Plan Documents

Rate Grids, Individual and Family Plan Documents, AHP Plan Documents, Small Group Plan Documents

Hometown Health Plan Documents

Below are Plan Documents for all Hometown Health Plans. If you are looking for Senior Care Plus Plan documents please visit: www.seniorcareplus.com/documents

Note: To view the organization’s benefits and operating procedures including:
Covered benefits., Noncovered benefits., Practitioner and provider availability., Key UM procedures the organization uses., Potential network, service or benefit restrictions., Pharmaceutical management procedures., view the Evidence of Coverage.

Rate Grids

Please review the rate grid instruction on the excel tab after opening the rate grid document.

Please review the rate grid instruction on the excel tab after opening the rate grid document.
2026 Individual & Family Rate Grid
2026 Small Group Rate Grid
2026 Association Health Plans Rate Grid is not available here. Reach out to your Account Specialist for a quote.

Please review the rate grid instruction on the excel tab after opening the rate grid document.
2025 Individual & Family Rate Grid
2025 Small Group Rate Grid
2025 Association Health Plans Rate Grid is not available here. Reach out to your Account Specialist for a quote.

Individual and Family Plan Documents

Please click below for IFP Plan Documents

AHP Plan Documents

See Association Health Plan Participation Requirements Here

Please click below for AHP Plan Documents

Small Group Plan Documents

Please click below for Small Group Plan Documents

2025 EOC Amendments

Please click below for 2025 EOC Amendments.