PLANSDOCUMENTSDRUG COSTS
IdealCare Bronze High Deductible
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Expanded Bronze
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Gold
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Platinum
Off ExchangeEnglish • SpanishLookup Cost
IdealCare Silver
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
73% AVEnglish • SpanishLookup Cost
87% AV English • SpanishLookup Cost
94% AV English • SpanishLookup Cost
IdealCare Silver Direct
Off ExchangeEnglish • SpanishLookup Cost
PLANSDOCUMENTS
IdealCare Bronze, Silver and Gold PlansEnglish
IdealCare Platinum PlanEnglish
PLANSDOCUMENTS
IdealCare Bronze High Deductible
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Expanded Bronze
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Gold
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Platinum
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver Direct
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver 73% AV
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver 87% AV
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver 94% AV
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish

Member HandbookEnglish • Spanish
Quick Reference GuideEnglish • Spanish

2021 Rate Increase Justification for Affordable Care Act (ACA) products

Considerations for 2021 rate increases for Sendero Health Plans individual products include:

  • Anticipated medical trend in utilization costs and service costs
  • Anticipated fluctuations in average morbidity age
  • 2021 taxes and fees applicable for benefit year 2021 under the ACA
  • Anticipated payments and charges under the Federal Risk Adjustment Program
  • Absence of federal funding for the cost-sharing reductions, applicable to Individual Silver metal level plans
  • Shifts in cost-sharing levels
  • Redistribution of members to 2021 plans from 2020 plans that are being terminated in 2021
  • Anticipated utilization, cost of services, and changes in delivery system characteristics for provider networks

A subscriber’s actual rate increase may vary depending on their benefit plan.

PLANSDOCUMENTSDRUG COSTS
IdealCare Bronze High Deductible
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Bronze HSA
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Expanded Bronze
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Gold
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Platinum
Off ExchangeEnglish • SpanishLookup Cost
IdealCare Silver
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
73% AVEnglish • SpanishLookup Cost
87% AV English • SpanishLookup Cost
94% AV English • SpanishLookup Cost
IdealCare Silver Direct
Off ExchangeEnglish • SpanishLookup Cost
SelectCare Bronze High Deductible
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
SelectCare Expanded Bronze HSA
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
SelectCare Expanded Bronze Simple
Off ExchangeEnglish • SpanishLookup Cost
On ExchangeEnglish • SpanishLookup Cost
AI/AN Zero Cost SharingEnglish • SpanishLookup Cost
AI/AN Limited Cost SharingEnglish • SpanishLookup Cost
PLANSDOCUMENTS
IdealCare Gold, Complete, Essential, Silver Direct, Bronze High Deductible, HSA and SelectCareEnglish • Spanish
PlatinumEnglish • Spanish
PLANSDOCUMENTS
IdealCare Bronze High Deductible
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Bronze HSA
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Expanded Bronze
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Gold
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Platinum
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver Direct
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver 73% AV
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver 87% AV
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
IdealCare Silver 94% AV
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
SelectCare Bronze High Deductible
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
SelectCare Expanded Bronze HSA
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish
SelectCare Expanded Bronze Simple
Medical-Surgical & Behavior Health/Substance Abuse DisorderEnglish • Spanish
Pharmacy BenefitsEnglish • Spanish

