Marketplace weight loss coverage, state by state
Each state picked one benchmark plan, and plans sold on that state marketplace are measured against it. Of the 50 benchmark documents read so far, 28 exclude bariatric surgery and 22 cover it. None prints a line for anti-obesity medication at all, so this family does not answer the drug question.
By the Covered Weight editorial team · Updated Aug 3, 2026. Research and sourcing by Evan Reid.
What each benchmark plan says
What each label means
- Covered
- On the benefit, with no gate in front of it.
- Covered with conditions
- On the benefit once a requirement is met first.
- Depends on your plan
- Your own plan document decides. No state rule reaches it.
- Not covered
- The document says no. Read the note for whether an exception exists.
- Not published
- We looked and nothing is published. The cell names who to ask.
| State | anti-obesity medication | bariatric surgery | revision surgery | weight-loss programs | nutritional counseling | The chart it was read from |
|---|---|---|---|---|---|---|
| Alabama | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027ALABAMA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Alabama Product Name 320 Plan Plan Name 320 Plan |
| Alaska | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2026-2028ALASKA EHB BENCHMARK PLAN (2026-2028), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2026-2028 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Premera Blue Cross Blue Shield of Alaska Product Name Alaska Heritage Select Envoy Plan Name Heritage Select Envoy |
| Arizona | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027ARIZONA EHB BENCHMARK PLAN (PY 2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type State Employee Plan Issuer Name N/A Product Name N/A Plan Name The State of Arizona EPO Employee Health Plan |
| Arkansas | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027ARKANSAS EHB BENCHMARK PLAN (PY 2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name HMO Partners, Inc. Product Name Small Group Gold 1000-1 Plan Name Small Group Gold 1000-1 |
| California | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Covered | Not covered | Benchmark summary, 2025-2027CALIFORNIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Kaiser Foundation Health Plan Inc. Product Name Small Group HMO Plan Name Small Group HMO 30 |
| Connecticut | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027CONNECTICUT EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name ConnectiCare Insurance Company, Inc. Product Name FlexPOS Plan Name Connecticare Flex POS plan |
| Delaware | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027DELAWARE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Highmark BCBSD Inc. Product Name Shared Cost EPO Plan Name Small Group Shared Cost EPO $2000/100 Plan |
| District of Columbia | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2026-2028DISTRICT OF COLUMBIA EHB BENCHMARK PLAN (2026-2028), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2026-2028 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name GHMSI Product Name Blue Preferred PPO Plan Name Blue Preferred PPO $1,000 – 100%/80% |
| Florida | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027FLORIDA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Florida Product Name BlueOptions Plan Name BlueOptions 5462 |
| Georgia | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Covered | Covered | Benchmark summary, 2025-2027GEORGIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Humana Employers Health Plan of Georgia, Inc. Product Name GA HMO Premier 14 Plan Name Copay Option 22 |
| Hawaii | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027HAWAII EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Hawaii Medical Service Association Product Name Preferred Provider Plan 2010 Plan Name Preferred Provider Plan 2010 |
| Idaho | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027IDAHO EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross of Idaho Health Service, Inc. Product Name Preferred Blue Plan Name Preferred Blue PPO Small Group |
| Illinois | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027ILLINOIS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Illinois Product Name PPO Plan Name Blue PPO Gold 011 |
| Indiana | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027INDIANA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Anthem Insurance Companies Inc. Product Name Legacy PPO Plan Name Blue 6.0 Blue Access PPO Option 14, Rx G |
| Iowa | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027IOWA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Wellmark Inc. Product Name CompleteBlue Plan Name CompleteBlue 2000 |
| Kansas | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027KANSAS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Kansas, Inc. Product Name Comprehensive Major Medical - Blue Choice Plan Name Comprehensive Major Medical - Blue Choice |
| Kentucky | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027KENTUCKY EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name UnitedHealthcare of Kentucky, Ltd. Product Name Choice Plus Plan Name Choice Plus |
| Louisiana | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027LOUISIANA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Louisiana Health Service & Indemnity Company Product Name GroupCare PPO Plan Name GroupCare Copay 80/60 $1000 |
| Maine | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027MAINE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Anthem Health Plans of Maine (Anthem BCBS) Product Name PPO Off Exchange Plan Name Blue Choice, $30.00, $2,500 Ded |
| Maryland | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027MARYLAND EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name CareFirst BlueChoice, Inc. Product Name BlueChoice HMO HSA/HRA Plan Name BlueChoice HMO HSA-HRA $1,500 |
| Massachusetts | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Covered | Covered | Benchmark summary, 2025-2027MASSACHUSETTS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Blue Cross and Blue Shield of Massachusetts HMO Blue, Issuer Name Inc. Product Name HMO Blue With Deductible Plan Name HMO Blue New England $2000 Deductible |
| Michigan | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Covered | Covered | CMS, MICHIGAN EHB-BENCHMARK PLAN (2025-2027), MI-BMP-Summary-PY2025-2027.pdf, Summary InformationMICHIGAN EHB-BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A |
| Minnesota | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027MINNESOTA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name HealthPartners, Inc. Product Name Small Group Product 2 Plan Name HLPT-129123512 |
| Mississippi | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027MISSISSIPPI EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Mississippi Product Name Network Blue Plan Name Network Blue |
| Missouri | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027MISSOURI EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Healthy Alliance Life Co (Anthem BCBS) Product Name PPO On Exchange Plan Name PPO On Exchange |
| Montana | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027MONTANA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Montana Product Name Blue Preferred PPO Plan Name Blue Preferred Gold PPO 007 |
| Nebraska | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027NEBRASKA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Nebraska Product Name SG BCBSNE 2 Tier (Blue Pride Plus) Plan Name Blue Pride Plus Option 102 Gold |
| Nevada | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027NEVADA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Health Plan of Nevada, Inc. Product Name HMO Plan Name HPN Solutions HMO Platinum 15/0/90% |
| New Hampshire | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027NEW HAMPSHIRE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Anthem Product Name HMO On Exchange Plan Name Matthew Thornton Blue |
| New Jersey | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027NEW JERSEY EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Horizon Healthcare Services, Inc. Product Name Advantage EPO Plan Name Advantage EPO Silver 100/50 |
| New Mexico | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Covered | Covered | CMS, NEW MEXICO EHB-BENCHMARK PLAN (2025-2027), NM-BMP-Summary-PY2025-2027.pdf, Summary InformationNEW MEXICO EHB-BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A |
| New York | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027NEW YORK EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Oxford Health Insurance, Inc. Product Name EPO Plan Name Oxford EPO |
| North Carolina | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027NORTH CAROLINA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of North Carolina Product Name Blue Options Plan Name Blue Options PPO |
| North Dakota | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027NORTH DAKOTA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A |
| Ohio | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027OHIO EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Community Insurance Company (Anthem BCBS) Product Name PPO (Blue Access PPO) Plan Name Blue Access (PPO) - Standard Opt D55 |
| Oklahoma | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027OKLAHOMA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Oklahoma Product Name Blue Options PPO Plan Name Blue Options Gold 002 |
| Oregon | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | CMS, OREGON EHB-BENCHMARK PLAN (2025-2027), OR-BMP-Summary-PY2025-2027.pdf, Summary InformationOREGON EHB-BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A |
| Pennsylvania | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027PENNSYLVANIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Keystone Health Plan East, Inc. Product Name Keystone HMO Plan Name Gold Premier HMO |
| Rhode Island | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027RHODE ISLAND EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Rhode Island Product Name VantageBlue VantageBlue 100/60 1500/3000 RX 3/12/35/60/100 Plan Name WOPD |
| South Carolina | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027SOUTH CAROLINA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of South Carolina Product Name Business Blue Complete Plan Name Business Blue Complete |
| South Dakota | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027SOUTH DAKOTA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A |
| Tennessee | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027TENNESSEE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name BlueCross BlueShield of Tennessee Product Name Small Group Shop HDHP Plan Name SG Gold 13S |
| Texas | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027TEXAS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Texas Product Name Blue Choice PPO Plan Name Blue Choice PPO RSH3 |
