State County Issuer Name FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna Page 1 of 32 02/10/2016
Plan Marketing Name Aetna Basic 1-855-586-6960 Aetna Premier 2000 PD 1-855-586-6960 Aetna Classic 3500 PD 1-855-586-6960 Aetna Classic 5000 1-855-586-6960 Aetna Advantage 5750 PD 1-855-586-6960 Aetna Advantage 6350 1-855-586-6960 Aetna AdvantagePlus 5500 PD 1-855-586-6960 Ambetter Silver 1 + Vision + Adult Dental 1-877-687-1169 Ambetter Gold 4 + Vision + Adult Dental 1-877-687-1169 Ambetter Gold 2 + Vision + Adult Dental 1-877-687-1169 Ambetter Bronze 4 + Vision 1-877-687-1169 Ambetter Bronze 3 + Vision 1-877-687-1169 Ambetter Bronze 1 + Vision 1-877-687-1169 Ambetter Silver 5 + Vision 1-877-687-1169 Ambetter Silver 4 + Vision 1-877-687-1169 Ambetter Silver 3 + Vision 1-877-687-1169 Ambetter Silver 1 + Vision 1-877-687-1169 Ambetter Gold 4 + Vision 1-877-687-1169 Ambetter Gold 2 + Vision 1-877-687-1169 Ambetter Bronze 4 1-877-687-1169 Customer Service Phone Number Toll Free Page 2 of 32 02/10/2016
Customer Service Phone Number Local 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 1-855-586-6960 Customer Service Phone Number TTY Page 3 of 32 02/10/2016
Plan ID - Standard Component 23841FL0080005 23841FL0080007 23841FL0080008 23841FL0080009 23841FL0080001 23841FL0080002 23841FL0080004 86382FL0030005 86382FL0030004 86382FL0030002 86382FL0020013 86382FL0020012 86382FL0020010 86382FL0020009 86382FL0020008 86382FL0020007 86382FL0020005 86382FL0020004 86382FL0020002 86382FL0010013 Page 4 of 32 02/10/2016
FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare Page 5 of 32 02/10/2016
Ambetter Bronze 3 1-877-687-1169 Ambetter Silver 5 1-877-687-1169 Ambetter Silver 4 1-877-687-1169 Ambetter Silver 3 1-877-687-1169 Ambetter Silver 1 1-877-687-1169 Ambetter Gold 4 1-877-687-1169 Ambetter Gold 2 1-877-687-1169 Ambetter Bronze 1 1-877-687-1169 Ambetter Bronze 4 + Vision + Adult Dental 1-877-687-1169 Ambetter Bronze 3 + Vision + Adult Dental 1-877-687-1169 Ambetter Bronze 1 + Vision + Adult Dental 1-877-687-1169 Ambetter Silver 5 + Vision + Adult Dental 1-877-687-1169 Ambetter Silver 4 + Vision + Adult Dental 1-877-687-1169 Ambetter Silver 3 + Vision + Adult Dental 1-877-687-1169 mycigna Health Flex 1900 1-877-900-1237 mycigna Health Flex 1250 1-877-900-1237 mycigna Copay Assure Gold 1-877-900-1237 mycigna Health Savings 6100 1-877-900-1237 mycigna Health Flex 5500 1-877-900-1237 mycigna Health Flex 5100 1-877-900-1237 mycigna Health Savings 3400 1-877-900-1237 mycigna Health Flex 1500 1-877-900-1237 Page 6 of 32 02/10/2016
1-877-900-1237 1-877-900-1237 1-877-900-1237 1-877-900-1237 1-877-900-1237 1-877-900-1237 1-877-900-1237 1-877-900-1237 Page 7 of 32 02/10/2016
86382FL0010012 86382FL0010009 86382FL0010008 86382FL0010007 86382FL0010005 86382FL0010004 86382FL0010002 86382FL0010010 86382FL0030013 86382FL0030012 86382FL0030010 86382FL0030009 86382FL0030008 86382FL0030007 48121FL0020009 48121FL0020010 48121FL0020011 48121FL0020001 48121FL0020002 48121FL0020003 48121FL0020004 48121FL0020005 Page 8 of 32 02/10/2016
FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Cigna Healthcare FL BROWARD Coventry Health Care of Florida, Inc. FL BROWARD Coventry Health Care of Florida, Inc. FL BROWARD Coventry Health Care of Florida, Inc. FL BROWARD Coventry Health Care of Florida, Inc. FL BROWARD Coventry Health Care of Florida, Inc. Page 9 of 32 02/10/2016
mycigna Health Flex 2750 1-877-900-1237 mycigna Health Flex 5000 1-877-900-1237 mycigna Copay Assure Silver 1-877-900-1237 Gold $5 Copay HMO Carelink 1-855-449-2889 Bronze Deductible Only HMO HSA Eligible Carelink 1-855-449-2889 Bronze $10 Copay HMO Carelink 1-855-449-2889 Silver $10 Copay HMO Carelink 1-855-449-2889 Catastrophic 100% HMO Carelink 1-855-449-2889 BlueSelect All Copay Plus 1457P BlueSelect Everyday Health 1443 BlueSelect Everyday Health Plus 1443P BlueSelect Essential (HSA) 1463 BlueOptions Predictable Cost 1413 BlueOptions Predictable Cost 1423 BlueOptions Predictable Cost Plus 1423P BlueOptions Essential 1401 BlueOptions Essential 1406 BlueOptions Essential (HSA) 1419 BlueOptions Essential (HSA) 1430 BlueOptions Essential Plus 1401P BlueOptions Essential Plus 1406P Page 10 of 32 02/10/2016
1-877-900-1237 1-877-900-1237 1-877-900-1237 1-855-449-2889 1-888-444-7352 1-855-449-2889 1-888-444-7352 1-855-449-2889 1-888-444-7352 1-855-449-2889 1-888-444-7352 1-855-449-2889 1-888-444-7352 Page 11 of 32 02/10/2016
48121FL0020006 48121FL0020007 48121FL0020008 57451FL0070001 57451FL0070004 57451FL0070003 57451FL0070002 57451FL0070005 16842FL0120071 16842FL0120072 16842FL0120073 16842FL0120047 16842FL0070072 16842FL0070073 16842FL0070075 16842FL0070076 16842FL0070081 16842FL0070084 16842FL0070087 16842FL0070088 16842FL0070093 Page 12 of 32 02/10/2016
Page 13 of 32 02/10/2016
BlueOptions Essential (HSA) Plus 1419P BlueOptions Essential (HSA) Plus 1430P BlueOptions Everyday Health 1431 BlueOptions Everyday Health Plus 1431P BlueOptions Everyday Health 1418 BlueOptions Everyday Health 1420 BlueOptions Everyday Health Plus 1418P BlueOptions Everyday Health Plus 1420P BlueOptions Everyday Health Premier 1418V BlueOptions Everyday Health Premier 1420V BlueOptions Everyday Health 1416 BlueOptions Everyday Health Plus 1416P BlueOptions All Copay 1424 BlueOptions All Copay Plus 1424P BlueOptions Catastrophic 1433 BlueOptions Everyday Health 1410 BlueOptions Everyday Health Plus 1410P BlueSelect Predictable Cost 1446 BlueSelect Predictable Cost 1456 BlueSelect Predictable Cost Plus 1446P BlueSelect Predictable Cost Plus 1456P Page 14 of 32 02/10/2016
Page 15 of 32 02/10/2016
16842FL0070096 16842FL0070099 16842FL0070100 16842FL0070101 16842FL0070102 16842FL0070103 16842FL0070104 16842FL0070105 16842FL0070106 16842FL0070107 16842FL0070108 16842FL0070109 16842FL0070110 16842FL0070111 16842FL0070112 16842FL0070114 16842FL0070115 16842FL0120032 16842FL0120033 16842FL0120034 16842FL0120035 Page 16 of 32 02/10/2016
Page 17 of 32 02/10/2016
BlueSelect Essential 1434 BlueSelect Essential 1439 BlueSelect Essential (HSA) 1452 BlueOptions Predictable Cost Plus 1413P BlueSelect Essential Plus 1434P BlueSelect Essential Plus 1439P BlueSelect Essential (HSA) Plus 1452P BlueSelect Essential (HSA) Plus 1463P BlueSelect Everyday Health Premier 1453V BlueSelect Everyday Health 1464 BlueSelect Everyday Health Plus 1464P BlueSelect Everyday Health 1451 BlueSelect Everyday Health 1453 BlueSelect Everyday Health Plus 1451P BlueSelect Everyday Health Plus 1453P BlueSelect Everyday Health Premier 1451V BlueSelect Everyday Health 1449 BlueSelect Everyday Health Plus 1449P BlueSelect All Copay 1457 BlueCare Predictable Cost 1480 Page 18 of 32 02/10/2016
