Warning

Silver QHDHP PPO Choice 2200/10/35 (Available in Lancaster County)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver PPO Choice 3950/20/35 (Available in Lancaster County)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver PPO Choice 4000/20/35 (Available in Lancaster County)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
On Pennie - 73% CSR	On Pennie - 73% CSR	On Pennie - 73% CSR On Pennie - 73% CSR - Spanish
On Pennie - 87% CSR	On Pennie - 87% CSR	On Pennie - 87% CSR On Pennie - 87% CSR - Spanish
On Pennie - 94% CSR	On Pennie - 94% CSR	On Pennie - 94% CSR On Pennie - 94% CSR - Spanish
Off Pennie	Off Pennie	Off Pennie

Silver Valley Advantage EPO 5950/20/40 (Available in Lehigh and Northampton Counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver Capital Advantage EPO 5950/20/40 (Available in Cumberland, Dauphin and Perry Counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver PPO 5950/20/40 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver Valley Advantage EPO 6000/20/40 (Available in Lehigh and Northampton Counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
On Pennie - 73% CSR	On Pennie - 73% CSR	On Pennie - 73% CSR On Pennie - 73% CSR - Spanish
On Pennie - 87% CSR	On Pennie - 87% CSR	On Pennie - 87% CSR On Pennie - 87% CSR - Spanish
On Pennie - 94% CSR	On Pennie - 94% CSR	On Pennie - 94% CSR On Pennie - 94% CSR - Spanish
Off Pennie	Off Pennie	Off Pennie

Silver Capital Advantage EPO 6000/20/40 (Available in Cumberland, Dauphin and Perry Counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
On Pennie - 73% CSR	On Pennie - 73% CSR	On Pennie - 73% CSR On Pennie - 73% CSR - Spanish
On Pennie - 87% CSR	On Pennie - 87% CSR	On Pennie - 87 CSR On Pennie - 87% CSR - Spanish
On Pennie - 94% CSR	On Pennie - 94% CSR	On Pennie - 94% CSR On Pennie - 94% - CSR Spanish
Off Pennie	Off Pennie	Off Pennie

Silver PPO 6000/20/40 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
On Pennie - 73% CSR	On Pennie - 73% CSR	On Pennie - 73% CSR On Pennie - 73% CSR - Spanish
On Pennie - 87% CSR	On Pennie - 87% CSR	On Pennie - 87% CSR On Pennie - 87% CSR - Spanish
On Pennie - 94% CSR	On Pennie - 94% CSR	On Pennie - 94% CSR On Pennie - 94% CSR - Spanish
Off Pennie	Off Pennie	Off Pennie

Bronze QHDHP PPO 6300/0/50 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
Off Pennie	Off Pennie	Off Pennie

Bronze QHDHP PPO Choice 6300/0/50 (Available in Lancaster County)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
Off Pennie	Off Pennie	Off Pennie

Bronze PPO Choice 7100/0/50 (Available in Lancaster County)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
Off Pennie	Off Pennie	Off Pennie

Bronze Valley Advantage EPO 7450/0/50 (Available in Lehigh and Northampton Counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
Off Pennie	Off Pennie	Off Pennie

Bronze Capital Advantage EPO 7450/0/50 (Available in Cumberland, Dauphin and Perry Counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
Off Pennie	Off Pennie	Off Pennie

Bronze PPO 7450/0/50 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero cost share	On Pennie - Zero cost share	On Pennie - Zero cost share
On Pennie - Limited cost share	On Pennie - Limited cost share	On Pennie - Limited cost share
Off Pennie	Off Pennie	Off Pennie

Bronze HMO 7450/0/50 (Available in all 21 counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Catastrophic PPO 8700/0/0 (Available in all 21 counties)

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

On Pennie

Catastrophic HMO 8700/0/0 (Available in all 21 counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Dental Plans (Available in all 21 counties)

Highlight sheet
Dental Select Basic
Dental PPO Loyalty Plan
Dental PPO Care Plan
Dental PPO Standard Plan
Dental PPO Premium Plan

