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Claims payment policies & other information

The transparency in coverage section of this website is intended to provide general information concerning our plans to aid in the understanding of common health insurance concepts; but in all cases, the specific language of a member’s policy and related documents will always control over the more general descriptions outlined here.

Impacted Insurer and Plans

Insurer Name (HIOS Issuer#)
USAble Mutual Insurance Company (75293)

2023 CMS QHP Certification Transparency in Coverage

Individual exchange local on exchange plans

Plan NameHIOS Product ID
Gold Plan HSA175293AR1200020
Silver Plan 175293AR1200003
Silver Plan AH175293AR1200004
Silver Plan 275293AR1200014
Silver Plan HSA 175293AR1200006
Bronze Plan 175293AR1200007
Bronze Plan HSA 175293AR1200008
Silver Plan 675293AR1200023
Bronze Plan 375293AR1200024
Gold Plan Standardized75293AR1200025
Silver Plan Standardized75293AR1200026
Bronze Plan Standardized75293AR1200027
Bronze Plan Virtual First75293AR1200028

2023 CMS QHP Certification Transparency in Coverage

Individual on exchange dental

Plan NameHIOS Product ID
Dental Pediatric75293AR1230001
Dental Silver75293AR1230002
Dental Gold75293AR1230003
Dental Gold Plus Vision75293AR1230004
Dental Platinum75293AR1230005
Dental Platinum Plus Vision75293AR1230006

2024 PY Blue Cross Individual Exchange On Exchange

Plan NameHIOS Product ID
Silver Premier Suitcase75293AR1200003
Silver AH75293AR1200004
Silver Classic Suitcase 75293AR1200014
Silver Value75293AR1200023
Bronze Value75293AR1200024
Gold Standardized 75293AR1200025
Silver Standardized75293AR1200026
Bronze Exp Standardized75293AR1200029

2024 PY Blue Cross Individual On Exchange Dental

Plan NameHIOS Product ID
Dental Pediatric75293AR1230001
Dental Silver75293AR1230002
Dental Gold75293AR1230003
Dental Gold Plus Vision75293AR1230004
Dental Platinum75293AR1230005
Dental Platinum Plus Vision75293AR1230006