Healthfirst Summary of Benefits and Coverage

Platinum Leaf Plan

Platinum Leaf Native American/Alaska Native

Gold Leaf

Gold Leaf Native American/Alaska Native

Silver Leaf Plan (>250% FPL)

Silver Leaf Plan (200-250% FPL)

Silver Leaf Plan (150-200% FPL)

Silver Leaf Plan (100-150% FPL)

Silver Leaf Native American/Alaska Native

Bronze Leaf Plan

Bronze Leaf Native American/Alaska Native

Green Leaf Plan

Green Leaf Native American/Alaska Native

Platinum Leaf Premier Plan

Platinum Leaf Premier Native American/Alaska Native

Gold Leaf Premier Plus Plan

Gold Leaf Premier Native American/Alaska Native

Gold Leaf Premier Plan

Silver Leaf Premier Plus Plan (>250% FPL)

Silver Leaf Premier Plus Plan (200-250% FPL)

Silver Leaf Premier Plus Plan (150-200% FPL)

Silver Leaf Premier Plus Plan (100-150% FPL)

Silver Leaf Premier Plus Native American/Alaska Native

Silver Leaf Premier Plan (>250% FPL)

Silver Leaf Premier Plan (200-250% FPL)

Silver Leaf Premier Plan (150-200% FPL)

Silver Leaf Premier Plan (100-150% FPL)

Silver Leaf Premier Native American/Alaska Native

Bronze Leaf Premier Plan

Bronze Leaf Premier Native American/Alaska Native

HMO A Plan

HMO A-VAD Plan

HMO B Plan

HMO B-VAD Plan

HMO B1-VAD Plan

HMO C Plan

HMO C-VAD Plan

HMO C1-VAD Plan

HMO D Plan

HMO D-VAD Plan

HMO E Plan

Platinum Pro EPO Plan

Silver Pro EPO Plan

Silver Pro 45/75/4300 EPO Plan

Bronze Pro 6850 EPO Plan

Platinum Pro Plus EPO Plan

Gold Pro Plus 1350 EPO Plan

Silver Pro Plus EPO Plan

Silver Pro Plus 45/75/4300 EPO Plan

Bronze Pro Plus 6850 EPO Plan