2025 Marketplace Health Insurance Plans

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*RX Coverage: Generic/Preferred Brand/Non-Preferred Brand Copay.

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SBC Policy Plan Number Network Maternity In-Network
Deductible Amount
Primary Care
Practitioner/Specialist
Copay
Teladoc Coinsurance
Percent
Out-of-Pocket
Maximum
RX Coverage*
View View Bronze B07E E Yes $5,950 Individual/  $11,900 Family ded/coins ded/coins 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B07E-AI2 E Yes $5,950 Individual/  $11,900 Family ded/coins ded/coins 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07S S Yes $5,950 Individual/  $11,900 Family ded/coins ded/coins 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B07S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B07S-AI2 S Yes $5,950 Individual/  $11,900 Family ded/coins ded/coins 50% $7,100 Individual/  $14,200 Family ded/coins
View View Bronze B15E E Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Bronze B15E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B15E-AI2 E Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Bronze B15S S Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Bronze B15S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B15S-AI2 S Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Bronze B16E E Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,200 Individual/  $18,400 Family 25/ [50/100 sub to ded]
View View Bronze B16E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B16E-AI2 E Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,200 Individual/  $18,400 Family 25/ [50/100 sub to ded]
View View Bronze B16S S Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,200 Individual/  $18,400 Family 25/ [50/100 sub to ded]
View View Bronze B16S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B16S-AI2 S Yes $7,500 Individual/  $15,000 Family PCP: $50 Spec: $100 $0 50% $9,200 Individual/  $18,400 Family 25/ [50/100 sub to ded]
View View Bronze B17E E Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Bronze B17E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B17E-AI2 E Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Bronze B17S S Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Bronze B17S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Bronze B17S-AI2 S Yes $9,200 Individual/  $18,400 Family ded/coins $0 0% $9,200 Individual/  $18,400 Family ded/coins
View View Gold G06E E Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G06E-AI2 E Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06S S Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G06S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G06S-AI2 S Yes $3,000 Individual/  $6,000 Family PCP: $35 Spec: $50 $0 20% $6,600 Individual/  $13,200 Family $8/$35/$60
View View Gold G08E E Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $7,800 Individual/  $15,600 Family $15/$30/$60
View View Gold G08E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G08E-AI2 E Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $7,800 Individual/  $15,600 Family $15/$30/$60
View View Gold G08S S Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $7,800 Individual/  $15,600 Family $15/$30/$60
View View Gold G08S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Gold G08S-AI2 S Yes $1,500 Individual/  $3,000 Family PCP: $30 Copay Spec: $60 Copay $0 25% $7,800 Individual/  $15,600 Family $15/$30/$60
View View Silver S25E E Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $8,900 Individual/  $17,800 Family $4500 ded/coins
View View Silver S25E-A E Yes $0 Individual/  $0 Family PCP: $20 Copay Spec: $80 Copay $0 50% $7,350 Individual/  $14,700 Family $4000 ded/coins
View View Silver S25E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S25E-AI2 E Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $8,900 Individual/  $17,800 Family $4500 ded/coins
View View Silver S25E-B E Yes $0 Individual/  $0 Family PCP: $10 Copay Spec: $50 Copay $0 50% $2,350 Individual/  $4,700 Family $600 ded/coins
View View Silver S25E-C E Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $25 Copay $0 50% $750 Individual/  $1,500 Family $300 ded/coins
View View Silver S25S S Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $8,900 Individual/  $17,800 Family $4500 ded/coins
View View Silver S25S-A S Yes $0 Individual/  $0 Family PCP: $20 Copay Spec: $80 Copay $0 50% $7,350 Individual/  $14,700 Family $4000 ded/coins
View View Silver S25S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S25S-AI2 S Yes $0 Individual/  $0 Family PCP: $55 Copay Spec: $100 Copay $0 50% $8,900 Individual/  $17,800 Family $4500 ded/coins
