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Whether you're looking for plan information, our privacy policy or other legal information, you'll find it all here. Or, browse our 2024 plan info.
Expanded Bronze
Expanded Bronze HDHP
Silver
Gold
Individual Plans Master Policy
Individual HDHP Master Policy
Expanded Bronze
Silver HDHP
Silver 3300
Silver 5700
Silver 5000 500 Rx
Gold
Gold 1000 200 Rx
Small Group Certificate of Coverage
Small Group HDHP Certificate of Coverage
Small Group Master Policy (for Employers)
Small Group HDHP Master Policy (for Employers)
Grievance Form
Higher Level of Benefits Waiver Form
Individual Application (for enrollment outside of the Idaho Exchange)
Medical Appeal Form
Medical Claim Reimbursement Form
Multiple Coverage Inquiry Form
Qualifying Domestic Partnership Form
Cancellation of Authorized Representative Form - Group
Cancellation of Authorized Representative Form - Individual
Client Portal Access Form - Small Group
Designation of Authorized Representative Form - Group
Designation of Authorized Representative Form - Individual
Pharmacy Designation of Authorized Representative (DAR) Form
Pharmacy Appeal Form
Pharmacy Directory
2025 Prescription Drug List
Provider Manual
Multiple Coverage Inquiry Form
Pre-Authorization Form
Provider Appeal and Claims Inquiry Form
Release of Protected Health Information Form
Release of Protected Health Information Form - Psychotherapy
Vision Claim Reimbursement Form
No Surprises Act
Plan Brochure
Individual Booklet
Small Group Booklet
Silver 5600
Silver 1000
Silver 250
Expanded Bronze Plan Limited Cost Sharing
Expanded Bronze Plan Zero Cost Sharing
Bronze HDHP Plan Limited Cost Sharing
Bronze HDHP Plan Zero Cost Sharing
Silver Plan Limited Cost Sharing
Silver Plan Zero Cost Sharing
Gold Plan Limited Cost Sharing
Gold Plan Zero Cost Sharing
In-Network Rates
Formulary
Providers
Plans
Index
Allowed Amounts
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A brand you can trust
Enroll in St. Luke's Health Plan on Your Health Idaho Marketplace and access a network of 7,100+ doctors and specialists trusted by Idahoans.