2023 Plans and Benefits Documents

PLANSDOCUMENTS
IdealCare Silver
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
73% AVEnglish
87% AV English
94% AV English
IdealCare Gold
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
IdealCare Bronze
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
IdealCare Silver Direct
Off ExchangeEnglish
IdealCare Platinum
Off ExchangeEnglish
IdealCare Bronze High Deductible
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
IdealCare Expanded Bronze
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
IdealCare Silver – Standardized Plans
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
73% AVEnglish
87% AVEnglish
94% AVEnglish
IdealCare Gold – Standardized Plans
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
IdealCare Bronze – Standardized Plans
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
IdealCare Expanded Bronze – Standardized Plans
Off ExchangeEnglish
On ExchangeEnglish
AI/AN Zero Cost SharingEnglish
AI/AN Limited Cost SharingEnglish
PLANSDOCUMENTS
IdealCare Bronze, Silver and Gold PlansEnglish
IdealCare Platinum PlanEnglish
PLANSMedical-Surgical and Behavioral Health
Substance Abuse Disorder
Schedule of Coverage
Pharmacy Benefits
Schedule of Coverage
IdealCare Silver
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
73% AVEnglishEnglish
87% AVEnglishEnglish
94% AVEnglishEnglish
IdealCare Gold
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
IdealCare Bronze
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
IdealCare Silver Direct
Off ExchangeEnglishEnglish
IdealCare Platinum
Off ExchangeEnglishEnglish
IdealCare Bronze High Deductible
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
IdealCare Expanded Bronze
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
IdealCare Silver – Standardized Plans
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
73% AVEnglishEnglish
87% AVEnglishEnglish
94% AVEnglishEnglish
IdealCare Gold – Standardized Plans
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
IdealCare Bronze – Standardized Plans
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
IdealCare Expanded Bronze – Standardized Plans
Off ExchangeEnglishEnglish
On ExchangeEnglishEnglish
AI/AN Zero Cost SharingEnglishEnglish
AI/AN Limited Cost SharingEnglishEnglish
Member HandbookEnglish
Quick Reference GuideEnglish
FormularyEnglish
Plan BrochureEnglish