SUMMARY OF BENEFITS AND COVERAGE
(SBC)
2021 INDIVIDUAL & FAMILY PLANS
BRONZE
SILVER
SILVER CSR
Silver 7000/75
73% – 3300 CSR
87% – 400 CSR
94% – 50 CSR
Silver 4000/75
73% – 3400 CSR
87% – 700 CSR
94% – 150 CSR
Silver 3000/75/Copay 40
73% – 3000 CSR
87% – 650 CSR
94% – 100 CSR
2020 INDIVIDUAL & FAMILY PLANS
BRONZE
SILVER
SILVER CSR
Silver 6500/75
73% – 3300 CSR
87% – 500 CSR
94% – 50 CSR
Silver 4000/75
73% – 3400 CSR
87% – 600 CSR
94% – 200 CSR
Silver 3000/75/Copay 40
73% – 3000 CSR
87% – 550 CSR
94% – 150 CSR