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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)

2024 PY Health Advantage Individual Exchange On Exchange

Plan NameHIOS Product ID
Silver AH13262AR0230002
Gold Standardized13262AR0230004
Silver Standardized13262AR0230005
Bronze Suitcase13262AR0230006
Bronze Exp Standardized13262AR0230007

2025 PY Health Advantage Individual Exchange On Exchange

Plan NameHIOS Product IDTerminated Plans for 2025 PY
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.