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Claims payment policies & other information

The transparency in coverage section of this website is intended to provide general information concerning our plans to aid in the understanding of common health insurance concepts; but in all cases, the specific language of a member’s policy and related documents will always control over the more general descriptions outlined here.

Impacted Insurer and Plans

Insurer Name (HIOS Issuer#)

Health Advantage (13262)

2023 CMS QHP Certification Transparency in Coverage

Individual exchange local on exchange plans

Plan NameHIOS Product ID
HA Silver Plan AH113262AR0230002
HA Gold Plan 213262AR0230003
HA Gold Plan Standardized13262AR0230004
HA Silver Plan Standardized13262AR0230005

2024 PY Health Advantage Individual Exchange On Exchange

Plan NameHIOS Product ID
Silver AH13262AR0230002
Gold Standardized13262AR0230004
Silver Standardized13262AR0230005
Bronze Suitcase13262AR0230006
Bronze Exp Standardized13262AR0230007