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    • Claims Address
    • Exchange Plan Documents
    • Health Care Forms
    • Health Plans
    • Health Plan Forms
    • 2023 Individual Broker Guide(PDF)
    • 2023 Individual Plan Updates Brochure(PDF)
    • Online Broker Center
    • Online Broker Portal
    • Online Eligibility Maintenance Tutorial (video)
    • Ordering Packets
    • Prior Authorization
    • Renewals
Exchange plan documents
Exchange plan documents

2023 Exchange Individual Plan Documents

Select the document you're looking for to download the PDF.

2023 Gold Level Plans

Summaries of Benefits and Coverage (SBC)

  • MYHPN Select Network Gold 1 (PDF)
  • MyHPN Gold 6 (PDF)

2023 Silver Level Plans

Summaries of Benefits and Coverage (SBC)

  • MyHPN Select Network Silver 1 (PDF)
  • MyHPN Select Network Silver 1 - 73 (PDF)
  • MyHPN Select Network Silver 1 - 87 (PDF)
  • MyHPN Select Network Silver 1 - 94 (PDF)
  • MyHPN Select Network Silver 2 (PDF)
  • MyHPN Select Network Silver 2 - 73 (PDF)
  • MyHPN Select Network Silver 2 - 87 (PDF)
  • MyHPN Select Network Silver 2 - 94 (PDF)
  • MyHPN Silver 1.1 (PDF)
  • MyHPN Silver 1.1 - 73 (PDF)
  • MyHPN Silver 1.1 - 87 (PDF)
  • MyHPN Silver 1.1 - 94 (PDF)
  • MyHPN Silver 5 Medicaid Transition (PDF)
  • MyHPN Silver 5 - 73 Medicaid Transition (PDF)
  • MyHPN Silver 5 - 87 Medicaid Transition (PDF)
  • MyHPN Silver 5 - 94 Medicaid Transition (PDF)
  • MyHPN Silver 10 (PDF)
  • MyHPN Silver 10 - 73 (PDF)
  • MyHPN Silver 10 - 87 (PDF)
  • MyHPN Silver 10 - 94 (PDF)
  • MyHPN Silver 11 (PDF)
  • MyHPN Silver 11 - 73 (PDF)
  • MyHPN Silver 11 - 87 (PDF)
  • MyHPN Silver 11 - 94 (PDF)
  • MyHPN Silver 12 (PDF)
  • MyHPN Silver 12 - 73 (PDF)
  • MyHPN Silver 12 - 87 (PDF)
  • MyHPN Silver 12 - 94 (PDF)

2023 Bronze Level Plans

Summaries of Benefits and Coverage (SBC)

  • MyHPN Select Network Bronze 1 (PDF)
  • MyHPN Bronze 2 Medicaid Transition (PDF)
  • MyHPN Bronze 3 (PDF)
  • MyHPN Catastrophic Plan (PDF)
  • Virtual HPNTM (PDF)
  • MyHPN Plus Bronze 4 (PDF)
  • MyHPN Plus Bronze 5 (PDF)
  • MyHPN Plus Bronze 6 (PDF)
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