SBCs and Contracts

If more than one plan name is listed here, select the appropriate BlueCare plan to view the Summary of Benefits and Coverage (SBC) or contract for your chosen plan.  You may use the search field immediately below this text to narrow down the results by keyword (e.g. Bronze, or Standardized).

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To update, select and delete the table below. Then copy/paste all content from SBC/Contract spreadsheet into empty HTML Body text (it will generate the table automatically but it takes a bit of time). The table should only be rows and columns like a spreadsheet. All processing occurs in client-side script.

Marketing Package Code Plan Year Plan Name Metal SBC Contract Audience
MT001 2026 BlueCare EPO Bronze 0 Bronze BlueCare EPO Bronze 0 SBC (PDF) BlueCare EPO Bronze 0 Contract (PDF) individual
MT002 2026 BlueCare EPO Bronze 4 Bronze BlueCare EPO Bronze 4 SBC (PDF) BlueCare EPO Bronze 4 Contract (PDF) individual
MT003 2026 BlueCare EPO Bronze 5 Bronze BlueCare EPO Bronze 5 SBC (PDF) BlueCare EPO Bronze 5 Contract (PDF) individual
MT004 2026 BlueCare EPO Bronze Choice Bronze BlueCare EPO Bronze Choice SBC (PDF) BlueCare EPO Bronze Choice Contract (PDF) individual
MT005 2026 BlueCare EPO Bronze Bronze BlueCare EPO Bronze SBC (PDF) BlueCare EPO Bronze Contract (PDF) individual
MT006 2026 BlueCare EPO Gold 0 Gold BlueCare EPO Gold 0 SBC (PDF) BlueCare EPO Gold 0 Contract (PDF) individual
MT007 2026 BlueCare EPO Gold 4 Gold BlueCare EPO Gold 4 SBC (PDF) BlueCare EPO Gold 4 Contract (PDF) individual
MT008 2026 BlueCare EPO Gold 5 Gold BlueCare EPO Gold 5 SBC (PDF) BlueCare EPO Gold 5 Contract (PDF) individual
MT009 2026 BlueCare EPO Gold Choice Gold BlueCare EPO Gold Choice SBC (PDF) BlueCare EPO Gold Choice Contract (PDF) individual
MT010 2026 BlueCare EPO Gold Gold BlueCare EPO Gold SBC (PDF) BlueCare EPO Gold Contract (PDF) individual
MT017 2026 BlueCare EPO Silver Choice Silver BlueCare EPO Silver Choice SBC (PDF) BlueCare EPO Silver Choice Contract (PDF) individual
MT019 2026 BlueCare EPO Simple Bronze HDHP 0 Bronze BlueCare EPO Simple Bronze HDHP 0 SBC (PDF) BlueCare EPO Simple Bronze HDHP 0 Contract (PDF) individual
MT020 2026 BlueCare EPO Simple Bronze HDHP Bronze BlueCare EPO Simple Bronze HDHP SBC (PDF) BlueCare EPO Simple Bronze HDHP Contract (PDF) individual
MT021 2026 BlueCare EPO Simple Bronze HDHP 4 Bronze BlueCare EPO Simple Bronze HDHP 4 SBC (PDF) BlueCare EPO Simple Bronze HDHP 4 Contract (PDF) individual
MT022 2026 BlueCare EPO Simple Bronze 5 Bronze BlueCare EPO Simple Bronze 5 SBC (PDF) BlueCare EPO Simple Bronze 5 Contract (PDF) individual
MT023 2026 BlueCare EPO Simple Bronze Choice HDHP Bronze BlueCare EPO Simple Bronze Choice HDHP SBC (PDF) BlueCare EPO Simple Bronze Choice HDHP Contract (PDF) individual
MT024 2026 BlueCare EPO Simple Silver HDHP 0 Silver BlueCare EPO Simple Silver HDHP 0 SBC (PDF) BlueCare EPO Simple Silver HDHP 0 Contract (PDF) individual