View View Silver S25S-B S Yes $0 Individual/  $0 Family PCP: $10 Copay Spec: $50 Copay $0 50% $2,350 Individual/  $4,700 Family $600 ded/coins
View View Silver S25S-C S Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $25 Copay $0 50% $750 Individual/  $1,500 Family $300 ded/coins
View View Silver S26E E Yes $5,000 Individual/  $10,000 Family PCP: $40 Copay Spec: $80 Copay $0 40% $8,000 Individual/  $16,000 Family 20/40[80 sub to ded]
View View Silver S26E-A E Yes $3,000 Individual/  $6,000 Family PCP: $40 Copay Spec: $80 Copay $0 40% $6,400 Individual/  $12,800 Family 20/40[80 sub to ded]
View View Silver S26E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S26E-AI2 E Yes $5,000 Individual/  $10,000 Family PCP: $40 Copay Spec: $80 Copay $0 40% $8,000 Individual/  $16,000 Family 20/40[80 sub to ded]
View View Silver S26E-B E Yes $500 Individual/  $1,000 Family PCP: $20 Copay Spec: $40 Copay $0 30% $3,000 Individual/  $6,000 Family 10/20[60 sub to ded]
View View Silver S26E-C E Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $10 Copay $0 25% $2,000 Individual/  $4,000 Family $0/$15/$50
View View Silver S26S S Yes $5,000 Individual/  $10,000 Family PCP: $40 Copay Spec: $80 Copay $0 40% $8,000 Individual/  $16,000 Family 20/40[80 sub to ded]
View View Silver S26S-A S Yes $3,000 Individual/  $6,000 Family PCP: $40 Copay Spec: $80 Copay $0 40% $6,400 Individual/  $12,800 Family 20/40[80 sub to ded]
View View Silver S26S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S26S-AI2 S Yes $5,000 Individual/  $10,000 Family PCP: $40 Copay Spec: $80 Copay $0 40% $8,000 Individual/  $16,000 Family 20/40[80 sub to ded]
View View Silver S26S-B S Yes $500 Individual/  $1,000 Family PCP: $20 Copay Spec: $40 Copay $0 30% $3,000 Individual/  $6,000 Family 10/20[60 sub to ded]
View View Silver S26S-C S Yes $0 Individual/  $0 Family PCP: $0 Copay Spec: $10 Copay $0 25% $2,000 Individual/  $4,000 Family $0/$15/$50
View View Silver S27E E Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S27E-A E Yes $4,100 Individual/  $8,200 Family PCP: $60 Copay Spec: $120 Copay $0 50% $5,100 Individual/  $10,200 Family ded/coins
View View Silver S27E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S27E-AI2 E Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S27E-B E Yes $825 Individual/  $1,650 Family PCP: $60 Copay Spec: $120 Copay $0 50% $1,825 Individual/  $3,650 Family ded/coins
View View Silver S27E-C E Yes $250 Individual/  $500 Family PCP: $60 Copay Spec: $120 Copay $0 50% $700 Individual/  $1,400 Family ded/coins
View View Silver S27S S Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S27S-A S Yes $4,100 Individual/  $8,200 Family PCP: $60 Copay Spec: $120 Copay $0 50% $5,100 Individual/  $10,200 Family ded/coins
View View Silver S27S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S27S-AI2 S Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S27S-B S Yes $825 Individual/  $1,650 Family PCP: $60 Copay Spec: $120 Copay $0 50% $1,825 Individual/  $3,650 Family ded/coins
View View Silver S27S-C S Yes $250 Individual/  $500 Family PCP: $60 Copay Spec: $120 Copay $0 50% $700 Individual/  $1,400 Family ded/coins
View View Silver S29E E Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S29E-A E Yes $4,100 Individual/  $8,200 Family PCP: $60 Copay Spec: $120 Copay $0 50% $5,100 Individual/  $10,200 Family ded/coins
View View Silver S29E-AI1 E Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S29E-AI2 E Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S29E-B E Yes $825 Individual/  $1,650 Family PCP: $60 Copay Spec: $120 Copay $0 50% $1,825 Individual/  $3,650 Family ded/coins
View View Silver S29E-C E Yes $250 Individual/  $500 Family PCP: $60 Copay Spec: $120 Copay $0 50% $700 Individual/  $1,400 Family ded/coins
View View Silver S29S S Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S29S-A S Yes $4,100 Individual/  $8,200 Family PCP: $60 Copay Spec: $120 Copay $0 50% $5,100 Individual/  $10,200 Family ded/coins
View View Silver S29S-AI1 S Yes $0 Individual/  $0 Family $0 $0 0% $0 Individual/  $0 Family $0
View View Silver S29S-AI2 S Yes $5,300 Individual/  $10,600 Family PCP: $60 Copay Spec: $120 Copay $0 50% $6,300 Individual/  $12,600 Family ded/coins
View View Silver S29S-B S Yes $825 Individual/  $1,650 Family PCP: $60 Copay Spec: $120 Copay $0 50% $1,825 Individual/  $3,650 Family ded/coins
View View Silver S29S-C S Yes $250 Individual/  $500 Family PCP: $60 Copay Spec: $120 Copay $0 50% $700 Individual/  $1,400 Family ded/coins