SoloCare Summary of Benefits and Coverage Plans
Individual / Family

2022 SoloCare
Summary of Benefits and Coverage Plans
Individual/Family

 

SoloCare Plans are available to residents of Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Bulloch, Burke, Butts, Calhoun, Camden, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clay, Clayton, Clinch, Cobb, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp. Dade, Dawson, Decatur, DeKalb, Dodge, Dooly, Dougherty, Douglas, Early, Echols, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Glascock, Glynn, Gordon, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Lee, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Sumter, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Toombs, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, 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

2022 SoloCare Health Plans

Plan NameMetal TypeOff MarketplaceOn Marketplace
SoloCare Gold PPO (3 Free PCP Visits) 4000240002PPOGold A,C0001 | 02 | 033
SoloCare Silver PPO 4000740007PPOSilver A,B00'-1
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 4001740017PPO Silver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits) 4018440184PPO CopayPlatinum A,B0001 | 02 | 031
SoloCare Gold PPO HDHP 4032440324PPO HDHPGoldA,B00'-1
SoloCare Gold PPO (3 Free PCP Visits) 4033040330PPOGold A,C0001 | 02 | 033
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 4033140331PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 4033640336PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Gold PPO HDHP 4034440344PPO HDHPGoldA,B00'-1
SoloCare Sliver PPO HDHP 4034540345PPO HDHPSilver A,B00'-1
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Dental) 4034840348PPO CopayPlatinum A,B0001 | 02 | 031
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Chiro + Dental) 4034940349PPO CopayPlatinum A,B0001 | 02 | 031
SoloCare Silver PPO (3 Free PCP Visits + Dental) 4035440354PPOSilverA,C0001 | 02 | 033
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 4035540355PPOGold A,C0001 | 02 | 033
SoloCare Gold PPO (3 Free PCP Visits + Dental) 4035740357PPOGold A,C0001 | 02 | 033
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 4035840358PPOGold A,C0001 | 02 | 033
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 4036740367PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 4036840368PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 4036940369PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 4037140371PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 4037240372PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 4037340373PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 4037440374PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 4037540375PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 4037640376PPOSilver A,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110003110003HMOGoldA,B0001 | 02 | 031
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110004110004HMOGoldA,C0001 | 02 | 033
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110008110008HMOSilverA,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110009110009HMOSilverA,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Silver HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110010110010HMOSilverA,C0001 | 02 | 03 | 04 | 05 | 063
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay) 110011110011HMOBronzeA,C0001 | 02 | 033
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay + Dental) 110013110013HMOBronzeA,C0001 | 02 | 033
SoloCare Bronze No Referral HMO 110015110015HMOBronzeA,C0001 | 02 | 033
SoloCare Bronze No Referral HMO (+ Dental) 110017110017HMOBronzeA,C0001 | 02 | 033
SoloCare Bronze No Referral HMO HDHP 110019110019HMOBronzeA,C0001 | 02 | 033
SoloCare Bronze No Referral HMO HDHP (+ Dental) 110021110021HMOBronzeA,C0001 | 02 | 033
SoloCare Catastrophic No Referral HMO 110023110023HMOCatastrophic A,B00011

 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 NameMetal TypeOff MarketplaceOn Marketplace
SoloCare Gold PPO (3 Free PCP Visits) 4000240002PPOGold B0001 | 02 | 032
SoloCare Silver PPO 4000740007PPOSilver A, B00-1
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 4001740017PPO Silver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits) 4018440184PPO CopayPlatinum A, B0001 | 02 | 031
SoloCare Gold PPO HDHP 4032440324PPO HDHPGoldA, B00-1
SoloCare Gold PPO (3 Free PCP Visits) 4033040330PPOGold B0001 | 02 | 032
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 4033140331PPOSilver A, B0001 | 02 | 03 | 04 | 05 | 061
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 4033640336PPOSilver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare Gold PPO HDHP 4034440344PPO HDHPGoldA, B00-1
SoloCare Sliver PPO HDHP 4034540345PPO HDHPSilver A, B00-1
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Dental) 4034840348PPO CopayPlatinum B0001 | 02 | 032
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Chiro + Dental) 4034940349PPO CopayPlatinum A, B0001 | 02 | 031
SoloCare Gold PPO (3 Free PCP Visits + Dental) 4035440354PPOGoldB0001 | 02 | 032
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 4035540355PPOGold B0001 | 02 | 032
SoloCare Gold PPO (3 Free PCP Visits + Dental) 4035740357PPOGold B0001 | 02 | 032
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 4035840358PPOGold B0001 | 02 | 032
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 4036840368PPOSilver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 4036940369PPOSilver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 4037240372PPOSilver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 4037340373PPOSilver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 4037540375PPOSilver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 4037640376PPOSilver B0001 | 02 | 03 | 04 | 05 | 062
SoloCare PPO Platinum Standardized 4037740377PPOPlatinum A, B0001 | 02 | 031
SoloCare PPO Gold Standardized 4037840378PPOGoldA, B0001 | 02 | 031
SoloCare PPO Silver Standardized 4037940379PPOSilverA, B0001 | 02 | 03 | 04 | 05 | 061
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110003110003HMOGoldA, B0001 | 02 | 031
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110004110004HMOGoldB0001 | 02 | 032
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110008110008HMOSilverB0001 | 02 | 03 | 04 | 05 | 062
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110009110009HMOSilverB0001 | 02 | 03 | 04 | 05 | 062
SoloCare Silver HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110010110010HMOSilverB0001 | 02 | 03 | 04 | 05 | 062
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay) 110011110011HMOBronzeB0001 | 02 | 032
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay + Dental) 110013110013HMOBronzeB0001 | 02 | 032
SoloCare Bronze No Referral HMO 110015110015HMOBronzeB0001 | 02 | 032
SoloCare Bronze No Referral HMO (+ Dental) 110017110017HMOBronzeB0001 | 02 | 032
SoloCare Bronze No Referral HMO HDHP 110019110019HMOBronzeB0001 | 02 | 032
SoloCare Bronze No Referral HMO HDHP (+ Dental) 110021110021HMOBronzeB0001 | 02 | 032
SoloCare Catastrophic No Referral HMO 110023110023HMOCatastrophic A, B00011
SoloCare HMO Gold Standardized 110024110024HMOGoldA, B0001 | 02 | 031
SoloCare HMO Silver Standardized 110025110025HMOSilverB0001 | 02 | 03 | 04 | 05 | 062
SoloCare HMO Bronze Standardized 110026110026HMOBronzeB0001 | 02 | 032
SoloCare HMO Expanded Bronze Standardized 110027110027HMOBronzeB0001 | 02 | 032