Ascension_Personalized_Care_ACA_health_plans_2023_SBCs

2023 Summary of Benefits and Coverage

Find specific plan SBCs for Indiana, Kansas, Michigan, Tennessee and Texas
  • Indiana

    Bronze 

    Balanced Bronze 1 Limited Cost - IN

    Balanced Bronze 1 On Exchange - IN

    Balanced Bronze 1 Off Exchange - IN

    Balanced Bronze 1 Zero Cost  - IN

    Balanced Bronze 2 Limited Cost - IN

    Balanced Bronze 2 On Exchange - IN

    Balanced Bronze 2 Off Exchange - IN

    Balanced Bronze 2 Zero Cost - IN

    No Deductible Bronze Limited Cost - IN

    No Deductible Bronze On Exchange - IN

    No Deductible Bronze Off Exchange - IN

    No Deductible Bronze Zero Cost - IN

    Standard Expanded Bronze Limited Cost - IN

    Standard Expanded Bronze On Exchange - IN

    Standard Expanded Bronze Off Exchange  - IN

    Standard Expanded Bronze Zero Cost  - IN

     

    Silver 

    Balanced Silver Limited Cost - IN

    Balanced Silver On Exchange - IN

    Balanced Silver Off Exchange - IN

    Balanced Silver Zero Cost - IN

    Balanced Silver 73 - IN

    Balanced Silver 87 - IN

    Balanced Silver 94 - IN

    Low Premium Silver Limited Cost - IN

    Low Premium Silver On Exchange - IN

    Low Premium Silver Off Exchange - IN

    Low Premium Silver Zero Cost - IN

    Low Premium Silver 73 - IN

    Low Premium Silver 87 - IN

    Low Premium Silver 94 - IN

    No Deductible Silver Limited Cost - IN

    No Deductible Silver On Exchange - IN

    No Deductible Silver Off Exchange - IN

    No Deductible Silver Zero Cost - IN

    No Deductible Silver 73 - IN

    No Deductible Silver 87 - IN

    No Deductible Silver 94 - IN

    Standard Silver Limited Cost - IN

    Standard Silver On Exchange - IN

    Standard Silver Off Exchange - IN

    Standard Silver Zero Cost - IN

    Standard Silver 73 - IN

    Standard Silver 87 - IN

    Standard Silver 94 - IN

     

    Gold

    Standard Gold Limited Cost - IN

    Standard Gold On Exchange - IN

    Standard Gold Off Exchange - IN

    Standard Gold Zero Cost - IN

  • Kansas

    Bronze 

    Balanced Bronze 1 Limited Cost - KS

    Balanced Bronze 1 On Exchange - KS

    Balanced Bronze 1 Off Exchange - KS

    Balanced Bronze 1 Zero Cost - KS

    Balanced Bronze 2 Limited Cost - KS

    Balanced Bronze 2 On Exchange - KS

    Balanced Bronze 2 Off Exchange - KS

    Balanced Bronze 2 Zero Cost - KS

    No Deductible Bronze Limited Cost - KS

    No Deductible Bronze On Exchange - KS

    No Deductible Bronze Off Exchange - KS

    No Deductible Bronze Zero Cost - KS

    Standard Expanded Bronze Limited Cost - KS

    Standard Expanded Bronze On Exchange - KS

    Standard Expanded Bronze Off Exchange - KS

    Standard Expanded Bronze Zero Cost - KS

     

