Plan Name | Summary of Benefits and Coverage (SBC) | Certificate of Insurance |
BlueCare Platinum 80 0 | BlueCare Platinum 80 0 | Off-Exchange BlueCare Platinum 80 0 |
BlueCare Platinum 80 250 | BlueCare Platinum 80 250 | Off-Exchange BlueCare Platinum 80 250 |
BlueCare Platinum 90 500 | BlueCare Platinum 90 500 | Off-Exchange BlueCare Platinum 90 500 |