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 1-866-520-2507 for more information.
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Platinum Plans
Blue Preferred Platinum PPO Plans
Off Exchange
Blue Preferred Platinum PPO 401
Blue Advantage Platinum PPO Plans
Off Exchange
Blue Advantage Platinum PPO 101
Gold Plans
Blue Choice Gold PPO Plans
Off Exchange
Blue Choice Gold PPO 201
Blue Choice Gold PPO 202
Blue Choice Gold PPO 203
Blue Preferred Gold PPO Plans
Off Exchange
Blue Preferred Gold PPO 402
Blue Preferred Gold PPO 403
Blue Preferred Gold PPO 410
Blue Preferred Gold PPO 412
Blue Advantage Gold PPO Plans
Off Exchange
Blue Advantage Gold PPO 102
Blue Advantage Gold PPO 103
Blue Advantage Gold PPO 108
Blue Advantage Gold PPO 109
Blue Advantage Gold PPO 110
Blue Advantage Gold PPO 112
Blue Options Gold PPO
Off Exchange
Blue Options Gold PPO 301
Blue Options Gold PPO 302
Blue Options Gold PPO 303
Blue Options Gold PPO 308
Silver Plans
Blue Choice Silver PPO Plans
Off Exchange
Blue Choice Silver PPO 204
Blue Choice Silver PPO 205
Blue Choice Silver PPO 206
Blue Preferred Silver PPO Plans
Off Exchange
Blue Preferred Silver PPO 404
Blue Preferred Silver PPO 405
Blue Preferred Silver PPO 406
Blue Preferred Silver PPO 408
Blue Preferred Silver PPO 414
Blue Preferred Standard Silver PPO 408
Blue Advantage Silver PPO Plans
Off Exchange
Blue Advantage Silver PPO 104
Blue Advantage Silver PPO 105
Blue Advantage Silver PPO 107
Blue Advantage Silver PPO 115
Blue Options Silver PPO
Off Exchange
Bronze Plans
Blue Choice Bronze PPO Plans
Off Exchange
Blue Preferred Bronze PPO Plans
Off Exchange
Blue Preferred Bronze PPO 407
Blue Preferred Bronze PPO 413
Blue Advantage Bronze PPO Plans
Off Exchange
Blue Advantage Bronze PPO 106
Blue Advantage Bronze PPO 113
Blue Advantage Bronze PPO 114