    Silver 

    Balanced Silver Limited Cost - KS

    Balanced Silver On Exchange - KS

    Balanced Silver Off Exchange - KS

    Balanced Silver Zero Cost - KS

    Balanced Silver 73 - KS

    Balanced Silver 87 - KS

    Balanced Silver 94 - KS

    Low Premium Silver Limited Cost - KS

    Low Premium Silver On Exchange - KS

    Low Premium Silver Off Exchange - KS

    Low Premium Silver Zero Cost - KS

    Low Premium Silver 73 - KS

    Low Premium Silver 87 - KS

    Low Premium Silver 94 - KS

    No Deductible Silver Limited Cost - KS

    No Deductible Silver On Exchange - KS

    No Deductible Silver Off Exchange - KS

    No Deductible Silver Zero Cost - KS

    No Deductible Silver 73 - KS

    No Deductible Silver 87 - KS

    No Deductible Silver 94 - KS

    Standard Silver Limited Cost - KS

    Standard Silver On Exchange - KS

    Standard Silver Off Exchange - KS

    Standard Silver Zero Cost - KS

    Standard Silver 73 - KS

    Standard Silver 87 - KS

    Standard Silver 94 - KS

     

    Gold

    Standard Gold Limited Cost - KS

    Standard Gold On Exchange - KS

    Standard Gold Off Exchange - KS

    Standard Gold Zero Cost - KS

  • Michigan

    Bronze 

    Balanced Bronze 1 Limited Cost - MI

    Balanced Bronze 1 On Exchange - MI

    Balanced Bronze 1 Off Exchange - MI

    Balanced Bronze 1 Zero Cost - MI

    Balanced Bronze 2 Limited Cost - MI

    Balanced Bronze 2 On Exchange - MI

    Balanced Bronze 2 Off Exchange - MI

    Balanced Bronze 2 Zero Cost - MI

    No Deductible Bronze Limited Cost - MI

    No Deductible Bronze On Exchange - MI

    No Deductible Bronze Off Exchange - MI

    No Deductible Bronze Zero Cost - MI

    Standard Expanded Bronze Limited Cost - MI

    Standard Expanded Bronze On Exchange - MI

    Standard Expanded Bronze Off Exchange - MI

    Standard Expanded Bronze Zero Cost - MI

     

    Silver 

    Balanced Silver Limited Cost - MI

    Balanced Silver On Exchange - MI

    Balanced Silver Off Exchange - MI

    Balanced Silver Zero Cost - MI

    Balanced Silver 73 - MI

    Balanced Silver 87 - MI

    Balanced Silver 94 - MI

    Low Premium Silver Limited Cost - MI

    Low Premium Silver On Exchange - MI

    Low Premium Silver Off Exchange - MI

    Low Premium Silver Zero Cost - MI

    Low Premium Silver 73 - MI

    Low Premium Silver 87 - MI

    Low Premium Silver 94 - MI

    No Deductible Silver Limited Cost - MI

    No Deductible Silver On Exchange - MI

    No Deductible Silver Off Exchange - MI

    No Deductible Silver Zero Cost - MI

    No Deductible Silver 73 - MI

    No Deductible Silver 87 - MI

    No Deductible Silver 94 - MI

    Standard Silver Limited Cost - MI

    Standard Silver On Exchange - MI

    Standard Silver Off Exchange - MI

    Standard Silver Zero Cost - MI

    Standard Silver 73 - MI

    Standard Silver 87 - MI

    Standard Silver 94 - MI

     

    Gold

    Standard Gold Limited Cost - MI

    Standard Gold On Exchange - MI

    Standard Gold Off Exchange - MI

    Standard Gold Zero Cost - MI

  • Tennessee

    Bronze 

    Balanced Bronze 1 Limited Cost - TN

    Balanced Bronze 1 On Exchange - TN

    Balanced Bronze 1 Off Exchange - TN

    Balanced Bronze 1 Zero Cost - TN

    Balanced Bronze 2 Limited Cost - TN

    Balanced Bronze 2 On Exchange - TN

    Balanced Bronze 2 Off Exchange - TN

    Balanced Bronze 2 Zero Cost - TN

    No Deductible Bronze Limited Cost - TN

    No Deductible Bronze On Exchange - TN

    No Deductible Bronze Off Exchange - TN

    No Deductible Bronze Zero Cost - TN

    Standard Expanded Bronze Limited Cost - TN

    Standard Expanded Bronze On Exchange - TN

    Standard Expanded Bronze Off Exchange - TN

    Standard Expanded Bronze Zero Cost - TN

     

