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2022 Individual & Family Plan Downloads

Horizon Advantage EPO Silver

PDF  Summary of Benefits and Coverage  |  PDF  en Español

Horizon Advantage EPO Bronze

PDF  Summary of Benefits and Coverage  |  PDF  en Español

OMNIA Bronze

PDF  Summary of Benefits and Coverage  |  PDF  en Español

OMNIA Silver

PDF  Summary of Benefits and Coverage  |  PDF  en Español

OMNIA Silver Value

PDF  Summary of Benefits and Coverage  |  PDF  en Español

OMNIA Silver HSA

PDF  Summary of Benefits and Coverage  |  PDF  en Español

HMO Gold

PDF  Summary of Benefits and Coverage  |  PDF  en Español

OMNIA Gold

PDF  Summary of Benefits and Coverage  |  PDF  en Español

Horizon Advantage EPO Essentials

PDF  Summary of Benefits and Coverage  |  PDF  en Español

Horizon Value Access Silver

PDF  Summary of Benefits and Coverage  |  PDF  en Español

Horizon Value Access Bronze

PDF  Summary of Benefits and Coverage  |  PDF  en Español

 


*The SBC displayed here is for the standard plan.  If you qualify for a subsidy (i.e., cost sharing reduction), you may have different cost-sharing than the one shown here.  Please go to the Exchange website at healthcare.gov to access the SBC specific to the plan you are eligible for.

**If you are enrolled in a plan that has Cost Sharing Reductions, please refer to the Summary of Benefits you received via email or in the mail. If you don’t have your summary of benefits, please contact our Customer Service department at