MT025 2026 BlueCare EPO Simple Silver HDHP Silver BlueCare EPO Simple Silver HDHP SBC (PDF) BlueCare EPO Simple Silver HDHP Contract (PDF) individual
MT026 2026 BlueCare EPO Simple Silver HDHP 1 Silver BlueCare EPO Simple Silver HDHP 1 SBC (PDF) BlueCare EPO Simple Silver HDHP 1 Contract (PDF) individual
MT027 2026 BlueCare EPO Simple Silver 2  Silver BlueCare EPO Simple Silver 2  SBC (PDF) BlueCare EPO Simple Silver 2  Contract (PDF) individual
MT028 2026 BlueCare EPO Simple Silver 3  Silver BlueCare EPO Simple Silver 3  SBC (PDF) BlueCare EPO Simple Silver 3  Contract (PDF) individual
MT029 2026 BlueCare EPO Simple Silver 4 Silver BlueCare EPO Simple Silver 4 SBC (PDF) BlueCare EPO Simple Silver 4 Contract (PDF) individual
MT030 2026 BlueCare EPO Simple Silver 5 Silver BlueCare EPO Simple Silver 5 SBC (PDF) BlueCare EPO Simple Silver 5 Contract (PDF) individual
MT031 2026 BlueCare EPO Simple Silver Choice HDHP Silver BlueCare EPO Simple Silver Choice HDHP SBC (PDF) BlueCare EPO Simple Silver Choice HDHP Contract (PDF) individual
MT032 2026 BlueCare EPO Silver Select Choice Silver BlueCare EPO Silver Select Choice SBC (PDF) BlueCare EPO Silver Select Choice Contract (PDF) individual
MT033 2026 BlueCare EPO Silver Plus  Silver BlueCare EPO Silver Plus  SBC (PDF) BlueCare EPO Silver Plus  Contract (PDF) individual
MT034 2026 BlueCare EPO Silver Plus Choice Silver BlueCare EPO Silver Plus Choice SBC (PDF) BlueCare EPO Silver Plus Choice Contract (PDF) individual
MT035 2026 BlueCare EPO Silver Plus 1 Silver BlueCare EPO Silver Plus 1 SBC (PDF) BlueCare EPO Silver Plus 1 Contract (PDF) individual
MT036 2026 BlueCare EPO Silver Plus 2 Silver BlueCare EPO Silver Plus 2 SBC (PDF) BlueCare EPO Silver Plus 2 Contract (PDF) individual
MT037 2026 BlueCare EPO Silver Plus 3 Silver BlueCare EPO Silver Plus 3 SBC (PDF) BlueCare EPO Silver Plus 3 Contract (PDF) individual
MT038 2026 BlueCare EPO Silver Plus 4 Silver BlueCare EPO Silver Plus 4 SBC (PDF) BlueCare EPO Silver Plus 4 Contract (PDF) individual
MT039 2026 BlueCare EPO Silver Plus 5 Silver BlueCare EPO Silver Plus 5 SBC (PDF) BlueCare EPO Silver Plus 5 Contract (PDF) individual
MT040 2026 BlueCare EPO Silver Plus 0 Silver BlueCare EPO Silver Plus 0 SBC (PDF) BlueCare EPO Silver Plus 0 Contract (PDF) individual
MT060 2026 BlueCare EPO Gold Plus Gold BlueCare EPO Gold Plus SBC (PDF) BlueCare EPO Gold Plus Contract (PDF) individual
MT061 2026 BlueCare EPO Gold Plus 4 Gold BlueCare EPO Gold Plus 4 SBC (PDF) BlueCare EPO Gold Plus 4 Contract (PDF) individual
MT062 2026 BlueCare EPO Gold Plus 5 Gold BlueCare EPO Gold Plus 5 SBC (PDF) BlueCare EPO Gold Plus 5 Contract (PDF) individual
MT063 2026 BlueCare EPO Gold Plus Choice Gold BlueCare EPO Gold Plus Choice SBC (PDF) BlueCare EPO Gold Plus Choice Contract (PDF) individual
MT064 2026 BlueCare EPO Gold Plus 0 Gold BlueCare EPO Gold Plus 0 SBC (PDF) BlueCare EPO Gold Plus 0 Contract (PDF) individual
