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Small Group Plans (2019)

Summary of Benefits and Coverage (SBCs)

In compliance with new requirements of the Affordable Care Act, Health First Health Plans has made available a Summary of Benefits and Coverage (SBC) for your plan. The SBC summarizes important information about your health coverage in a standardized format. Each SBC will display as a PDF, and you will need Adobe Reader to view it. You can download Acrobat Reader for free using the link at the bottom of this page. If you aren't clear about any of the underlined terms used in these forms, see the Glossary.

HMO

Health First Bronze HMO 100 HSA 5550
Health First Bronze HMO 50 5596
Health First Gold HMO 50 5582
Health First Gold HMO 50 5609
Health First Gold HMO 80 5574
Health First Gold HMO 80 5576
Health First Gold HMO 80 5578
Health First Gold HMO 90 HSA 5586
Health First Platinum HMO 100 5588
Health First Platinum HMO 80 5592
Health First Platinum HMO 80 5610
Health First Silver HMO 100 HSA 5602
Health First Silver HMO 50 5554
Health First Silver HMO 50 5562
Health First Silver HMO 50 5598
Health First Silver HMO 80 5558
Health First Silver HMO 80 HSA 5600
Health First Silver HMO 90 HSA 5566
Health First Silver HMO 90 HSA 5568

POS

Health First Bronze POS 100 HSA 5551
Health First Bronze HMO POS 50 5548
Health First Gold Access POS 50 5604
Health First Gold Access POS 50 5606
Health First Gold Access POS 80 5607
Health First Gold POS 70 5572
Health First Gold POS 80 5579
Health First Gold POS 90 HSA 5584
Health First Platinum POS 100 5589
Health First Platinum POS 80 5593
Health First Silver Access POS 50 5605
Health First Silver Access POS 90 HSA 5608
Health First Silver POS 100 HSA 5564
Health First Silver POS 50 5556
Health First Silver POS 80 5559
Health First Silver 90 HSA 5569

A paper copy of your SBC is also available, free of charge, by calling Customer Service toll-free at 1.855.443.4735 (TTY/TDD relay: 1.800.955.8771) weekdays from 8 a.m. to 6 p.m.

Health First Health Plans has entered into an agreement with CMS to provide health insurance coverage through Qualified Health Plans on the Federally Facilitated Marketplace. Health First Health Plans does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. For more information, contact your agent or your local Health First Health Plans office.

Last updated: 10/15/2018