Summaries of Benefits for Individual plans — 2023

Bronze

• IHC Bronze EPO HSA AmeriHealth Advantage $25/$50
• IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75
• IHC Bronze EPO HSA Local Value 50%/50%
• IHC Bronze EPO Local Value $50/$75

Silver

• IHC Select Silver EPO AmeriHealth Advantage $25/$60
• IHC Select Silver EPO HSA AmeriHealth Hospital Advantage $50/$75
• IHC Silver EPO AmeriHealth Advantage $45/40%
• IHC Silver EPO AmeriHealth Advantage $25/$60
• IHC Silver EPO HSA AmeriHealth Hospital Advantage $50/$75
• IHC Silver EPO AmeriHealth Hospital Advantage $50/$75
• IHC Silver EPO HSA Local Value $50/$75
• IHC Silver EPO Regional Preferred $50/$75

Gold

• IHC Gold EPO Regional Preferred $30/$50

Catastrophic

• IHC Local Value Simple Saver