MT045 2026 BlueCare EPO Standardized Expanded Bronze  Bronze BlueCare EPO Standardized Expanded Bronze  SBC (PDF) BlueCare EPO Standardized Expanded Bronze  Contract (PDF) individual
MT046 2026 BlueCare EPO Standardized Expanded Bronze 0 Bronze BlueCare EPO Standardized Expanded Bronze 0 SBC (PDF) BlueCare EPO Standardized Expanded Bronze 0 Contract (PDF) individual
MT047 2026 BlueCare EPO Standardized Expanded Bronze 4 Bronze BlueCare EPO Standardized Expanded Bronze 4 SBC (PDF) BlueCare EPO Standardized Expanded Bronze 4 Contract (PDF) individual
MT048 2026 BlueCare EPO Standardized Expanded Bronze 5 Bronze BlueCare EPO Standardized Expanded Bronze 5 SBC (PDF) BlueCare EPO Standardized Expanded Bronze 5 Contract (PDF) individual
MT049 2026 BlueCare EPO Standardized Silver Silver BlueCare EPO Standardized Silver SBC (PDF) BlueCare EPO Standardized Silver Contract (PDF) individual
MT050 2026 BlueCare EPO Standardized Silver 0 Silver BlueCare EPO Standardized Silver 0 SBC (PDF) BlueCare EPO Standardized Silver 0 Contract (PDF) individual
MT051 2026 BlueCare EPO Standardized Silver 1 Silver BlueCare EPO Standardized Silver 1 SBC (PDF) BlueCare EPO Standardized Silver 1 Contract (PDF) individual
MT052 2026 BlueCare EPO Standardized Silver 2 Silver BlueCare EPO Standardized Silver 2 SBC (PDF) BlueCare EPO Standardized Silver 2 Contract (PDF) individual
MT053 2026 BlueCare EPO Standardized Silver 3 Silver BlueCare EPO Standardized Silver 3 SBC (PDF) BlueCare EPO Standardized Silver 3 Contract (PDF) individual
MT054 2026 BlueCare EPO Standardized Silver 4 Silver BlueCare EPO Standardized Silver 4 SBC (PDF) BlueCare EPO Standardized Silver 4 Contract (PDF) individual
MT055 2026 BlueCare EPO Standardized Silver 5 Silver BlueCare EPO Standardized Silver 5 SBC (PDF) BlueCare EPO Standardized Silver 5 Contract (PDF) individual
MT057 2026 BlueCare EPO Standardized Gold 0 Gold BlueCare EPO Standardized Gold 0 SBC (PDF) BlueCare EPO Standardized Gold 0 Contract (PDF) individual
MT056 2026 BlueCare EPO Standardized Gold Gold BlueCare EPO Standardized Gold SBC (PDF) BlueCare EPO Standardized Gold Contract (PDF) individual
MT059 2026 BlueCare EPO Standardized Gold 5 Gold BlueCare EPO Standardized Gold 5 SBC (PDF) BlueCare EPO Standardized Gold 5 Contract (PDF) individual
MT058 2026 BlueCare EPO Standardized Gold 4 Gold BlueCare EPO Standardized Gold 4 SBC (PDF) BlueCare EPO Standardized Gold 4 Contract (PDF) individual
MT202 2026 BlueCare PlatinumSG 500/25 Platinum BlueCare PlatinumSG 500/25 SBC (PDF) BlueCare PlatinumSG 500/25 Contract (PDF) small group
MT203 2026 BlueCare GoldSG 1000/25 Gold BlueCare GoldSG 1000/25 SBC (PDF) BlueCare GoldSG 1000/25 Contract (PDF) small group
MT204 2026 BlueCare GoldSG 2000/25 Gold BlueCare GoldSG 2000/25 SBC (PDF) BlueCare GoldSG 2000/25 Contract (PDF) small group
MT205 2026 BlueCare SilverSG 6200/35 Silver BlueCare SilverSG 6200/35 SBC (PDF) BlueCare SilverSG 6200/35 Contract (PDF) small group
