HEY

N/A