Exchange Individual Plan Documents

2022 Exchange Individual Plan Documents

Reminder: HPN/SHL individual open enrollment begins November 1, 2021 to January 15, 2022

Select the document you're looking for to download the PDF.

2022 Gold Level Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Gold 5 (PDF)

2022 Silver Level Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Silver 1 (PDF)
• MyHPN Silver 1 - 73 (PDF)
• MyHPN Silver 1 - 87 (PDF)
• MyHPN Silver 1 - 94 (PDF)
• MyHPN Silver 5/Medicaid Transition Plan (PDF)
• MyHPN Silver 5/Medicaid Transition Plan - 73 (PDF)
• MyHPN Silver 5/Medicaid Transition Plan - 87 (PDF)
• MyHPN Silver 5/Medicaid Transition Plan - 94 (PDF)
• MyHPN Silver 10 (PDF)
• MyHPN Silver 10 - 73 (PDF)
• MyHPN Silver 10 - 87 (PDF)
• MyHPN Silver 10 - 94 (PDF)
• MyHPN Silver 11 (PDF)
• MyHPN Silver 11 - 73 (PDF)
• MyHPN Silver 11 - 87 (PDF)
• MyHPN Silver 11 - 94 (PDF)
• MyHPN Silver 12 (PDF)
• MyHPN Silver 12 - 73 (PDF)
• MyHPN Silver 12 - 87(PDF)
• MyHPN Silver 12 - 94 (PDF)
• MyHPN Silver 14 (PDF)
• MyHPN Silver 14 - 73 (PDF)
• MyHPN Silver 14 - 87 (PDF)
• MyHPN Silver 14 - 94 (PDF)

2022 Bronze Level Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Bronze Plus 1 (PDF)
• MyHPN Bronze Plus 2 Medicaid Transition (PDF)
• MyHPN Bronze Plus 3 (PDF)
• MyHPN Bronze Plus 4 (PDF)
• MyHPN Bronze Plus 5 (PDF)
• MyHPN Bronze Plus 6 (PDF)

2022 Virtual Plans

• Virtual HPN^TM (PDF)

2022 Catastrophic Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Catastrophic Plan (PDF)