Vision Plans (Available in all 21 counties)

Highlight sheet
Vision Essential Plan

2021 plan year

Gold Simple PPO 0/0/25 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
Off Pennie	Off Pennie	Off Pennie

Gold PPO Choice 2000/0/30 (Available in Lancaster county)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
Off Pennie	Off Pennie	Off Pennie

Gold Valley Advantage EPO 2150/10/20 (Available in Lehigh and Northampton counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
Off Pennie	Off Pennie	Off Pennie

Gold PPO 2150/10/20 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
Off Pennie	Off Pennie	Off Pennie

Silver PPO Choice 3950/20/35 (Available in Lancaster county)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie On Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver PPO Choice 4000/20/35 (Available in Lancaster county)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
On Pennie - 73% CSR	On Pennie - 73% CSR	On Pennie - 73% CSR On Pennie - 73% CSR Spanish
On Pennie - 87% CSR	On Pennie - 87% CSR	On Pennie - 87% CSR On Pennie - 87% CSR Spanish
On Pennie - 94% CSR	On Pennie - 94% CSR	On Pennie - 94% CSR On Pennie - 94% CSR Spanish
Off Pennie	Off Pennie	Off Pennie

Silver Valley Advantage EPO 5950/20/40 (Available in Lehigh and Northampton counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver Valley Advantage EPO 6000/20/40 (Available in Lehigh and Northampton counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
On Pennie - 73% CSR	On Pennie - 73% CSR	On Pennie - 73% CSR On Pennie - 73% CSR Spanish
On Pennie - 87% CSR	On Pennie - 87% CSR	On Pennie - 87% CSR On Pennie - 87% CSR Spanish
On Pennie - 94% CSR	On Pennie - 94% CSR	On Pennie - 94% CSR On Pennie - 94% CSR Spanish
Off Pennie	Off Pennie	Off Pennie

Silver PPO 5950/20/40 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie On Pennie - Spanish

Benefit contracts

Summary of benefits and coverage (SBCs)

Highlight sheet

Silver PPO 6000/20/40 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
On Pennie - 73% CSR	On Pennie - 73% CSR	On Pennie - 73% CSR On Pennie - 73% CSR Spanish
On Pennie - 87% CSR	On Pennie - 87% CSR	On Pennie - 87% CSR On Pennie - 87% CSR Spanish
On Pennie - 94% CSR	On Pennie - 94% CSR	On Pennie - 94% CSR On Pennie - 94% CSR Spanish
Off Pennie	Off Pennie	Off Pennie

Bronze PPO Choice 7100/0/50 (Available in Lancaster county)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
Off Pennie	Off Pennie	Off Pennie

Bronze Valley Advantage EPO 8000/0/50 (Available in Lehigh and Northampton counties)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
Off Pennie	Off Pennie	Off Pennie

Bronze PPO 8000/0/50 (Available in all counties except Lancaster)

Benefit contracts	Summary of benefits and coverage (SBCs)	Highlight sheet
On Pennie	On Pennie	On Pennie On Pennie - Spanish
On Pennie - Zero Cost Share	On Pennie - Zero Cost Share	On Pennie - Zero Cost Share
On Pennie - Limited Cost Share	On Pennie - Limited Cost Share	On Pennie - Limited Cost Share
Off Pennie	Off Pennie	Off Pennie

Bronze HMO 8000/0/50 (Available in all 21 counties)

Subscriber agreements	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie -Spanish

Subscriber agreements

Summary of benefits and coverage (SBCs)

Highlight sheet

Off Pennie -Spanish

Catastrophic PPO 8550/0/75 (Available in all 21 counties)

Benefit Contracts

Summary of Benefits and Coverage (SBCs)

Highlight sheet

On Pennie

Catastrophic HMO 8550/0/75 (Available in all 21 counties)

Subscriber agreements	Summary of benefits and coverage (SBCs)	Highlight sheet
Off Pennie	Off Pennie	Off Pennie Off Pennie - Spanish

Subscriber agreements

Summary of benefits and coverage (SBCs)

Highlight sheet