2015 Summary of Benefits & Coverage and Outlines of Coverage

To help you make an informed decision about your health care coverage, a Summary of Benefits & Coverage (SBC) and Outline of Coverage document is available for each of our plans. The SBC and Outline of Coverage describe key features such as:

  • Covered benefits
  • Cost-sharing provisions
  • Coverage limitations
  • Exceptions

We offer four categories, or levels, of plans: bronze, silver, gold and platinum (off exchange only). Each level offers the same set of essential health benefits, quality and amount of care. The differences are how much your premium costs each month, what portion of the bill you pay for things like hospital visits or prescription medications, and how much your total out-of-pocket costs are.

Information in these documents represents an overview of coverage. It is not a complete list of what is covered or excluded. Information is subject to change. The full terms of coverage are located in the insurance policy.

2015 Montana Plan Brochure PDF Document

2014 Small Group Plans

Blue Preferred Plans

Platinum Plans

Gold Plans

Silver Plans

Bronze Plans

* Individual Deductible / Individual Out-of-Pocket Limit

** Individual Out of Pocket Amount: In-Network / Out-of-Network