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2018 Medica with CHI Health Official Documents

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

Iowa Plans

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)

Nebraska Plans

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)
Date: 6/16/2019 6:43:43 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB02