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2021- Louisiana Evidence of Coverage
English
2021 Louisiana Health Insurance Exchange- Evidence of Coverage (PDF)
2021 Louisiana Health Insurance Exchange- Evidence of Coverage Off Exchange (PDF)
Spanish
2021 Louisiana Health Insurance Exchange- Evidence of Coverage en Espanol (PDF)
2021 Louisiana Health Insurance Exchange- Evidence of Coverage Off Exchange en Espanol (PDF)
2020 - Louisiana Evidence of Coverage
2020 Louisiana Health Insurance Exchange- Evidence of Coverage (PDF)
2020 Louisiana Health Insurance Exchange- Evidence of Coverage Off Exchange (PDF)
2021 Texas Evidence of Coverage
English
2021 Texas Health Insurance Exchange- Evidence of Coverage Complete Plan (PDF)
2021 Texas Health Insurance Exchange- Evidence of Coverage Off Exchange (PDF)
2021 Texas Health Insurance Exchange- Evidence of Coverage (PDF)
Spanish
2021 Texas Health Insurance Exchange- Evidence of Coverage Complete Plan en Espanol (PDF)
2021 Texas Health Insurance Exchange- Evidence of Coverage Off Exchange en Espanol (PDF)
2021 Texas Health Insurance Exchange- Evidence of Coverage en Espanol (PDF)
2020 - Texas Evidence of Coverage
2020 Texas Health Insurance Exchange- Evidence of Coverage Complete Plan (PDF)
2020 Texas Health Insurance Exchange- Evidence of Coverage Off Exchange (PDF)
2020 Texas Health Insurance Exchange- Evidence of Coverage (PDF)
2021- Louisiana Summaries of Benefits
Summary of Benefits - English
Louisiana American Indian Zero Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze (PDF)
Louisiana Summary of Benefits - Bronze HSA (PDF)
Louisiana Summary of Benefits- Bronze HSA Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze Plus (PDF)
Louisiana Summary of Benefits - Bronze Plus Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Gold (PDF)
Louisiana Summary of Benefits - Gold Limited Cost Sharing (PDF)
Louisiana Summary of Benefits- Silver Basic (PDF)
Louisiana Summary of Benefits- Silver Basic 73% (PDF)
Louisiana Summary of Benefits- Silver Basic 87% (PDF)
Louisiana Summary of Benefits- Silver Basic 94% (PDF)
Louisiana Summary of Benefits - Silver HD (PDF)
Louisiana Summary of Benefits - Silver HD 73% (PDF)
Louisiana Summary of Benefits- Silver HD 87% (PDF)
Louisiana Summary of Benefits- Silver HD 94% (PDF)
Louisiana Summary of Benefits- Silver HD Limited Cost Sharing (PDF)
Louisiana Summary of Benefits- Silver Plus HD (PDF)
Louisiana Summary of Benefits- Silver Plus HD 73% (PDF)
Louisiana Summary of Benefits- Silver Plus HD 87% (PDF)
Louisiana Summary of Benefits- Silver Plus HD 94% (PDF)
Louisiana Summary of Benefits - Silver LD (PDF)
Louisiana Summary of Benefits - Silver LD 73% (PDF)
Louisiana Summary of Benefits - Silver LD 87% (PDF)
Louisiana Summary of Benefits - Silver LD 94% (PDF)
Louisiana Summary of Benefits - Silver Low Deductible Limited Cost Sharing (PDF)
Summary of Benefits - Spanish
Louisiana American Indian Zero Cost Sharing (PDF)
Louisiana American Indian Zero Cost Sharing Plus SPA (PDF)
Louisiana Summary of Benefits - Bronze (PDF)
Louisiana Summary of Benefits - Bronze HSA (PDF)
Louisiana Summary of Benefits- Bronze HSA Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze Plus (PDF)
Louisiana Summary of Benefits - Bronze Plus Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Gold (PDF)
Louisiana Summary of Benefits - Gold Limited Cost Sharing (PDF)
Louisiana Summary of Benefits- Silver Basic (PDF)
Louisiana Summary of Benefits- Silver Basic 73% (PDF)
Louisiana Summary of Benefits- Silver Basic 87% (PDF)
Louisiana Summary of Benefits- Silver Basic 94% (PDF)
Louisiana Summary of Benefits - Silver HD (PDF)
Louisiana Summary of Benefits - Silver HD 73% (PDF)
Louisiana Summary of Benefits- Silver HD 87% (PDF)
Louisiana Summary of Benefits- Silver HD 94% (PDF)
Louisiana Summary of Benefits- Silver HD Limited Cost Sharing (PDF)
Louisiana Summary of Benefits- Silver Plus HD (PDF)
Louisiana Summary of Benefits- Silver Plus HD 73% (PDF)
Louisiana Summary of Benefits- Silver Plus HD 87% (PDF)
