SoloCare Summary of Benefits and Coverage Plans
Individual / Family

2019

 SoloCare Plans are available to residents of
Banks, Barrow,Dawson, Fannin, Floyd, Franklin, Gilmer, Gordon,
Habersham, Hall, Hart, Lumpkin, Murray, Pickens, Polk, Rabun,
Stephens, Towns, Union, White and Whitfield counties.

2019 PY Magellan Formulary List

2019 Magellan Formulary Look-Up Tool

ON & OFF Marketplace – 40000 Series, Copay and HDHP Plans

02 – 06 Levels are cost-sharing subsidy

Alliant Health Plans Network

 

Crosswalk Grid for 2019 SoloCare Plans

Platinum

solocare-platinum-768x768-1SoloCare Platinum PPO 40023
OFF Marketplace
ON Marketplace
010203

Gold 

solocare-goldSoloCare Gold PPO 40002
OFF Marketplace
ON Marketplace
010203

Silver

solocare-silverSoloCare Silver PPO 40007
OFF Marketplace

Bronze

solocare-bronzeSoloCare Bronze PPO 40021
OFF Marketplace
ON Marketplace
01 0203

solocare-platinum-768x768-1SoloCare Platinum Copay
40184
OFF Marketplace
ON Marketplace
01 02 –  03

solocare-goldSoloCare Gold Copay
40208
OFF Marketplace
ON Marketplace
01 0203

solocare-silverSoloCare Silver PPO 40017
OFF Marketplace
ON Marketplace
010203040506

solocare-silverSoloCare Silver Copay
40232
OFF Marketplace
ON Marketplace
010203040506

solocare-bronzeSoloCare Bronze HDHP 40031
OFF Marketplace
ON Marketplace
01 0203

Crosswalk

ON & OFF Marketplace – 40000 Series

02 – 06 Levels are cost-sharing subsidy

Alliant Health Plans Network

Platinum

solocare-platinum-768x768-140023
OFF Marketplace
ON Marketplace
010203

Gold

solocare-gold40002
OFF Marketplace
ON Marketplace
01 02 03

Silver

solocare-silver40010
OFF Marketplace
ON Marketplace
01-0203040506

solocare-silver40017
OFF Marketplace
ON Marketplace
010203040506

Bronze

solocare-bronze40021
OFF Marketplace
ON Marketplace
01 02 03

solocare-bronze40031
OFF Marketplace
ON Marketplace
01 02 03

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