2023 QHP Small Group Policy Documents

Below is a list of actual policy documents for QHP small group coverage. These policies describe how the plans generally work and include eligible expenses, claim filing and appeals procedures, and coverage limitations and exceptions, among other things.

If you have questions, contact a customer service representative at 1-855-258-8471 for more information.

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Platinum Plans

Blue Preferred Platinum PPO Plans

Off Exchange

• P910PFR Blue Preferred Platinum PPO 101
• P911PFR Blue Preferred Platinum PPO 102
• P6K1PFR Blue Preferred Platinum PPO 103

Blue Focus Platinum PPO Plans

Off Exchange

• P6E1BLC Blue Focus Platinum POS 006
• P6K4BLC Blue Focus Platinum POS 007
• P6K1BLC Blue Focus Platinum POS 008

Gold Plans

Blue Preferred Gold PPO Plans

Off Exchange

• G6J2PFR Blue Preferred Gold PPO 101
• G930PFR Blue Preferred Gold PPO 105
• G931PFR Blue Preferred Gold PPO 107
• G933PFR Blue Preferred Gold PPO 110
• G6K2PFR Blue Preferred Gold PPO 111
• G936PFR Blue Preferred Gold PPO 123
• G6E1PFR Blue Preferred Gold PPO 135

Blue Focus Gold PPO Plans

Off Exchange

• G6E1BLC Blue Focus Gold POS 005
• G6E2BLC Blue Focus Gold POS 007
• G6E3BLC Blue Focus Gold POS 008
• G6K2BlC Blue Focus Gold POS 009
• G6J2BLC Blue Focus Gold POS 101