Page 19 of 32 02/10/2016
16842FL0120036 16842FL0120041 16842FL0120044 16842FL0070074 16842FL0120048 16842FL0120053 16842FL0120056 16842FL0120059 16842FL0120067 16842FL0120060 16842FL0120061 16842FL0120062 16842FL0120063 16842FL0120064 16842FL0120065 16842FL0120066 16842FL0120068 16842FL0120069 16842FL0120070 30252FL0020032 Page 20 of 32 02/10/2016
Page 21 of 32 02/10/2016
BlueCare Essential Plus 1473P BlueCare Essential Plus 1468P BlueCare Essential (HSA) 1497 BlueCare Essential (HSA) 1486 BlueCare Essential 1473 BlueCare Essential 1468 BlueCare Predictable Cost Plus 1490P BlueCare Predictable Cost Plus 1480P BlueCare Predictable Cost 1490 BlueCare Everyday Health Plus 1477P BlueCare Everyday Health 1477 BlueCare All Copay Plus 1491P BlueCare All Copay 1491 Page 22 of 32 02/10/2016
Page 23 of 32 02/10/2016
30252FL0020053 30252FL0020048 30252FL0020047 30252FL0020044 30252FL0020041 30252FL0020036 30252FL0020035 30252FL0020034 30252FL0020033 30252FL0020071 30252FL0020070 30252FL0020069 30252FL0020068 Page 24 of 32 02/10/2016
FL BROWARD Humana Medical Plan, Inc. FL BROWARD Humana Medical Plan, Inc. FL BROWARD Humana Medical Plan, Inc. FL BROWARD Humana Medical Plan, Inc. FL BROWARD Humana Medical Plan, Inc. Page 25 of 32 02/10/2016
BlueCare Everyday Health Plus 1483P BlueCare Everyday Health 1483 BlueCare Everyday Health Plus 1487P BlueCare Everyday Health Plus 1485P BlueCare Everyday Health 1487 BlueCare Everyday Health 1485 BlueCare Everyday Health Plus 1498P BlueCare Everyday Health 1498 BlueCare Essential (HSA) Plus 1497P BlueCare Essential (HSA) Plus 1486P Humana Connect Bronze 6300/6300 Plan 1-877-720-4854 Humana Connect Basic 6350/6350 Plan 1-877-720-4854 Humana Connect Platinum 1000/1500 Plan 1-877-720-4854 Humana Connect Gold 2500/3500 Plan 1-877-720-4854 Humana Connect Silver 4600/6300 Plan 1-877-720-4854 Page 26 of 32 02/10/2016
1-877-720-4854 1-800-325-2028 1-877-720-4854 1-800-325-2028 1-877-720-4854 1-800-325-2028 1-877-720-4854 1-800-325-2028 1-877-720-4854 1-800-325-2028 Page 27 of 32 02/10/2016
30252FL0020067 30252FL0020066 30252FL0020065 30252FL0020064 30252FL0020063 30252FL0020062 30252FL0020061 30252FL0020060 30252FL0020059 30252FL0020056 35783FL1160002 35783FL1160001 35783FL1160006 35783FL1160005 35783FL1160004 Page 28 of 32 02/10/2016
FL BROWARD Humana Medical Plan, Inc. FL BROWARD Molina Healthcare of Florida, Inc FL BROWARD Molina Healthcare of Florida, Inc FL BROWARD Molina Healthcare of Florida, Inc Page 29 of 32 02/10/2016
Humana Connect Bronze 4850/6350 Plan 1-877-720-4854 Molina Marketplace Bronze Plan 1-888-560-5716 Molina Marketplace Gold Plan 1-888-560-5716 Molina Marketplace Silver Plan 1-888-560-5716 Page 30 of 32 02/10/2016
1-877-720-4854 1-800-325-2028 1-888-560-5716 1-800-955-8771 1-888-560-5716 1-800-955-8771 1-888-560-5716 1-800-955-8771 Page 31 of 32 02/10/2016
35783FL1160003 54172FL0010003 54172FL0010001 54172FL0010002 Page 32 of 32 02/10/2016