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Broker EOCS and SBCS

Georgia Evidence of Coverage and Summary of Benefits Coverage

Specific policy documents for your Friday Health Plan gives you all the details of each plan.

2023 Evidence of Coverage

Click on the EOC to view.

Off Exchange EOC

Click on the EOC to view.

On Exchange EOC

These documents are available in other languages upon request. Please email questions@fridayhealthplans.com with specific language requests.

2023 Summary of Benefits Coverage

Click on your plan to view the SBC.

Friday Catastrophic X
Friday Bronze Basic X
Friday Bronze Basic Zero X
Friday Bronze Basic Limited X
Friday Bronze Basic + Vision Exam X
Friday Bronze Basic + Vision Exam Zero X
Friday Bronze Basic + Vision Exam Limited X
Friday Bronze Plus X
Friday Bronze Plus Zero X
Friday Bronze Plus Limited X
Friday Bronze Plus + Vision Exam X
Friday Bronze Plus + Vision Exam Zero X
Friday Bronze Plus+ Vison Exam Limited X
Friday Bronze AI_AN Zero X
Friday Bronze LCS Limited X
Friday Bronze HSA X
Friday Bronze Copay X
Friday Bronze Copay Zero X
Friday Bronze Copay Limited X
Friday Bronze Copay + Vision Exam X
Friday Bronze Copay + Vision Exam Zero X
Friday Bronze Copay + Vision Exam Limited X
Friday Silver X
Friday Silver Zero X
Friday Silver Limited X
Friday Silver AI_AN Zero X
Friday Silver LCS Limited X
Friday Silver 73% X
Friday Silver 87% X
Friday Silver 94% X
Friday Silver + Vision Exam X
Friday Silver + Vision Exam Zero X
Friday Silver + Vision Exam Limited X
Friday Silver + Vision Exam 73% X
Friday Silver + Vision Exam 87% X
Friday Silver + Vision Exam 94% X
Friday Silver Copay X
Friday Silver Copay Zero X
Friday Silver Copay Limited X
Friday Silver Copay 73% X
Friday Silver Copay 87% X
Friday Silver Copay 94% X
Friday Silver Copay + Vision Exam X
Friday Silver Copay + Vision Exam Zero X
Friday Silver Copay + Vision Exam Limited X
Friday Silver Copay + Vision Exam 73% X
Friday Silver Copay + Vision Exam 87% X
Friday Silver Copay + Vision Exam 94% X
Friday Silver Zero Deductible X
Friday Silver Zero Deductible Zero X
Friday Silver Zero Deductible Limited X
Friday Silver Zero Deductible 73% X
Friday Silver Zero Deductible 87% X
Friday Silver Zero Deductible 94% X
Friday Silver H X
Friday Silver H 73% X
Friday Silver H 87% X
Friday Silver H 94% X
Friday Gold X
Friday Gold Zero X
Friday Gold Limited X
Friday Gold + Vision Exam X
Friday Gold + Vision Exam Zero X
Friday Gold + Vision Exam Limited X
Friday Gold Copay X
Friday Gold Copay Zero X
Friday Gold Copay Limited X
Friday Gold Copay + Vision Exam X
Friday Gold Copay + Vision Exam Zero X
Friday Gold Copay + Vision Exam Limited X
Friday Standard Bronze Basic X
Friday Standard Bronze Basic Zero X
Friday Standard Bronze Basic Limited X
Friday Standard Expanded Bronze X
Friday Standard Expanded Bronze Zero X
Friday Standard Expanded Bronze Limited X
Friday Standard Silver X
Friday Standard Silver Zero X
Friday Standard Silver Limited X
Friday Standard Silver 73% X
Friday Standard Silver 87% X
Friday Standard Silver 94% X
Friday Standard Gold X
Friday Standard Gold Zero X
Friday Standard Gold Limited X

Click on your plan to view the SBC.