Louisiana Summary of Benefits- Silver Plus HD 94% (PDF)
Louisiana Summary of Benefits - Silver LD (PDF)
Louisiana Summary of Benefits - Silver LD 73% (PDF)
Louisiana Summary of Benefits - Silver LD 87% (PDF)
Louisiana Summary of Benefits - Silver LD 94% (PDF)
Louisiana Summary of Benefits - Silver Low Deductible Limited Cost Sharing (PDF)
2021- Texas Summaries of Benefits
Summary of Benefits - English
Texas Bronze Summary of Benefits (PDF)
Texas Bronze Summary of Benefits HSA (PDF)
Texas Bronze Summary of Benefits HSA Limited Cost Sharing (PDF)
Texas Bronze Summary of Benefits - Limited Cost Sharing (PDF)
Texas Bronze Plus Summary of Benefits (PDF)
Texas Catastrophic Summary of Benefits (PDF)
Texas Gold Summary of Benefits (PDF)
Texas Gold Summary of Benefits - Limited Cost (PDF)
Texas Platinum Summary of Benefits (PDF)
Texas Silver Summary of Benefits - Basic High Deductible (PDF)
Texas Silver Summary of Benefits - Basic High Deductible Limited (PDF)
Texas Silver Summary of Benefits - Basic High Deductible 73% (PDF)
Texas Silver Summary of Benefits - Basic High Deductible 87% (PDF)
Texas Silver Summary of Benefits - Basic High Deductible 94% (PDF)
Texas Silver Summary of Benefits - High Deductible (PDF)
Texas Silver Summary of Benefits - High Deductible Limited (PDF)
Texas Silver Summary of Benefits - High Deductible 73% (PDF)
Texas Silver Summary of Benefits - High Deductible 87% (PDF)
Texas Silver Summary of Benefits - High Deductible 94% (PDF)
Texas Silver Summary of Benefits - Low Deductible (PDF)
Texas Silver Summary of Benefits - Low Deductible Limited (PDF)
Texas Silver Summary of Benefits - Low Deductible 73%(PDF)
Texas Silver Summary of Benefits - Low Deductible 87% (PDF)
Texas Silver Summary of Benefits - Low Deductible 94% (PDF)
Texas Silver Plus Summary of Benefits- High Deductible (PDF)
Texas Silver Plus Summary of Benefits- High Deductible 73% (PDF)
Texas Silver Plus Summary of Benefits- High Deductible 87% (PDF)
Texas Silver Plus Summary of Benefits- High Deductible 94% (PDF)
Texas American Indian Zero Cost Sharing (PDF)
Summary of Benefits - Spanish
Texas American Indian Zero Cost Sharing (PDF)
Texas American Indian Plus - Zero Cost Sharing (PDF)
Texas Bronze Summary of Benefits (PDF)
Texas Bronze Summary of Benefits HSA (PDF)
Texas Bronze Summary of Benefits HSA Limited Cost Sharing (PDF)
Texas Bronze Summary of Benefits - Limited Cost Sharing (PDF)
Texas Bronze Plus Summary of Benefits (PDF)
Texas Bronze Plus Summary of Benefits - Limited Cost Sharing(PDF)
Texas Catastrophic Summary of Benefits (PDF)
Texas Gold Summary of Benefits (PDF)
Texas Gold Summary of Benefits - Limited Cost (PDF)
Texas Platinum Summary of Benefits (PDF)
Texas Silver Summary of Benefits - Basic High Deductible (PDF)
Texas Silver Summary of Benefits - Basic High Deductible Limited (PDF)
Texas Silver Summary of Benefits - Basic High Deductible 73% (PDF)
Texas Silver Summary of Benefits - Basic High Deductible 87% (PDF)
Texas Silver Summary of Benefits - Basic High Deductible 94% (PDF)
Texas Silver Summary of Benefits - High Deductible (PDF)
Texas Silver Summary of Benefits - High Deductible Limited (PDF)
Texas Silver Summary of Benefits - High Deductible 73% (PDF)
Texas Silver Summary of Benefits - High Deductible 87% (PDF)
Texas Silver Summary of Benefits - High Deductible 94% (PDF)
Texas Silver Summary of Benefits - Low Deductible (PDF)
Texas Silver Summary of Benefits - Low Deductible Limited (PDF)
Texas Silver Summary of Benefits - Low Deductible 73%(PDF)
Texas Silver Summary of Benefits - Low Deductible 87% (PDF)
Texas Silver Summary of Benefits - Low Deductible 94% (PDF)
Texas Silver Plus Summary of Benefits- High Deductible (PDF)
Texas Silver Plus Summary of Benefits- High Deductible 73% (PDF)
Texas Silver Plus Summary of Benefits- High Deductible 87% (PDF)
Texas Silver Plus Summary of Benefits- High Deductible 94% (PDF)
2020- Texas Summaries of Benefits
Summary of Benefits - English
Texas Bronze Summary of Benefits (PDF)
Texas Bronze Summary of Benefits HSA (PDF)
Texas Bronze Summary of Benefits HSA Limited Cost Sharing (PDF)
