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Members

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)

2025 PY Health Advantage Individual Exchange On Exchange

Plan NameHIOS Product IDTerminated Plans
Silver AH13262AR0230002 
Gold Standardized13262AR0230004 
Silver Standardized13262AR0230005 
Bronze Suitcase13262AR0230006 
Bronze Exp Standardized13262AR0230007 
*Silver Premier Suitcase13262AR0230008 

*The following HA plan is new for the 2025 plan year: 13262AR0230008.

2026 Health Advantage Individual On and Off Exchange

Plan NameHIOS Product ID
Silver AH13262AR0230002
Gold Standardized13262AR0230004
Silver Standardized13262AR0230005
Bronze National*13262AR0230006
Bronze Exp Standardized13262AR0230007
Silver Premier National*13262AR0230008
Gold Premier National13262AR0230009
Platinum Premier National13262AR0230010
Platinum Standardized13262AR0230011

2026 PY Health Advantage Individual Off Exchange Only

Plan NameHIOS Product ID
Silver Elite National13262AR0230012