    Silver 

    Balanced Silver Limited Cost - TN

    Balanced Silver On Exchange - TN

    Balanced Silver Off Exchange - TN

    Balanced Silver Zero Cost - TN

    Balanced Silver 73 - TN

    Balanced Silver 87 - TN

    Balanced Silver 94 - TN

    Low Premium Silver Limited Cost - TN

    Low Premium Silver On Exchange - TN

    Low Premium Silver Off Exchange - TN

    Low Premium Silver Zero Cost - TN

    Low Premium Silver 73 - TN

    Low Premium Silver 87 - TN

    Low Premium Silver 94 - TN

    No Deductible Silver Limited Cost - TN

    No Deductible Silver On Exchange - TN

    No Deductible Silver Off Exchange - TN

    No Deductible Silver Zero Cost - TN

    No Deductible Silver 73 - TN

    No Deductible Silver 87 - TN

    No Deductible Silver 94 - TN

    Standard Silver Limited Cost - TN

    Standard Silver On Exchange - TN

    Standard Silver Off Exchange - TN

    Standard Silver Zero Cost - TN

    Standard Silver 73 - TN

    Standard Silver 87 - TN

    Standard Silver 94 - TN

     

    Gold

    Standard Gold Limited Cost - TN

    Standard Gold On Exchange - TN

    Standard Gold Off Exchange - TN

    Standard Gold Zero Cost - TN

  • Texas

    Bronze 

    Balanced Bronze 1 Limited Cost - TX

    Balanced Bronze 1 On Exchange - TX

    Balanced Bronze 1 Off Exchange - TX

    Balanced Bronze 1 Zero Cost - TX

    Balanced Bronze 2 Limited Cost - TX

    Balanced Bronze 2 On Exchange - TX

    Balanced Bronze 2 Off Exchange - TX

    Balanced Bronze 2 Zero Cost - TX

    No Deductible Bronze Limited Cost - TX

    No Deductible Bronze On Exchange - TX

    No Deductible Bronze Off Exchange - TX

    No Deductible Bronze Zero Cost - TX

    Standard Expanded Bronze Limited Cost - TX

    Standard Expanded Bronze On Exchange - TX

    Standard Expanded Bronze Off Exchange - TX

    Standard Expanded Bronze Zero Cost - TX

     

    Silver 

    Balanced Silver Limited Cost - TX

    Balanced Silver On Exchange - TX

    Balanced Silver Off Exchange - TX

    Balanced Silver Zero Cost - TX

    Balanced Silver 73 - TX

    Balanced Silver 87 - TX

    Balanced Silver 94 - TX

    Low Premium Silver Limited Cost - TX

    Low Premium Silver On Exchange - TX

    Low Premium Silver Off Exchange - TX

    Low Premium Silver Zero Cost - TX

    Low Premium Silver 73 - TX

    Low Premium Silver 87 - TX

    Low Premium Silver 94 - TX

    No Deductible Silver Limited Cost - TX

    No Deductible Silver On Exchange - TX

    No Deductible Silver Off Exchange - TX

    No Deductible Silver Zero Cost - TX

    No Deductible Silver 73 - TX

    No Deductible Silver 87 - TX

    No Deductible Silver 94 - TX

    Standard Silver Limited Cost - TX

    Standard Silver On Exchange - TX

    Standard Silver Off Exchange - TX

    Standard Silver Zero Cost - TX

    Standard Silver 73 - TX

    Standard Silver 87 - TX

    Standard Silver 94 - TX

     

    Gold

    Standard Gold Limited Cost - TX

    Standard Gold On Exchange - TX

    Standard Gold Off Exchange - TX

    Standard Gold Zero Cost - TX