With over 100 years of care experience, we created and designed this health plan for what matters most - you. As a member, you can find information about your Ascension Personalized Care health plan including benefits and coverage, in-network doctors, and additional resources for care.

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2024 Schedule of Benefits

View Ascension Personalized Care ACA Schedule of Benefits for Indiana, Kansas, Tennessee and Texas.

Indiana

Bronze

Schedule of Benefits Balanced Bronze

Schedule of Benefits Balanced Bronze Limited Cost Sharing

Schedule of Benefits Balanced Bronze Zero Cost Sharing

Schedule of Benefits No Medical Deductible Bronze

Schedule of Benefits No Medical Deductible Bronze Limited Cost Sharing

Schedule of Benefits No Medical Deductible Bronze Zero Cost Sharing

Schedule of Benefits Standard Expanded Bronze

Schedule of Benefits Standard Expanded Bronze Limited Cost Sharing

Schedule of Benefits Standard Expanded Bronze Zero Cost Sharing

Silver

Schedule of Benefits Low Premium Silver

Schedule of Benefits Low Premium Silver Limited Cost Sharing

Schedule of Benefits Low Premium Silver Zero Cost Sharing

Schedule of Benefits Low Premium Silver 73

Schedule of Benefits Low Premium Silver 87

Schedule of Benefits Low Premium Silver 94

Schedule of Benefits No Deductible Silver

Schedule of Benefits No Deductible Silver Limited Cost Sharing

Schedule of Benefits No Deductible Silver Zero Cost Sharing

Schedule of Benefits No Deductible Silver 73

Schedule of Benefits No Deductible Silver 87

Schedule of Benefits No Deductible Silver 94

Schedule of Benefits Standard Silver

Schedule of Benefits Standard Silver Limited Cost Sharing

Schedule of Benefits Standard Silver Zero Cost Sharing

Schedule of Benefits Standard Silver 73

Schedule of Benefits Standard Silver 87

Schedule of Benefits Standard Silver 94

Gold

Schedule of Benefits Standard Gold

Schedule of Benefits Standard Gold Limited Cost Sharing

Schedule of Benefits Standard Gold Zero Cost Sharing
Kansas

Bronze

Schedule of Benefits Balanced Bronze

Schedule of Benefits Balanced Bronze Limited Cost Sharing

Schedule of Benefits Balanced Bronze Zero Cost Sharing

Schedule of Benefits No Medical Deductible Bronze

Schedule of Benefits No Medical Deductible Bronze Limited Cost Sharing

Schedule of Benefits No Medical Deductible Bronze Zero Cost Sharing

Schedule of Benefits Standard Expanded Bronze

Schedule of Benefits Standard Expanded Bronze Limited Cost Sharing

Schedule of Benefits Standard Expanded Bronze Zero Cost Sharing

Silver

Schedule of Benefits Low Premium Silver

Schedule of Benefits Low Premium Silver Limited Cost Sharing

Schedule of Benefits Low Premium Silver Zero Cost Sharing

Schedule of Benefits Low Premium Silver 73

Schedule of Benefits Low Premium Silver 87

Schedule of Benefits Low Premium Silver 94

Schedule of Benefits No Deductible Silver

Schedule of Benefits No Deductible Silver Limited Cost Sharing

Schedule of Benefits No Deductible Silver Zero Cost Sharing

Schedule of Benefits No Deductible Silver 73

Schedule of Benefits No Deductible Silver 87

Schedule of Benefits No Deductible Silver 94

Schedule of Benefits Standard Silver

Schedule of Benefits Standard Silver Limited Cost Sharing

Schedule of Benefits Standard Silver Zero Cost Sharing

Schedule of Benefits Standard Silver 73

Schedule of Benefits Standard Silver 87

Schedule of Benefits Standard Silver 94

Gold

