Benefits + costs by plan level
When you get services, you may have to pay out-of-pocket costs.
View the Schedule of Benefits for your plan level. These summaries give you information about the costs you have to pay for covered services.
Please note: For certain services, your provider needs to ask us for a prior authorization before sending you to get those services. Your provider knows when and how to ask us for prior authorization if it is required.
2024 Schedule of Benefits:
Direct ConnectorCare AIAN
Direct ConnectorCare I
Direct ConnectorCare II
Direct ConnectorCare III
Direct Catastrophic
Direct Bronze 2850
Direct Silver 2000
Direct Silver 2000 HSA
Direct Silver 2000 II
Direct Gold
Direct Gold 1600
Direct Platinum
For a list of covered benefits, see the covered services section of the Member Handbook 2023 | 2024
Additional information
Small group rate increase
Consumer narrative justification document