Exchange Individual Plan Documents

Reminder: HPN/SHL individual open enrollment begins November 1, 2024 to January 15, 2025.

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

2025 Gold Level Plans

Summaries of Benefits and Coverage (SBC)

• MYHPN Select Network Gold 1 (PDF)
• MYHPN Select Network Gold 1 - Tribal (PDF)
• MyHPN Gold 6 (PDF)
• MyHPN Gold 6 - Tribal (PDF)

2025 Silver Level Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Select Network Silver 1 (PDF)
• MyHPN Select Network Silver 1 - Tribal (PDF)
• MyHPN Select Network Silver 1 - 73 (PDF)
• MyHPN Select Network Silver 1 - 87 (PDF)
• MyHPN Select Network Silver 1 - 94 (PDF)
• MyHPN Select Network Silver 3 (PDF)
• MyHPN Select Network Silver 3 - Tribal (PDF)
• MyHPN Select Network Silver 3 - 73 (PDF)
• MyHPN Select Network Silver 3 - 87 (PDF)
• MyHPN Select Network Silver 3 - 94 (PDF)
• MyHPN Select Network Silver 4 (PDF)
• MyHPN Select Network Silver 4 - Tribal (PDF)
• MyHPN Select Network Silver 4 - 73 (PDF)
• MyHPN Select Network Silver 4 - 87 (PDF)
• MyHPN Select Network Silver 4 - 94 (PDF)
• MyHPN Silver 1.1 (PDF)
• MyHPN Silver 1.1 - Tribal (PDF)
• MyHPN Silver 1.1 - 73 (PDF)
• MyHPN Silver 1.1 - 87 (PDF)
• MyHPN Silver 1.1 - 94 (PDF)
• MyHPN Silver 5 Medicaid Transition (PDF)
• MyHPN Silver 5 Medicaid Transition - Tribal (PDF)
• MyHPN Silver 5 - 73 Medicaid Transition (PDF)
• MyHPN Silver 5 - 87 Medicaid Transition (PDF)
• MyHPN Silver 5 - 94 Medicaid Transition (PDF)
• MyHPN Silver 10 (PDF)
• MyHPN Silver 10 - Tribal (PDF)
• MyHPN Silver 10 - 73 (PDF)
• MyHPN Silver 10 - 87 (PDF)
• MyHPN Silver 10 - 94 (PDF)
• MyHPN Silver 11 (PDF)
• MyHPN Silver 11 - Tribal (PDF)
• MyHPN Silver 11 - 73 (PDF)
• MyHPN Silver 11 - 87 (PDF)
• MyHPN Silver 11 - 94 (PDF)
• MyHPN Silver 12 (PDF)
• MyHPN Silver 12 - Tribal (PDF)
• MyHPN Silver 12 - 73 (PDF)
• MyHPN Silver 12 - 87 (PDF)
• MyHPN Silver 12 - 94 (PDF)

2025 Bronze Level Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Select Network Plus Bronze 1 (PDF)
• MyHPN Select Network Plus Bronze 1 - Tribal (PDF)
• MyHPN Bronze 2 Medicaid Transition (PDF)
• MyHPN Bronze 2 Medicaid Transition - Tribal (PDF)
• MyHPN Bronze 3 (PDF)
• MyHPN Bronze 3 - Tribal (PDF)
• MyHPN Catastrophic Plan (PDF)
• Virtual HPN (PDF)
• Virtual HPN - Tribal (PDF)
• MyHPN Plus Bronze 4 (PDF)
• MyHPN Plus Bronze 4 - Tribal (PDF)
• MyHPN Plus Bronze 5 (PDF)
• MyHPN Plus Bronze 5 - Tribal (PDF)
• MyHPN Plus Bronze 6 (PDF)
  
• MyHPN Plus Bronze 6 - Tribal (PDF)

2024 Gold Level Plans

Summaries of Benefits and Coverage (SBC)

• MYHPN Select Network Gold 1 (PDF)
• MyHPN Gold 6 (PDF)

2024 Silver Level Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Select Network Silver 1 (PDF)
• MyHPN Select Network Silver 1 - 73 (PDF)
• MyHPN Select Network Silver 1 - 87 (PDF)
• MyHPN Select Network Silver 1 - 94 (PDF)
• MyHPN Select Network Silver 3 (PDF)
• MyHPN Select Network Silver 3 - 73 (PDF)
• MyHPN Select Network Silver 3 - 87 (PDF)
• MyHPN Select Network Silver 3 - 94 (PDF)
• MyHPN Select Network Silver 4 (PDF)
• MyHPN Select Network Silver 4 - 73 (PDF)
• MyHPN Select Network Silver 4 - 87 (PDF)
• MyHPN Select Network Silver 4 - 94 (PDF)
• MyHPN Silver 1.1 (PDF)
• MyHPN Silver 1.1 - 73 (PDF)
• MyHPN Silver 1.1 - 87 (PDF)
• MyHPN Silver 1.1 - 94 (PDF)
• MyHPN Silver 5 Medicaid Transition (PDF)
• MyHPN Silver 5 - 73 Medicaid Transition (PDF)
• MyHPN Silver 5 - 87 Medicaid Transition (PDF)
• MyHPN Silver 5 - 94 Medicaid Transition (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)

2024 Bronze Level Plans

Summaries of Benefits and Coverage (SBC)

• MyHPN Select Network Plus Bronze 1 (PDF)
• MyHPN Bronze 2 Medicaid Transition (PDF)
• MyHPN Bronze 3 (PDF)
• MyHPN Catastrophic Plan (PDF)
• Virtual HPNTM (PDF)
• MyHPN Plus Bronze 4 (PDF)
• MyHPN Plus Bronze 5 (PDF)
• MyHPN Plus Bronze 6 (PDF)