Schedule of Benefits Standard Gold

Schedule of Benefits Standard Gold Limited Cost Sharing

Schedule of Benefits Standard Gold Zero Cost Sharing
Tennessee

Bronze

Schedule of Benefits Balanced Bronze

Schedule of Benefits Balanced Bronze Limited Cost Sharing

Schedule of Benefits Balanced Bronze Zero Cost Sharing

Schedule of Benefits No Medical Deductible Bronze

Schedule of Benefits No Medical Deductible Bronze Limited Cost Sharing

Schedule of Benefits No Medical Deductible Bronze Zero Cost Sharing

Schedule of Benefits Standard Expanded Bronze

Schedule of Benefits Standard Expanded Bronze Limited Cost Sharing

Schedule of Benefits Standard Expanded Bronze Zero Cost Sharing

Silver

Schedule of Benefits Low Premium Silver

Schedule of Benefits Low Premium Silver Limited Cost Sharing

Schedule of Benefits Low Premium Silver Zero Cost Sharing

Schedule of Benefits Low Premium Silver 73

Schedule of Benefits Low Premium Silver 87

Schedule of Benefits Low Premium Silver 94

Schedule of Benefits No Deductible Silver

Schedule of Benefits No Deductible Silver Limited Cost Sharing

Schedule of Benefits No Deductible Silver Zero Cost Sharing

Schedule of Benefits No Deductible Silver 73

Schedule of Benefits No Deductible Silver 87

Schedule of Benefits No Deductible Silver 94

Schedule of Benefits Standard Silver

Schedule of Benefits Standard Silver Limited Cost Sharing

Schedule of Benefits Standard Silver Zero Cost Sharing

Schedule of Benefits Standard Silver 73

Schedule of Benefits Standard Silver 87

Schedule of Benefits Standard Silver 94

Gold

Schedule of Benefits Standard Gold

Schedule of Benefits Standard Gold Limited Cost Sharing

Schedule of Benefits Standard Gold Zero Cost Sharing
Texas

Bronze

Schedule of Benefits Balanced Bronze

Schedule of Benefits Balanced Bronze Limited Cost Sharing

Schedule of Benefits Balanced Bronze Zero Cost Sharing

Schedule of Benefits No Medical Deductible Bronze

Schedule of Benefits No Medical Deductible Bronze Limited Cost Sharing

Schedule of Benefits No Medical Deductible Bronze Zero Cost Sharing

Schedule of Benefits Standard Expanded Bronze

Schedule of Benefits Standard Expanded Bronze Limited Cost Sharing

Schedule of Benefits Standard Expanded Bronze Zero Cost Sharing

Silver

Schedule of Benefits Low Premium Silver

Schedule of Benefits Low Premium Silver Limited Cost Sharing

Schedule of Benefits Low Premium Silver Zero Cost Sharing

Schedule of Benefits Low Premium Silver 73

Schedule of Benefits Low Premium Silver 87

Schedule of Benefits Low Premium Silver 94

Schedule of Benefits No Deductible Silver

Schedule of Benefits No Deductible Silver Limited Cost Sharing

Schedule of Benefits No Deductible Silver Zero Cost Sharing

Schedule of Benefits No Deductible Silver 73

Schedule of Benefits No Deductible Silver 87

Schedule of Benefits No Deductible Silver 94

Schedule of Benefits Standard Silver

Schedule of Benefits Standard Silver Limited Cost Sharing

Schedule of Benefits Standard Silver Zero Cost Sharing

Schedule of Benefits Standard Silver 73

Schedule of Benefits Standard Silver 87

Schedule of Benefits Standard Silver 94

Gold

Schedule of Benefits Standard Gold

Schedule of Benefits Standard Gold Limited Cost Sharing

Schedule of Benefits Standard Gold Zero Cost Sharing

Off-Exchange

Only available in these counties: Bell, Blanco, Bosque, Coryell, Falls, Fayette, Hamilton, Hill, Lampasas, Lee, Limestone, and Llano

Standard Silver Off Exchange

Standard Gold Off Exchange