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)
2026 Health Advantage Individual On and Off Exchange
| Plan Name | HIOS Product ID |
|---|---|
| Silver AH | 13262AR0230002 |
| Gold Standardized | 13262AR0230004 |
| Silver Standardized | 13262AR0230005 |
| Bronze National | 13262AR0230006 |
| Bronze Exp Standardized | 13262AR0230007 |
| Silver Premier National | 13262AR0230008 |
| Gold Premier National | 13262AR0230009 |
| Platinum Premier National | 13262AR0230010 |
| Platinum Standardized | 13262AR0230011 |
2026 PY Health Advantage Individual Off Exchange Only
| Plan Name | HIOS Product ID |
|---|---|
| Silver Elite National | 13262AR0230012 |
2027 Health Advantage Individual On and Off Exchange
| Plan Name | HIOS Product ID |
|---|---|
| Silver AH | 13262AR0230002 |
| Gold* | 13262AR0230004 |
| Silver* | 13262AR0230005 |
| Bronze National | 13262AR0230006 |
| Bronze Exp* | 13262AR0230007 |
| Gold Premier National | 13262AR0230009 |
| Platinum Premier National | 13262AR0230010 |
| Platinum* | 13262AR0230011 |
| Catastrophic HSA** | 13262AR0230013 |
*The following plan names were changed: Silver Standardized changed to Silver, Gold Standardized changed to Gold, Platinum Standardized changed to Platinum, and Bronze Exp Standardized changed to Bronze Exp.
**Catastrophic HSA will be a new plan beginning 2027PY on the exchange.
2027 PY Health Advantage Individual Off Exchange Only
| Plan Name | HIOS Product ID |
|---|---|
| Silver Elite National | 13262AR0230012 |
| Bronze Enhanced* | 13262AR0230014 |
*Bronze Enhanced is a new plan beginning 2027PY not on the exchange.