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2019 Harmony by Medica Official Documents

To see your summary of benefits and coverage (SBC) and policy of coverage documents, select your state and plan below.

Oklahoma Plans

Document Care Type  
Summary of Benefits and Coverage (SBC) Silver Copay (PDF)
Bronze Copay (PDF)
Policy of Coverage
Silver Copay (PDF)
Bronze Copay (PDF)
Document Care Type  
Summary of Benefits and Coverage (SBC)
Bronze HSA Plus (PDF)
Bronze HSA (PDF)
Policy of Coverage
Bronze HSA Plus (PDF)
Bronze HSA (PDF)
Document Care Type
Summary of Benefits and Coverage (SBC) Gold Share (PDF)
Policy of Coverage
Gold Share (PDF)
Date: 6/20/2019 7:15:22 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB01