SoloCare
Summary of Benefits and Coverage Plans
SoloCare
Summary of Benefits & Coverage
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SoloCare Rate Tables
2025
2025 Georgia SoloCare
Summary of Benefits and Coverage Plans
Individual/Family
SoloCare Plans are available to Georgia 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.
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
2025 SoloCare Health Plans (GA)
| Plan Name | Plan Number | Plan Type | Metal Type | Off Marketplace | On Marketplace |
|---|---|---|---|---|---|
| SoloCare Gold PPO HDHP Chiro 1600 40324 | 40324 | PPO HDHP | Gold | 00 | |
| SoloCare Gold PPO HDHP Chiro 3000 40344 | 40344 | PPO HDHP | Gold | 00 | |
| SoloCare Silver PPO HDHP Chiro 3500 40345 | 40345 | PPO HDHP | Silver | 00 | |
| SoloCare Bronze PPO Chiro HDHP 8050 40382 | 40382 | PPO | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Standard Platinum PPO Chiro 40377 | 40377 | PPO | Platinum | 00 | 01 | 02 | 03 |
| SoloCare Standard Gold PPO Chiro 40378 | 40378 | PPO | Gold | 00 | 01 | 02 | 03 |
| SoloCare Standard Silver PPO Chiro 40379 | 40379 | PPO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Standard Exp Bronze PPO Chiro 40393 | 40393 | PPO | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Platinum PPO Chiro - $0 PCP, $0 Rx 40380 | 40380 | PPO | Platinum | 00 | 01 | 02 | 03 |
| SoloCare Gold PPO Chiro 2300 - 3 Free PCP Visits, $5 Generic Rx 40002 | 40002 | PPO | Gold | 00 | 01 | 02 | 03 |
| SoloCare Silver PPO Chiro 6000/70 - 3 Free PCP Visits 40007 | 40007 | PPO | Silver | 00 | |
| SoloCare Silver PPO Chiro 7000 - 3 Free PCP Visits, $5 Generic Rx 40017 | 40017 | PPO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Silver PPO Chiro 6000/60 - 3 Free PCP Visits 40331 | 40331 | PPO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Exp Bronze PPO Chiro 7200 40381 | 40381 | PPO | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Gold HMO HDHP 1600 110031 | 110031 | HMO HDHP | Gold | 00 | |
| SoloCare Gold HMO HDHP 3000 110032 | 110032 | HMO HDHP | Gold | 00 | |
| SoloCare Silver HMO HDHP 3500 110033 | 110033 | HMO HDHP | Silver | 00 | |
| SoloCare Bronze HMO HDHP 8050 110019 | 110019 | HMO HDHP | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Standard Platinum HMO 110047 | 110047 | HMO | Platinum | 00 | 01 | 02 | 03 |
| SoloCare Standard Gold HMO 110024 | 110024 | HMO | Gold | 00 | 01 | 02 | 03 |
| SoloCare Standard Silver HMO 110025 | 110025 | HMO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Standard Exp Bronze HMO 110027 | 110027 | HMO | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Platinum HMO - $0 PCP, $0 Rx 110028 | 110028 | HMO | Platinum | 00 | 01 | 02 | 03 |
| SoloCare Gold HMO 2300 - 3 Free PCP Visits, $5 Generic Rx 110003 | 110003 | HMO | Gold | 00 | 01 | 02 | 03 |
| SoloCare Silver HMO 7000 - 3 Free PCP Visits, $5 Generic Rx 110008 | 110008 | HMO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Silver HMO 6000/60 - 3 Free PCP Visits 110009 | 110009 | HMO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Exp Bronze HMO 7200 110030 | 110030 | HMO | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Silver HMO 6000/70 - 3 Free PCP Visits 110029 | 110029 | HMO | Silver | 00 |
2025 Tennessee SoloCare
Summary of Benefits and Coverage Plans
Individual/Family
SoloCare Plans are now available to Southeast Tennessee residents of Bledsoe, Bradley, Franklin, Grundy, Hamilton, Marion, McMinn, Meigs, Polk, Rhea and Sequatchie counties.
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
2025 SoloCare Health Plans (TN)
| Plan Name | Plan Number | Plan Type | Metal Type | Off Marketplace | On Marketplace |
|---|---|---|---|---|---|
| SoloCare Gold EPO HDHP 1600 10001 | 10001 | EPO | Gold | 00 | |
| SoloCare Gold EPO HDHP 3000 10002 | 10002 | EPO | Gold | 00 | |
| SoloCare Silver EPO HDHP 3500 10003 | 10003 | EPO | Silver | 00 | |
| SoloCare Bronze EPO HDHP 8050 10004 | 10004 | EPO | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Standard Platinum EPO 10005 | 10005 | EPO | Platinum | 00 | 01 | 02 | 03 |
| SoloCare Standard Gold EPO 10006 | 10006 | EPO | Gold | 00 | 01 | 02 | 03 |
| SoloCare Standard Silver EPO 10007 | 10007 | EPO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Standard Exp Bronze EPO 10008 | 10008 | EPO | Bronze | 00 | 01 | 02 | 03 |
| SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 | 10010 | EPO | Gold | 00 | 01 | 02 | 03 |
| SoloCare Silver EPO 6000/70 - 3 Free PCP Visits 10012 | 10012 | EPO | Silver | 00 | |
| SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 | 10013 | EPO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 | 10014 | EPO | Silver | 00 | 01 | 02 | 03 | 04 | 05 | 06 |
| SoloCare Exp Bronze EPO 7200 10015 | 10015 | EPO | Bronze | 00 | 01 | 02 | 03 |