Member HandbookEnglish • Spanish
Quick Reference GuideEnglish • Spanish

PLANSDOCUMENTSDRUG COSTS
IdealCare Essential (Bronze)
Standard Off ExchangeEnglish • SpanishLookup Cost
Standard On ExchangeEnglish • SpanishLookup Cost
Zero Cost SharingEnglish • SpanishLookup Cost
Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare HSA (Bronze)
Standard Off ExchangeEnglish • SpanishLookup Cost
Standard On ExchangeEnglish • SpanishLookup Cost
Zero Cost SharingEnglish • SpanishLookup Cost
Limited Cost SharingEnglish • SpanishLookup Cost
Bronze High Deductible
Standard Off ExchangeEnglish • SpanishLookup Cost
Standard On ExchangeEnglish • SpanishLookup Cost
Zero Cost SharingEnglish • SpanishLookup Cost
Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Complete (Silver)
Standard Off ExchangeEnglish • SpanishLookup Cost
Standard On ExchangeEnglish • SpanishLookup Cost
Complete 73% AVEnglish • SpanishLookup Cost
Complete 87% AVEnglish • SpanishLookup Cost
Complete 94% AVEnglish • SpanishLookup Cost
Zero Cost SharingEnglish • SpanishLookup Cost
Limited Cost SharingEnglish • SpanishLookup Cost
IdealCare Silver Direct
Standard Off ExchangeEnglish • SpanishLookup Cost
IdealCare Gold
Standard Off ExchangeEnglish • SpanishLookup Drug Cost
Standard On ExchangeEnglish • SpanishLookup Drug Cost
Zero Cost SharingEnglish • SpanishLookup Drug Cost
Limited Cost SharingEnglish • SpanishLookup Drug Cost
IdealCare Platinum
Standard Off ExchangeEnglish • SpanishLookup Drug Cost
PLANSDOCUMENTS
Gold, Complete, Essential, Silver Direct, Bronze High Deductible and HSAEnglish
PlatinumEnglish
PLANSDOCUMENTS
IdealCare Essential (Bronze)
SOC Medical Surgical & Behavior Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
IdealCare HSA (Bronze)
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
Bronze High Deductible
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
IdealCare Complete (Silver)
Complete Standard SOC Medical Surgical & Behavior Health ServicesEnglish
Complete Standard SOC Pharmacy BenefitsEnglish
Complete Silver 73 AV SOC Medical Surgical & Behavior Health ServicesEnglish
Complete Silver 73 AV SOC Pharmacy BenefitsEnglish
Complete Silver 87 AV SOC Medical Surgical & Behavior Health ServicesEnglish
Complete Silver 87 AV SOC Pharmacy BenefitsEnglish
Complete Silver 94 AV SOC Medical Surgical & Behavior Health ServicesEnglish
Complete Silver 94 AV SOC Pharmacy BenefitsEnglish
IdealCare Silver Direct
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
IdealCare Gold
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
IdealCare Platinum
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish

Member HandbookEnglish • Spanish
Quick Reference GuideEnglish • Spanish

PLANSDOCUMENTS
Bronze (IdealCare Essential)
Standard Off ExchangeEnglish • Spanish
Standard On ExchangeEnglish • Spanish
Zero Cost SharingEnglish • Spanish
Limited Cost SharingEnglish • Spanish
Bronze HSA (IdealCare Essential HSA)
Standard Off ExchangeEnglish • Spanish
Standard On ExchangeEnglish • Spanish
Zero Cost SharingEnglish • Spanish
Limited Cost SharingEnglish • Spanish
Silver (IdealCare Complete)
Standard Off Exchange 1English • Spanish
Standard Off Exchange 2English • Spanish
Standard On ExchangeEnglish • Spanish
Complete 73% AVEnglish • Spanish
Complete 87% AVEnglish • Spanish
Complete 94% AVEnglish • Spanish
Zero Cost SharingEnglish • Spanish
Limited Cost SharingEnglish • Spanish
Gold (IdealCare Total)
Standard Off ExchangeEnglish • Spanish
Standard On ExchangeEnglish • Spanish
Zero Cost SharingEnglish • Spanish
Limited Cost SharingEnglish • Spanish
Platinum (IdealCare Premier)
Standard Off ExchangeEnglish • Spanish
PLANSDOCUMENTS
Bronze, Silver and Gold (IdealCare Essential, Complete and Total)English
Platinum (IdealCare Premier)English
PLANSDOCUMENTS
Bronze (IdealCare Essential)
SOC Medical Surgical & Behavior Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
Silver (IdealCare Complete)
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
Gold (IdealCare Total)
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish
Platinum (IdealCare Premier)
SOC Medical Surgical & Behavioral Health ServicesEnglish
SOC Pharmacy BenefitsEnglish

Member HandbookEnglish • Spanish
Quick Reference GuideEnglish • Spanish