Colorado Evidence of Coverage and "Summary of Benefits Coverage"

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

2022 EOCs

2022 Off Exchange EOCs

Friday Catastrophic
Friday Bronze Basic
Friday Bronze HSA
Friday Bronze Plus
Friday Bronze Rx Copay
Friday Silver
Friday Silver Copay
Friday Silver Rx Copay
Friday Gold
Friday Gold Copay
Friday Gold Rx Copay

2022 On Exchange EOCs

Friday Catastrophic
Friday Bronze Basic Limited
Friday Bronze Basic Zero
Friday Bronze Basic
Friday Bronze HSA AI AN
Friday Bronze HSA LCS
Friday Bronze HSA
Friday Bronze Plus Copay Limited
Friday Bronze Plus Copay
Friday Bronze Rx Copay Limited
Friday Bronze Rx Copay Zero
Friday Bronze Rx Copay
Friday Silver Limited
Friday Silver Zero
Friday Silver 73
Friday Silver 87
Friday Silver 94
Friday Silver
Friday Silver Copay Limited
Friday Silver Copay Zero
Friday Silver Copay 73
Friday Silver Copay 87
Friday Silver Copay 94
Friday Silver Copay
Friday Silver Rx Limited
Friday Silver Rx Zero
Friday Silver Rx Copay 73
Friday Silver Rx Copay 87
Friday Silver Rx Copay 94
Friday Silver Rx Copay
Friday Gold Limited
Friday Gold Zero
Friday Gold
Friday Gold Copay Limited
Friday Gold Copay Zero
Friday Gold Copay
Friday Gold Rx Copay Limited
Friday Gold Rx Copay Zero
Friday Gold Rx Copay

2022 Small Group EOCs

Friday Bronze Basic
Friday Bronze Basic HSA
Friday Bronze Plus Copay
Friday Bronze Rx Copay
Friday Silver
Friday Silver Copay
Friday Silver Rx Copay
Friday Silver HSA
Friday Gold
Friday Gold Copay
Friday Gold Rx Copay
Friday Platinum

2022 SBCs

2022 Small Group SBCs

Friday Bronze Basic
Friday Bronze HSA
Friday Bronze Plus Copay
Friday Bronze Rx Copay
Friday Silver
Friday Silver HSA
Friday Silver Copay
Friday Silver Rx Copay
Friday Gold
Friday Gold Copay
Friday Gold Rx Copay
Friday Platinum

2022 Off Exchange SBCs

Friday Catastrophic
Friday Bronze Basic
Friday Bronze Rx Copay
Friday Bronze HSA
Friday Bronze Plus Copay
Friday Silver
Friday Silver Copay
Friday Silver Rx Copay
Friday Gold
Friday Gold Copay
Friday Gold Rx Copay

2022 On Exchange SBCs

Friday Catastrophic
Friday Bronze Basic Limited
Friday Bronze Basic
Friday Bronze AI AN
Friday Bronze Rx Copay Limited
Friday Bronze Rx Zero
Friday Bronze Rx Copay
Friday Bronze HSA
Friday Bronze LCS
Friday Bronze Plus Copay Limited
Friday Bronze Plus Copay Zero
Friday Bronze Plus Copay
Friday Silver 73
Friday Silver 87
Friday Silver 94
Friday Silver Limited
Friday Silver Zero
Friday Silver
Friday Silver Copay 73
Friday Silver Copay 87
Friday Silver Copay 94
Friday Silver Copay Limited
Friday Silver Copay Zero
Friday Silver Copay
Friday Silver Rx Copay 73
Friday Silver Rx Copay 87
Friday Silver Rx Copay 94
Friday Silver Rx Limited
Friday Silver Rx Zero
Friday Silver Rx Copay
Friday Gold Limited
Friday Gold Zero
Friday Gold
Friday Gold Copay Limited
Friday Gold Copay Zero
Friday Gold Copay
Friday Gold Rx Copay Limited
Friday Gold Rx Copay Zero
Friday Gold Rx Copay

2021 EOCs

2021 Off Exchange EOCs

Friday Catastrophic 
Friday Bronze
Friday Bronze HSA
Friday Bronze RX Copay
Friday Silver
Friday Silver RX Copay
Friday Gold
Friday Gold Rx Copay

2021 On Exchange EOCs

Friday Catastrophic X
Friday Bronze X
Friday Bronze X Limited CSR
Friday Bronze Zero X CSR
Friday Bronze HSA X
Friday Bronze HSA X Limited CSR
Friday Bronze HSA X Zero CSR
Friday Bronze RX Copay X
Friday Bronze RX Copay X Limited CSR
Friday Bronze RX Copay X Zero CSR
Friday Silver X
Friday Silver X Zero CSR
Friday Silver X Limited CSR
Friday Silver X 73%
Friday Silver X 87%
Friday Silver 94%
Friday Silver RX Copay X
Friday Silver RX Copay X Limited CSR
Friday Silver RX Copay Zero X CSR
Friday Silver Rx Copay X 73%
Friday Silver RX Copay X 87%
Friday Silver RX Copay X 94%
Friday Gold X
Friday Gold X Limited CSR
Friday Gold X Zero CSR
Friday Gold RX Copay X
Friday Gold RX Copay X Limited CSR
Friday Gold RX Copay X Zero CSR

