Benefits + costs by plan level

When you get services, you may have to pay out-of-pocket costs.

View the Schedule of Benefits for your plan level. These summaries give you information about the costs you have to pay for covered services.

Please note: For certain services, your provider needs to ask us for a prior authorization before sending you to get those services. Your provider knows when and how to ask us for prior authorization if it is required.

2024 Schedule of Benefits:

Direct ConnectorCare AIAN
​Direct ConnectorCare I
Direct ConnectorCare II
Direct ConnectorCare III
Direct Catastrophic
Direct Bronze 2850
Direct Silver 2000
Direct Silver 2000 HSA
Direct Silver 2000 II
Direct Gold
Direct Gold 1600
Direct Platinum

For a list of covered benefits, see the covered services section of the Member Handbook 2023 | 2024


Additional information

Small group rate increase

Consumer narrative justification document


¡Sepa cuáles son sus costos!

Consulte los documentos de su plan en español.

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