Off Exchange

Friday Catastrophic
Friday Bronze Basic
Friday Bronze Basic + Vision Exam
Friday Bronze Plus
Friday Bronze Plus + Vision Exam
Friday Bronze HSA
Friday Bronze Copay
Friday Bronze Copay + Vision Exam
Friday Off Exchange Silver
Friday Silver
Friday Silver + Vision Exam
Friday Off Exchange Silver Copay
Friday Silver Copay
Friday Silver Copay + Vision Exam
Friday Off Exchange Silver Zero Deductible
Friday Silver Zero Deductible
Friday Off Exchange Silver HSA
Friday Silver H
Friday Gold
Friday Gold + Vision Exam
Friday Gold Copay
Friday Gold Copay + Vision Exam
Friday Standard Bronze Basic
Friday Standard Expanded Bronze
Friday Standard Silver
Friday Standard Gold

On Exchange

Friday Catastrophic X
Friday Bronze Basic X
Friday Bronze Basic Zero X
Friday Bronze Basic Limited X
Friday Bronze Basic + Vision Exam X
Friday Bronze Basic + Vision Exam Zero X
Friday Bronze Basic + Vision Exam Limited X
Friday Bronze Plus X
Friday Bronze Plus Zero X
Friday Bronze Plus Limited X
Friday Bronze Plus + Vision Exam X
Friday Bronze Plus + Vision Exam Zero X
Friday Bronze Plus+ Vison Exam Limited X
Friday Bronze AI_AN Zero X
Friday Bronze LCS Limited X
Friday Bronze HSA X
Friday Bronze Copay X
Friday Bronze Copay Zero X
Friday Bronze Copay Limited X
Friday Bronze Copay + Vision Exam X
Friday Bronze Copay + Vision Exam Zero X
Friday Bronze Copay + Vision Exam Limited X
Friday Silver X
Friday Silver Zero X
Friday Silver Limited X
Friday Silver AI_AN Zero X
Friday Silver LCS Limited X
Friday Silver 73% X
Friday Silver 87% X
Friday Silver 94% X
Friday Silver + Vision Exam X
Friday Silver + Vision Exam Zero X
Friday Silver + Vision Exam Limited X
Friday Silver + Vision Exam 73% X
Friday Silver + Vision Exam 87% X
Friday Silver + Vision Exam 94% X
Friday Silver Copay X
Friday Silver Copay Zero X
Friday Silver Copay Limited X
Friday Silver Copay 73% X
Friday Silver Copay 87% X
Friday Silver Copay 94% X
Friday Silver Copay + Vision Exam X
Friday Silver Copay + Vision Exam Zero X
Friday Silver Copay + Vision Exam Limited X
Friday Silver Copay + Vision Exam 73% X
Friday Silver Copay + Vision Exam 87% X
Friday Silver Copay + Vision Exam 94% X
Friday Silver Zero Deductible X
Friday Silver Zero Deductible Zero X
Friday Silver Zero Deductible Limited X
Friday Silver Zero Deductible 73% X
Friday Silver Zero Deductible 87% X
Friday Silver Zero Deductible 94% X
Friday Silver H X
Friday Silver H 73% X
Friday Silver H 87% X
Friday Silver H 94% X
Friday Gold X
Friday Gold Zero X
Friday Gold Limited X
Friday Gold + Vision Exam X
Friday Gold + Vision Exam Zero X
Friday Gold + Vision Exam Limited X
Friday Gold Copay X
Friday Gold Copay Zero X
Friday Gold Copay Limited X
Friday Gold Copay + Vision Exam X
Friday Gold Copay + Vision Exam Zero X
Friday Gold Copay + Vision Exam Limited X
Friday Standard Bronze Basic X
Friday Standard Bronze Basic Zero X
Friday Standard Bronze Basic Limited X
Friday Standard Expanded Bronze X
Friday Standard Expanded Bronze Zero X
Friday Standard Expanded Bronze Limited X
Friday Standard Silver X
Friday Standard Silver Zero X
Friday Standard Silver Limited X
Friday Standard Silver 73% X
Friday Standard Silver 87% X
Friday Standard Silver 94% X
Friday Standard Gold X
Friday Standard Gold Zero X
Friday Standard Gold Limited X

These documents are available in other languages upon request. Please email questions@fridayhealthplans.com with specific language requests.

2022 Evidence of Coverage