SUMMARY OF BENEFITS and coverage
What This Plan Covers and What You Pay for Covered ServicesThe Summary of Benefits and Coverage (SBC) document will help you choose an insurance plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.
For more information about your coverage, or to get a copy of the complete terms of coverage, visit our Plan Documents page.
For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms, see the Glossary. You can view the Glossary at SBC Uniform Glossary | HealthCare.gov or call 1-888-512-2347 to request a copy.
Questions?
Our hours of operation are
Monday through Friday, 8:30 a.m. to 5 p.m.
Contact Us:
Local: 210-358-6400
Toll-Free: 1-888-512-2347
2027 DOCUMENTS
Mercado Plan
SUMMARY OF BENEFITS AND COVERAGE
Care Plan
SUMMARY OF BENEFITS AND COVERAGE
- Gold Plan
- Gold Plan (Zero Cost Sharing)
- Gold Plan (Limited Cost Sharing)
- Silver Plan
- Silver Plan (Zero Cost Sharing)
- Silver Plan (Limited Cost Sharing)
- Silver Plan 73
- Silver Plan 87
- Silver Plan 94
- Bronze Plan
- Bronze Plan (Zero Cost Sharing)
- Bronze Plan (Limited Cost Sharing)
- Gold Standard Plan
- Gold Standard Plan (Zero Cost Sharing)
- Gold Standard Plan (Limited Cost Sharing)
- Silver Standard Plan
- Silver Standard Plan (Zero Cost Sharing)
- Silver Standard Plan (Limited Cost Sharing)
- Silver Standard Plan 73
- Silver Standard Plan 87
- Silver Standard Plan 94
- Bronze Standard Plan
- Bronze Standard Plan (Zero Cost Sharing)
- Bronze Standard Plan (Limited Cost Sharing)
2026 Documents
SILVER PLANS
- Silver Plan SBC
- Silver (Limited-Cost Share Plan) SBC
- Silver (Zero-Cost Share Plan) SBC
- Silver Plan – Standard Plan SBC
- Silver Plan – Standard (Zero Cost-Share Plan) SBC
- Silver Plan – Standard (Limited Cost-Share Plan) SBC
- Silver Plan 73 SBC
- Silver Plan 73 – Standard Plan SBC
- Silver Plan 87 SBC
- Silver Plan 87 – Standard Plan SBC
- Silver Plan 94 SBC
- Silver Plan 94 – Standard Plan SBC