MT206 2026 BlueCare PlatinumSG 0/0 Platinum BlueCare PlatinumSG 0/0 SBC (PDF) BlueCare PlatinumSG 0/0 Contract (PDF) small group
MT207 2026 BlueCare GoldSG 1500/25 Gold BlueCare GoldSG 1500/25 SBC (PDF) BlueCare GoldSG 1500/25 Contract (PDF) small group
MT208 2026 BlueCare BronzeSG 5000/25 Bronze BlueCare BronzeSG 5000/25 SBC (PDF) BlueCare BronzeSG 5000/25 Contract (PDF) small group
MT209 2026 BlueCare SilverSG 3100/35 Silver BlueCare SilverSG 3100/35 SBC (PDF) BlueCare SilverSG 3100/35 Contract (PDF) small group
MT210 2026 BlueCare BronzeSG HDHP 7100/0 Bronze BlueCare BronzeSG HDHP 7100/0 SBC (PDF) BlueCare BronzeSG HDHP 7100/0 Contract (PDF) small group
MT211 2026 BlueCare SilverSG HDHP 5300/0 Silver BlueCare SilverSG HDHP 5300/0 SBC (PDF) BlueCare SilverSG HDHP 5300/0 Contract (PDF) small group
MT201 2026 BlueCare SilverSG 3000/35 Silver BlueCare SilverSG 3000/35 SBC (PDF) BlueCare SilverSG 3000/35 Contract (PDF) small group
MT225 2026 BlueCare PlatinumSG 0/25 Platinum BlueCare PlatinumSG 0/25 SBC (PDF) BlueCare PlatinumSG 0/25 Contract (PDF) small group
MT228 2026 BlueCare SilverSG HDHP 6000/0 Silver BlueCare SilverSG HDHP 6000/0 SBC (PDF) BlueCare SilverSG HDHP 6000/0 Contract (PDF) small group
MT229 2026 BlueCare PlatinumSG 1000/25 Platinum BlueCare PlatinumSG 1000/25 SBC (PDF) BlueCare PlatinumSG 1000/25 Contract (PDF) small group
MT213 2026 BlueCare EPO GoldSG 1500/25 Gold BlueCare EPO GoldSG 1500/25 SBC (PDF) BlueCare EPO GoldSG 1500/25 Contract (PDF) small group
MT215 2026 BlueCare EPO SilverSG HDHP 5300/0 Silver BlueCare EPO SilverSG HDHP 5300/0 SBC (PDF) BlueCare EPO SilverSG HDHP 5300/0 Contract (PDF) small group
MT212 2026 BlueCare EPO BronzeSG 5000/25 Bronze BlueCare EPO BronzeSG 5000/25 SBC (PDF) BlueCare EPO BronzeSG 5000/25 Contract (PDF) small group
MT214 2026 BlueCare EPO BronzeSG HDHP 7100/0 Bronze BlueCare EPO BronzeSG HDHP 7100/0 SBC (PDF) BlueCare EPO BronzeSG HDHP 7100/0 Contract (PDF) small group
MT216 2026 BlueCare EPO SilverSG 3100/35 Silver BlueCare EPO SilverSG 3100/35 SBC (PDF) BlueCare EPO SilverSG 3100/35 Contract (PDF) small group
MT230 2026 BlueCare EPO SilverSG 3000/35 Silver BlueCare EPO SilverSG 3000/35 SBC (PDF) BlueCare EPO SilverSG 3000/35 Contract (PDF) small group
MT231 2026 BlueCare EPO PlatinumSG 500/25 Platinum BlueCare EPO PlatinumSG 500/25 SBC (PDF) BlueCare EPO PlatinumSG 500/25 Contract (PDF) small group
MT234 2026 BlueCare EPO GoldSG 1000/25 Gold BlueCare EPO GoldSG 1000/25 SBC (PDF) BlueCare EPO GoldSG 1000/25 Contract (PDF) small group
MT235 2026 BlueCare EPO GoldSG 2000/25 Gold BlueCare EPO GoldSG 2000/25 SBC (PDF) BlueCare EPO GoldSG 2000/25 Contract (PDF) small group

Plan variant number legend

1 = 73% cost share reduction
2 = 87% cost share reduction
3 = 94% cost share reduction
4 = Native American at greater than 300% of the federal poverty level (FPL)
5 = Native American at or below 300% of the federal poverty level (FPL)