2021 Small Group EOCs
Friday SG Bronze
Friday SG Bronze HSA
Friday SG Bronze RX Copay
Friday SG Silver
Friday SG Silver HSA 
Friday SG Silver RX Copay
Friday SG Gold
Friday SG Gold RX Copay

2021 SBCs

2021 Small Group SBCs 
Friday SG Bronze
Friday SG Bronze HSA
Friday SG Bronze Rx Copay
Friday SG Silver
Friday SG Silver HSA
Friday SG Silver Rx Copay 
Friday SG Gold
Friday SG Gold Rx Copay

2021 Off Exchange SBCs
Friday Catastrophic 
Friday Bronze
Friday Bronze HSA
Friday Bronze RX Copay
Friday Silver 
Friday Silver RX Copay
Friday Gold
Friday Gold RX Copay

2021 Off Exchange SBCs- Spanish 
Friday Catastrophic
Friday Bronze
Friday Bronze HSA
Friday Bronze RX Copay
Friday Silver
Friday Silver RX Copay
Friday Gold
Friday Gold RX Copay

2021 On Exchange SBCs
Friday Catastrophic X
Friday Bronze X
Friday Bronze Zero
Friday Bronze Limited
Friday Bronze HSA X
Friday Bronze HSA Zero
Friday Bronze HSA Limited
Friday Bronze RX Copay X
Friday Bronze RX Copay Limited
Friday Bronze RX Copay Zero
Friday Silver X
Friday Silver Zero
Friday Silver Limited 
Friday Silver 73%
Friday Silver 87%
Friday Silver 94%
Friday Silver RX Copay X
Friday Silver RX Copay Zero
Friday Silver RX Copay Limited
Friday Silver RX Copay 73%
Friday Silver RX Copay 87%
Friday Silver RX Copay 94%
Friday Gold X
Friday Gold Limited
Friday Gold Zero
Friday Gold RX Copay X

2021 On Exchange SBCs - Spanish 
Friday Catastrophic X
Friday Bronze X
Friday Bronze Limited
Friday Bronze Zero
Friday Bronze HSA X
Friday Bronze HSA Limited
Friday Bronze HSA Zero
Friday Bronze RX Copay X
Friday Bronze RX Copay Limited
Friday Bronze RX Copay Zero
Friday Silver X
Friday Silver Limited
Friday Silver Zero
Friday Silver 73%
Friday Silver 87%
Friday Silver 94%
Friday Silver RX Copay X
Friday Silver RX Copay Limited
Friday Silver RX Copay Zero
Friday Silver RX Copay 73%
Friday Silver RX Copay 87%
Friday Silver RX Copay 94%
Friday Gold X
Friday Gold Limited
Friday Gold Zero
Friday Gold RX Copay X
Friday Gold RX Copay Limited
Friday Gold RX Copay Zero

2020 EOCs

ON-EXCHANGE EOC
OFF-EXCHANGE EOC
SMALL GROUP EOC


2020 On Exchange SBCs

FRIDAY CATASTROPHIC X
FRIDAY BRONZE HSA X
FRIDAY BRONZE RX COPAY X
FRIDAY SILVER X
FRIDAY SILVER RX COPAY X
FRIDAY SILVER X 73%
FRIDAY SILVER X 87%
FRIDAY SILVER X 94%
FRIDAY SILVER RX COPAY X 73%
FRIDAY SILVER RX COPAY X 87%
FRIDAY SILVER RX COPAY X 94%
FRIDAY GOLD X
FRIDAY GOLD RX COPAY X

2020 Off Exchange SBCs

FRIDAY CATASTROPHIC OFF-EXCHANGE
FRIDAY BRONZE HSA OFF-EXCHANGE
FRIDAY BRONZE RX COPAY OFF-EXCHANGE
FRIDAY SILVER OFF-EXCHANGE
FRIDAY SILVER RX COPAY OFF-EXCHANGE
FRIDAY GOLD OFF-EXCHANGE
FRIDAY GOLD RX COPAY OFF-EXCHANGE

2020 Group SBCs

FRIDAY SG BRONZE HSA
FRIDAY SG BRONZE RX COPAY
FRIDAY SG SILVER
FRIDAY SG SILVER HSA
FRIDAY SG SILVER RX COPAY
FRIDAY SG GOLD
FRIDAY SG GOLD RX COPAY

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Friday Care Crew