SoloCare Summary of Benefits and Coverage Plans
Individual / Family
2023 SoloCare
Summary of Benefits and Coverage Plans
Individual/Family
SoloCare Plans are available to residents of Atkinson, Baker, Baldwin, Banks, Barrow, Ben Hill, Berrien, Bibb, Bleckley, Brooks, Burke, Calhoun, Carroll, Catoosa, Chattooga, Clarke, Clay, Clinch, Coffee, Colquitt, Columbia, Cook, Crawford, Crisp, Dade, Dawson, Decatur, Dodge, Dooly, Dougherty, Early, Echols, Elbert, Emanuel, Fannin, Floyd, Franklin, Gilmer, Glascock, Gordon, Grady, Greene, Habersham, Hall, Hancock, Haralson, Hart, Heard, Houston, Irwin, Jackson, Jeff Davis, Jefferson, Jenkins, Jones, Lamar, Lanier, Lee, Lincoln, Lowndes, Lumpkin, Madison, McDuffie, Miller, Mitchell, Monroe, Morgan, Murray, Oconee, Oglethorpe, Peach, Pickens, Pike, Polk, Pulaski, Putnam, Rabun, Randolph, Richmond, Schley, Seminole, Stephens, Sumter, Taliaferro, Telfair, Terrell, Thomas, Tift, Towns, Turner, Twiggs, Union, Walker, Walton, Warren, Washington, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, and Worth counties.
Select below the county dropdown to see if the plans are available in your area.
ON & OFF Marketplace – 40000 Series, Copay and HDHP Plans
Please note that 02 – 06 Levels are cost-sharing subsidy.
Alliant Health Plans Network
All SoloCare Plans listed below are ICHRA eligible
2023 SoloCare Health Plans
| Plan Name | Metal Type | Off Marketplace | On Marketplace | ||||
|---|---|---|---|---|---|---|---|
| SoloCare Gold PPO (3 Free PCP Visits) 40002 | 40002 | PPO | Gold | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Silver PPO 40007 | 40007 | PPO | Silver | A, B | 00 | - | 1 |
| SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40017 | 40017 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Platinum PPO Copay Plan (3 Free PCP Visits) 40184 | 40184 | PPO Copay | Platinum | A, B | 00 | 01 | 02 | 03 | 1 |
| SoloCare Gold PPO HDHP 40324 | 40324 | PPO HDHP | Gold | A, B | 00 | - | 1 |
| SoloCare Gold PPO (3 Free PCP Visits) 40330 | 40330 | PPO | Gold | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40331 | 40331 | PPO | Silver | A, B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 1 |
| SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40336 | 40336 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Gold PPO HDHP 40344 | 40344 | PPO HDHP | Gold | A, B | 00 | - | 1 |
| SoloCare Sliver PPO HDHP 40345 | 40345 | PPO HDHP | Silver | A, B | 00 | - | 1 |
| SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Dental) 40348 | 40348 | PPO Copay | Platinum | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Chiro + Dental) 40349 | 40349 | PPO Copay | Platinum | A, B | 00 | 01 | 02 | 03 | 1 |
| SoloCare Gold PPO (3 Free PCP Visits + Dental) 40354 | 40354 | PPO | Gold | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40355 | 40355 | PPO | Gold | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Gold PPO (3 Free PCP Visits + Dental) 40357 | 40357 | PPO | Gold | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40358 | 40358 | PPO | Gold | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40368 | 40368 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40369 | 40369 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40372 | 40372 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40373 | 40373 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40375 | 40375 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40376 | 40376 | PPO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare PPO Platinum Standardized 40377 | 40377 | PPO | Platinum | A, B | 00 | 01 | 02 | 03 | 1 |
| SoloCare PPO Gold Standardized 40378 | 40378 | PPO | Gold | A, B | 00 | 01 | 02 | 03 | 1 |
| SoloCare PPO Silver Standardized 40379 | 40379 | PPO | Silver | A, B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 1 |
| SoloCare Gold No Referral HMO (3 Free PCP Visits) 110003 | 110003 | HMO | Gold | A, B | 00 | 01 | 02 | 03 | 1 |
| SoloCare Gold No Referral HMO (3 Free PCP Visits) 110004 | 110004 | HMO | Gold | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110008 | 110008 | HMO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110009 | 110009 | HMO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Silver HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110010 | 110010 | HMO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay) 110011 | 110011 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay + Dental) 110013 | 110013 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Bronze No Referral HMO 110015 | 110015 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Bronze No Referral HMO (+ Dental) 110017 | 110017 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Bronze No Referral HMO HDHP 110019 | 110019 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Bronze No Referral HMO HDHP (+ Dental) 110021 | 110021 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare Catastrophic No Referral HMO 110023 | 110023 | HMO | Catastrophic | A, B | 00 | 01 | 1 |
| SoloCare HMO Gold Standardized 110024 | 110024 | HMO | Gold | A, B | 00 | 01 | 02 | 03 | 1 |
| SoloCare HMO Silver Standardized 110025 | 110025 | HMO | Silver | B | 00 | 01 | 02 | 03 | 04 | 05 | 06 | 2 |
| SoloCare HMO Bronze Standardized 110026 | 110026 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
| SoloCare HMO Expanded Bronze Standardized 110027 | 110027 | HMO | Bronze | B | 00 | 01 | 02 | 03 | 2 |
Copyright 2023. Alliant Health Plans, Inc.