Texas Bronze Summary of Benefits - Limited Cost Sharing (PDF)
Texas Catastrophic Summary of Benefits (PDF)
Texas Gold Summary of Benefits (PDF)
Texas Gold Summary of Benefits - Limited Cost (PDF)
Texas Silver Summary of Benefits - High Deductible (PDF)
Texas Silver Summary of Benefits - High Deductible Limited (PDF)
Texas Silver Summary of Benefits - High Deductible 73% (PDF)
Texas Silver Summary of Benefits - High Deductible 87% (PDF)
Texas Silver Summary of Benefits - High Deductible 94% (PDF)
Texas Silver Summary of Benefits - Low Deductible (PDF)
Texas Silver Summary of Benefits - Low Deductible Limited (PDF)
Texas Silver Summary of Benefits - Low Deductible 73%(PDF)
Texas Silver Summary of Benefits - Low Deductible 87% (PDF)
Texas Silver Summary of Benefits - Low Deductible 94% (PDF)
Texas American Indian Zero Cost Sharing (PDF)
Summary of Benefits - Spanish
Texas Bronze Summary of Benefits (PDF)
Texas Bronze Summary of Benefits HSA (PDF)
Texas Bronze Summary of Benefits HSA Limited Cost Sharing (PDF)
Texas Bronze Summary of Benefits - Limited Cost Sharing (PDF)
Texas Catastrophic Summary of Benefits (PDF)
Texas Gold Summary of Benefits (PDF)
Texas Gold Summary of Benefits - Limited Cost (PDF)
Texas Silver Summary of Benefits - High Deductible (PDF)
Texas Silver Summary of Benefits - High Deductible Limited (PDF)
Texas Silver Summary of Benefits - High Deductible 73% (PDF)
Texas Silver Summary of Benefits - High Deductible 87% (PDF)
Texas Silver Summary of Benefits - High Deductible 94% (PDF)
Texas Silver Summary of Benefits - Low Deductible (PDF)
Texas Silver Summary of Benefits - Low Deductible Limited (PDF)
Texas Silver Summary of Benefits - Low Deductible 73%(PDF)
Texas Silver Summary of Benefits - Low Deductible 87% (PDF)
Texas Silver Summary of Benefits - Low Deductible 94% (PDF)
Texas American Indian Zero Cost Sharing (PDF)
Glossary of Terms
Glossary of Terms (PDF)
Online Glossary of Terms
2020- Louisiana Summaries of Benefits
Summary of Benefits- English
Louisiana American Indian Zero Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze (PDF)
Louisiana Summary of Benefits - Bronze HSA (PDF)
Louisiana Summary of Benefits - Bronze HSA Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Gold (PDF)
Louisiana Summary of Benefits - Gold Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Silver HD (PDF)
Louisiana Summary of Benefits - Silver HD 73% (PDF)
Louisiana Summary of Benefits- Silver HD 87% (PDF)
Louisiana Summary of Benefits- Silver HD 94% (PDF)
Louisiana Summary of Benefits- Silver HD Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Low Deductible (PDF)
Louisiana Summary of Benefits - Low Deductible 73% (PDF)
Louisiana Summary of Benefits - Low Deductible 87% (PDF)
Louisiana Summary of Benefits - Low Deductible 94% (PDF)
Louisiana Summary of Benefits - Low Deductible Limited Cost Sharing (PDF)
Summary of Benefits- Spanish
Louisiana Summary of Benefits - Bronze HSA Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Bronze Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Gold (PDF)
Louisiana Summary of Benefits - Gold Limited Cost Sharing (PDF)
Louisiana Summary of Benefits - Silver HD (PDF)
Louisiana Summary of Benefits - Silver HD 73% (PDF)
Louisiana Summary of Benefits- Silver HD 87% (PDF)
Louisiana Summary of Benefits- Silver HD 94% (PDF)
Louisiana Summary of Benefits - Low Deductible (PDF)
Louisiana Summary of Benefits - Low Deductible 73% (PDF)
Louisiana Summary of Benefits - Low Deductible 87% (PDF)
Louisiana Summary of Benefits - Low Deductible 94% (PDF)
Louisiana Summary of Benefits - Low Deductible Limited Cost Sharing (PDF)
Payment Authorization
Payment Authorization Form (PDF)
Provider & Pharmacy Directories
2021
2021 Louisiana Provider & Pharmacy Directory (PDF)
2021 Texas Provider & Pharmacy Directory (PDF)
2020
2020 Louisiana Provider & Pharmacy Directory (PDF)
2020 Texas Provider & Pharmacy Directory (PDF)
Provider Search Tool
Online Searchable Provider Directories
RX Claim Form
RX Claim Form (PDF)
MM161 & MM162
Last Updated:
08/05/2020