The Summary of Benefits and Coverage documents below describe what each plan covers and what it costs for coverage.  Details contained within these summary pages are for the following plan: Individual | Plan Type: EPO.

The coverage period for the information contained within these documents is from January 1, 2023 through December 31, 2023.

$500 Plan

$1000 Plan

$2000 Plan

$5000 Plan

Medicare Carveout Plan

For further information and assistance regarding Summary of Benefits please contact Customer Service at 1-844-728-7896.