Summary of Benefits
2024 Plan Year
*2025 Plan Year Summary of Benefits Pending Anthem Release
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. For more information about your coverage, or to get a copy of the complete terms
of coverage, https://eoc.anthem.com/eocdps/aso. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. You can view the Glossary at www.healthcare.gov/sbc-glossary/ or call (833) 630-6742 to request a copy.
HMO 90/10 and PPO Plans reflect 2024 plan year and are Grandfather Plan not eligible for 2025 enrollment.