Below is a list of actual policy documents for QHP small group coverage. These policies describe how the plans generally work and include eligible expenses, claim filing and appeals procedures, and coverage limitations and exceptions, among other things.
If you have questions, contact a customer service representative at 1-800-538-8833 for more information.
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Platinum Plans
Blue PPO Platinum Plans
Off Exchange
Blue Precision Platinum Plans
Off Exchange
Blue Precision Platinum HMO 107
BlueCare Direct Platinum Plans
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BlueCare Direct Platinum 107 with Advocate
Gold Plans
Blue PPO Gold Plans
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Blue PPO Gold 114
Blue PPO Gold 107
Blue PPO Gold 116
Blue PPO Gold 123
Blue PPO Gold 102
Blue PPO Gold 113
Blue PPO Gold 115
Blue PPO Gold 101
Blue Precision Gold HMO Plans
Off Exchange
Blue Precision Gold HMO 101
Blue Precision Gold HMO 109
Blue Options Gold Plans
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Blue Options Gold 102
Blue Options Gold 106
Blue Options Gold 101
BlueCare Direct Gold Plans
Off Exchange
BlueCare Direct Gold 101 with Advocate
BlueCare Direct Gold 109 with Advocate
BlueChoice Preferred Gold PPO Plans
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Blue Choice Preferred Gold PPO 101
Blue Choice Preferred Gold PPO 102
Blue Choice Preferred Gold PPO 107
Blue Choice Preferred Gold PPO 113
Blue Choice Preferred Gold PPO 115
Silver Plans
Blue PPO Silver Plans
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Blue PPO Silver 120
Blue PPO Silver 104
Blue PPO Standard Silver 135
Blue PPO Silver 133
Blue PPO Silver 105
Blue Precision Silver HMO Plans
Off Exchange
Blue Precision Silver HMO 106
Blue Precision Silver HMO 102
BlueCare Direct Silver Plans
Off Exchange
BlueCare Direct Silver 106 with Advocate
BlueCare Direct Silver 102 with Advocate
BlueChoice Preferred Silver PPO Plans
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Blue Choice Preferred Silver PPO 120
Blue Choice Preferred Silver PPO 104
Blue Choice Preferred Silver PPO 133
Blue Choice Preferred Silver PPO 105
Blue Choice Preferred Standard Silver PPO 135
Blue Options Silver PPO Plans
Off Exchange
Blue Options Silver PPO 104
Blue Options Silver PPO 107
Bronze Plans
Blue PPO Bronze Plans
Off Exchange
Blue PPO Bronze 132
Blue PPO Bronze 106
BlueChoice Preferred Bronze PPO Plans
Off Exchange
Blue Choice Preferred Bronze PPO 106
Blue Choice Preferred Bronze PPO 132