Small Group Plans (2018)

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 5417
Health First Bronze HMO 50 5523
Health First Bronze HMO 50 5537
Health First Bronze HMO 90 HSA 5413
Health First Gold HMO 50 5485
Health First Gold HMO 80 5466
Health First Gold HMO 80 5470
Health First Gold HMO 80 5472
Health First Gold HMO 80 5476
Health First Gold HMO 90 HSA 5497
Health First Platinum HMO 100 5513
Health First Platinum HMO 80 5517
Health First Silver HMO 100 HSA 5541
Health First Silver HMO 50 5421
Health First Silver HMO 50 5430
Health First Silver HMO 50 5437
Health First Silver HMO 50 5531
Health First Silver HMO 70 5521
Health First Silver HMO 80 5433
Health First Silver HMO 80 HSA 5539
Health First Silver HMO 90 HSA 5443
Health First Silver HMO 90 HSA 5446

POS

Health First Bronze POS 100 HSA 5418
Health First Bronze POS 50 5410
Health First Gold Access POS 50 5543
Health First Gold Access POS 50 5545
Health First Gold Access POS 80 5546
Health First Gold POS 70 5463
Health First Gold POS 80 5467
Health First Gold POS 80 5477
Health First Gold POS 90 HSA 5495
Health First Platinum POS 100 5514
Health First Platinum POS 80 5518
Health First Silver Access POS 50 5544
Health First Silver Access POS 90 HSA 5547
Health First Silver POS 100 HSA 5440
Health First Silver POS 50 5427
Health First Silver POS 80 5434
Health First Silver POS 90 HSA 5447

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.

Y0089_MP6562 PENDING
Last updated: 9/21/2017