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Plan Details

The Summary of Benefits (SOB) and Evidence of Coverage (EOC) list all the benefits and details related to our plans.

Choice (PPO) (004)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, and Union counties.

Choice Value (PPO) (007)

$37.10 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Hudson, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, and Union counties.

Choice (PPO) (032)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Burlington, Camden, Cape May, Cumberland, Gloucester, Hunterdon, Middlesex, Ocean, and Salem counties.

Choice Value (PPO) (034)

$32.70 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Davidson, Rutherford, and Williamson counties.                                                                                                          

LiveHealthy (PPO) (036)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Allendale, Aiken, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Colleton, Dorchester, Edgefield, Hampton, Jasper, McCormick, Orangeburg, and Saluda counties. 

LiveHealthy Value (PPO) (037)

$31.10 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Allendale, Aiken, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Colleton, Dorchester, Edgefield, Hampton, Jasper, McCormick, Orangeburg, and Saluda counties. 

Choice (PPO) (038)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Bucks, Delaware, and Philadelphia counties.                                                                                                     

Choice Value (PPO) (039)

$40.70 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Bucks, Delaware, and Philadelphia counties.                                                                                 

Choice (PPO) (040)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Pima county.                                                                   

Choice Value (PPO) (042)

$37.10 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Burlington, Camden, Cape May, Cumberland, Gloucester, Hunterdon, Ocean, and Salem counties. 

LiveHealthy (PPO) (046)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Ben Hill, Berrien, Bleckley, Brantley, Brooks, Burke, Butts, Calhoun, Camden, Candler, Carroll, Catoosa, Chattahoochee, Chattooga, Clarke, Clay, Clayton, Clinch, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, Decatur, DeKalb, Dodge, Dooly, Dougherty, Douglas, Echols, Elbert, Emanuel, Evans, Fannin, Fayette, Forsyth, Franklin, Fulton, Gilmer, Glascock, Grady, Greene, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Laurens, Lee, Lincoln, Long, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Schley, Screven, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Treutlen, Troup, Turner, Twiggs, Upson, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Wilcox, Wilkes, Wilkinson, and Worth counties.                                                                                           

LiveHealthy Value (PPO) (047)

$32.40 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Ben Hill, Berrien, Bleckley, Brantley, Brooks, Burke, Butts, Calhoun, Camden, Candler, Carroll, Catoosa, Chattahoochee, Chattooga, Clarke, Clay, Clayton, Clinch, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, Decatur, DeKalb, Dodge, Dooly, Dougherty, Douglas, Echols, Elbert, Emanuel, Evans, Fannin, Fayette, Forsyth, Franklin, Fulton, Gilmer, Glascock, Grady, Greene, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Laurens, Lee, Lincoln, Long, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Schley, Screven, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Treutlen, Troup, Turner, Twiggs, Upson, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Wilcox, Wilkes, Wilkinson, and Worth counties.

LiveHealthy Value (PPO) (049)

$32.40 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Bartow, Bibb, Cherokee, Cobb, Gwinnett, Henry, Paulding, and Rockdale counties.                                                                                                          

LiveHealthy (PPO) (052)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in Chambers, Cherokee, Clay, Cleburne, Macon, Randolph, and Russell counties.                                                                                      

LiveHealthy Value (PPO) (053)

$32.70 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in Chambers, Cherokee, Clay, Cleburne, Macon, Randolph, and Russell counties.                                                                                   

Premier (PPO) (054)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in Atlantic, Bergen, Essex, Hudson, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, and Union counties.                                                                             

Premier Value (PPO) (055)

$37.10 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in Atlantic, Bergen, Essex, Hudson, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, and Union counties. 

Clover Health Choice Value (PPO)

$35.50 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Hudson, Mercer, Monmouth, Morris, Passaic, Somerset, and Union counties. 

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Beaufort, Charleston, and Jasper counties. 

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Mercer, Monmouth, Morris, Passaic, Somerset, and Union counties. 

Clover Health Choice Value (PPO)

$23.80 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Beaufort, Charleston, and Jasper counties. 

