Individual Plans-Marketplace (2014)
Choose a PPO plan

These plans feature:

  • Enrollment is open until March 31, 2014
  • No pre-existing condition limitations
  • Subsidies available through tax credits to help pay for the plan premiums and medical care
  • Prescription coverage, plus options to add coverage
  • Out-of-network coverage so you can see the doctors you want
  • Free preventive services
  • Free gym membership

Summary of Benefits and Coverage (SBCs)

In compliance with new requirements of the Affordable Care Act, Health First Health Plans has made available a Summary of Benefits and Coverage (SBC) for your plan. The SBC summarizes important information about your health coverage in a standardized format. Each SBC will display as a PDF, and you will need Adobe Reader to view it. You can download Acrobat Reader for free using the link at the bottom of this page. If you aren't clear about any of the underlined terms used in these forms, see the Glossary.

A paper copy of your SBC is also available, free of charge, by calling Customer Service toll-free at 1-800-716-7737 (TTY/TDD relay: 1-800-955-8771) weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon. If you call after hours, you can leave a message and we’ll return your call the next business day.

The Affordable Care Act requires most people to have health care coverage that qualifies as “minimum essential coverage.” These plans or policies do provide minimum essential coverage. In order for certain types of health coverage (for example, individually purchased insurance or job-based coverage) to qualify as minimum essential coverage, the plan must pay, on average, at least 60 percent of allowed charges for covered services. This is called the “minimum value standard.” The health coverage does meet the minimum value standard for the benefits it provides.

Health First Individual health insurance policies are underwritten by Health First Insurance, Inc. Applications are subject to eligibility requirements. Exclusions and limitations may apply. Health First Insurance has entered into an agreement with CMS to provide health insurance coverage through Qualified Health Plans on the Federally Facilitated Marketplace. For more information, contact your agent or your local Health First Insurance office.