2026 Schedules of Benefits and SBCs: New Hampshire

Individual Market effective 1/1/26

Some plans pending regulatory approval. If a document doesn't display, please check back soon.

HMO - OFF EXCHANGE without dental SOBSBC
NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201585
NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201586
NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201591
NH Local Choice HMO HSA Silver 3500 MD0000201589
NH Local Choice HMO HSA Bronze 6000 MD0000201590
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201597
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201609
NH Local Choice HMO Silver 2500 + $0 Rx list + $0 Virtual Urgent Care MD0000201593
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201595
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201600
NH Local Choice HMO Bronze 6500 + $0 Rx list + $0 Virtual Urgent Care MD0000201606
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201605
HMO - ON EXCHANGE without dental SOBSBC
NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201585
NH Local HMO Silver 6000 Standard+ $0 Rx list + $0 Virtual Urgent Care MD0000201586
NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201591
NH Local Choice HMO HSA Bronze 6000 MD0000201590
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201597
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201609
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201595
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201600
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201605
HMO - ON EXCHANGE without dental - AI/AN - LimitedSOBSBC
NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201585
NH Local HMO Silver 6000 Standard+ $0 Rx list + $0 Virtual Urgent Care MD0000201586
NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care MD0000201591
NH Local Choice HMO Bronze 6000 MD0000201616
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201597
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201609
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201595
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201600
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201605
HMO - ON EXCHANGE without dental - AI/AN - $0SOBSBC
NH Local HMO CSR100 MD0000201607
NH Local HMO CSR100 MD0000201607
NH Local HMO CSR100 MD0000201607
NH Local Choice HMO CSR100 MD0000201608
NH Local Choice HMO CSR100 MD0000201608
NH Local Choice HMO CSR100 MD0000201608
NH Local Choice HMO CSR100 MD0000201608
NH Local Choice HMO CSR100 MD0000201608
NH Local Choice HMO CSR100 MD0000201608
HMO - ON EXCHANGE without dental - CSR - 73%SOBSBC
NH Local HMO Silver 3000 Standard CSR73 + $0 Rx list + $0 Virtual Urgent Care MD0000201587
NH Local Choice HMO Silver 2500 CSR73 + $0 Rx list + $0 Virtual Urgent Care MD0000201596
NH Local Choice HMO Silver 3500 CSR73 + $0 Rx list + $0 Virtual Urgent Care MD0000201604
HMO - ON EXCHANGE without dental - CSR - 87%SOBSBC
NH Local HMO Silver 700 Standard CSR87 + $0 Rx list + $0 Virtual Urgent Care MD0000201588
NH Local Choice HMO Silver 1400 CSR87 + $0 Rx list + $0 Virtual Urgent Care MD0000201598
NH Local Choice HMO Silver 1600 CSR87 + $0 Rx list + $0 Virtual Urgent Care MD0000201602
HMO - ON EXCHANGE without dental - CSR - 94%SOBSBC
NH Local HMO Silver Standard CSR94 + $0 Rx list + $0 Virtual Urgent Care MD0000201592
NH Local Choice HMO Silver 400 CSR94 + $0 Rx list + $0 Virtual Urgent Care MD0000201599
NH Local Choice HMO Silver 500 CSR94 + $0 Rx list + $0 Virtual Urgent Care MD0000201603
HMO - OFF EXCHANGE with dental SOBSBC
NH Local Choice HMO HSA Silver 3500 MD0000201589
NH Local Choice HMO HSA Bronze 6000 MD0000201590
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care MD0000201597
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care MD0000201609
NH Local Choice HMO Silver 2500 + $0 Rx list + $0 Virtual Urgent Care MD0000201593
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care MD0000201594
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care MD0000201601
NH Local Choice HMO Bronze 6500 + $0 Rx list + $0 Virtual Urgent Care MD0000201606
NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care MD0000201605