Clover Health Value (HMO)

$35.50 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Hudson, Passaic, Middlesex, and Union counties. 

Clover Health Choice Value (PPO)

$35.60 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Bucks, Delaware, and Philadelphia counties. 

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Bucks, Delaware, and Philadelphia counties. 

Clover Health Choice Value (PPO)

$28.70 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Davidson, Rutherford, and Williamson counties. 

Clover Health Choice Value (PPO)

$35.50 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Burlington, Camden, Cumberland, Gloucester, Ocean, and Salem counties. 

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Burlington, Camden, Cumberland, Gloucester, Ocean, Middlesex, and Salem counties. 

Clover Health Classic (HMO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Hudson, Passaic, and Union counties. 

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Davidson, Rutherford, and Williamson counties. 

Clover Health Value (HMO)

$37.30 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Hudson, Middlesex, Passaic, and Union counties.

Clover Health Choice Value (PPO)

$37.30 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Atlantic, Bergen, Essex, Mercer, Monmouth, Morris, Passaic, Somerset, and Union counties.

Clover Health Choice Value (PPO)

$27.60 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Allendale, Beaufort, Berkeley, Charleston, Colleton, Dorchester, Hampton, and Jasper counties.

Clover Health Choice Value (PPO)

$29.80 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in  Appling, Atkinson, Bacon, Baldwin, Ben Hill, Bleckley, Butts, Candler, Clayton, Clinch, Coffee, Crawford, Dawson, DeKalb, Dodge, Dooly, Douglas, Emanuel, Evans, Forsyth, Fulton, Heard, Houston, Irwin, Jasper, Jeff Davis, Jenkins, Johnson, Jones, Lamar, Long, Macon, McIntosh, Meriwether, Monroe, Montgomery, Peach, Pickens, Pike, Polk, Pulaski, Screven, Tattnall, Taylor, Telfair, Treutlen, Turner, Twiggs, Upson, Ware, Washington, Wayne, Wheeler, Wilcox, and Wilkinson counties.

Clover Health Choice Value (PPO)

$29.80 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in Bryan, Bulloch, Chatham, Effingham, and Liberty counties.

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in  Appling, Atkinson, Bacon, Baldwin, Ben Hill, Bleckley, Butts, Candler, Clayton, Clinch, Coffee, Crawford, Dawson, DeKalb, Dodge, Dooly, Douglas, Emanuel, Evans, Forsyth, Fulton, Heard, Houston, Irwin, Jasper, Jeff Davis, Jenkins, Johnson, Jones, Lamar, Long, Macon, McIntosh, Meriwether, Monroe, Montgomery, Peach, Pickens, Pike, Polk, Pulaski, Screven, Tattnall, Taylor, Telfair, Treutlen, Turner, Twiggs, Upson, Ware, Washington, Wayne, Wheeler, Wilcox, and Wilkinson counties.

LiveHealthy: Clover Powered, Walmart Enhanced (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in Bartow, Bibb, Cherokee, Cobb, Gwinnett, Henry, Paulding, and Rockdale counties.

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in  Burlington, Cumberland, Gloucester, Hunterdon, Middlesex, Camden, Ocean, and Salem counties.

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in  Hinds, Madison, Rankin, Warren, and Yazoo counties.

LiveHealthy LI: Clover Powered, Walmart Enhanced (PPO)

$29.80 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A

Available in  Bartow, Bibb, Cherokee, Cobb, Gwinnett, Henry, Paulding, and Rockdale counties.

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in Allendale, Beaufort, Berkeley,  Charleston, Colleton, Dorchester, Hampton, and Jasper counties.

Clover Health Choice Value (PPO)

$37.30 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in  Burlington, Camden, Cumberland, Gloucester, Hunterdon, Ocean, and Salem counties.

Clover Health Choice (PPO)

$0 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Available in  Atlantic, Bergen, Essex, Mercer, Monmouth, Morris, Passaic, Somerset, and Union counties.

Clover Health Choice Value (PPO)

$27 / month

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

N/A