2019 Oklahoma QHP Small Group Actual Policy Documents

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

Blue Options Silver PPO 304

Bronze Plans

Blue Choice Bronze PPO Plans
Off Exchange

Blue Choice Bronze PPO 207

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

Blue Options Bronze PPO
Off Exchange

Blue Options Bronze PPO 306
Blue Options Bronze PPO 307