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Claims payment policies & other information

The transparency in coverage section of this website is intended to provide general information concerning our plans to aid in the understanding of common health insurance concepts; but in all cases, the specific language of a member’s policy and related documents will always control over the more general descriptions outlined here.

Impacted Insurer and Plans

Insurer Name (HIOS Issuer#)
USAble Mutual Insurance Company (75293)

2024 PY Blue Cross Individual Exchange On Exchange

Plan NameHIOS Product ID
Silver Premier Suitcase75293AR1200003
Silver AH75293AR1200004
Silver Classic Suitcase 75293AR1200014
Silver Value75293AR1200023
Bronze Value75293AR1200024
Gold Standardized 75293AR1200025
Silver Standardized75293AR1200026
Bronze Exp Standardized75293AR1200029

2024 PY Blue Cross Individual On Exchange Dental

Plan NameHIOS Product ID
Dental Pediatric75293AR1230001
Dental Silver75293AR1230002
Dental Gold75293AR1230003
Dental Gold Plus Vision75293AR1230004
Dental Platinum75293AR1230005
Dental Platinum Plus Vision75293AR1230006

2025 PY Blue Cross Individual Exchange On Exchange

Plan NameHIOS Product IDTerminated Plans
Silver Premier Suitcase75293AR1200003Terminated
Silver AH75293AR1200004 
Silver Classic Suitcase75293AR1200014Terminated
Silver Value75293AR1200023 
Bronze Value75293AR1200024 
Gold Standardized75293AR1200025 
Silver Standardized75293AR1200026 
Bronze Exp Standardized75293AR1200029 

2025 PY Blue Cross Individual On Exchange Dental

Plan NameHIOS Product ID
Dental Pediatric75293AR1230001
Dental Silver75293AR1230002
Dental Gold75293AR1230003
Dental Gold Plus Vision75293AR1230004
Dental Platinum75293AR1230005
Dental Platinum Plus Vision75293AR1230006
*Dental Platinum Premium75293AR1230007
*Dental Platinum Premium Plus Vision75293AR1230008

*The following dental exchange plans will be new for the 2025 Plan year: 75293AR1230007 and 75293AR1230008.