| Utah | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027UTAH EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type State Employee Plan Issuer Name N/A Product Name N/A Public Employees Health Program (PEHP) Utah Basic Plus Plan Name Plan |
| Vermont | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027VERMONT EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A |
| Virginia | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2025-2027VIRGINIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A |
| Washington | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Covered | Benchmark summary, 2026-2028WASHINGTON EHB BENCHMARK PLAN (2026-2028), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2026-2028 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Regence BlueShield Product Name Regence Group Direct Plan Name Regence Direct Gold + |
| West Virginia | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Covered | Benchmark summary, 2025-2027WEST VIRGINIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Highmark Blue Cross Blue Shield West Virginia Product Name Shared Cost Blue PPO grp NON-X Plan Name Gold Shared Cost PPO $1000 |
| Wisconsin | Not publishedWho to ask: 1-800-318-2596 | Not covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027WISCONSIN EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name UnitedHealthcare Insurance Company Product Name Choice Plus Plan Name Choice Plus |
| Wyoming | Not publishedWho to ask: 1-800-318-2596 | Covered | No record | Not covered | Not covered | Benchmark summary, 2025-2027WYOMING EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026 Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Wyoming Product Name BlueSelect PPO Plan Name BlueSelect Silver for Employer Groups |
50 jurisdictions are in this table, one per benchmark record this site has read. A row means the document was read and its quoted line re-checked at the source, not that the jurisdiction's Medicaid rule has been read: that is a different document and this site holds it for fewer. Colorado is absent because no benchmark record has been read yet, which is a gap rather than a finding of nothing.
Nobody published it: who holds the answer, and the exact question to ask
50 cells above report that we searched the document and found no answer. The office that publishes the document is the one that can answer it.
Health Insurance Marketplace Call Center, Centers for Medicare & Medicaid Services
Benchmark summary, 2025-2027
ALABAMA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Alabama Product Name 320 Plan Plan Name 320 Plan
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2026-2028
ALASKA EHB BENCHMARK PLAN (2026-2028), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2026-2028 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Premera Blue Cross Blue Shield of Alaska Product Name Alaska Heritage Select Envoy Plan Name Heritage Select Envoy
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
ARIZONA EHB BENCHMARK PLAN (PY 2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type State Employee Plan Issuer Name N/A Product Name N/A Plan Name The State of Arizona EPO Employee Health Plan
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
ARKANSAS EHB BENCHMARK PLAN (PY 2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name HMO Partners, Inc. Product Name Small Group Gold 1000-1 Plan Name Small Group Gold 1000-1
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. HealthCare.gov, Contact us
Contact us, Individuals & families, including self-employed
Centers for Medicare & Medicaid Services · Federal agency publication · Read Aug 3, 2026
1-800-318-2596 (TTY: 1-855-889-4325) Available 24 hours a day, 7 days a week (except holidays)
The Marketplace Call Center number and hours, under the tab printed as the section heading. Quoted because every resolution_path that sends a reader to the Marketplace has to carry a number somebody actually checked. Benchmark summary, 2025-2027
CONNECTICUT EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name ConnectiCare Insurance Company, Inc. Product Name FlexPOS Plan Name Connecticare Flex POS plan
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
DELAWARE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Highmark BCBSD Inc. Product Name Shared Cost EPO Plan Name Small Group Shared Cost EPO $2000/100 Plan
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2026-2028
DISTRICT OF COLUMBIA EHB BENCHMARK PLAN (2026-2028), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2026-2028 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name GHMSI Product Name Blue Preferred PPO Plan Name Blue Preferred PPO $1,000 – 100%/80%
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
FLORIDA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Florida Product Name BlueOptions Plan Name BlueOptions 5462
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
GEORGIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Humana Employers Health Plan of Georgia, Inc. Product Name GA HMO Premier 14 Plan Name Copay Option 22
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
HAWAII EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Hawaii Medical Service Association Product Name Preferred Provider Plan 2010 Plan Name Preferred Provider Plan 2010
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
IDAHO EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross of Idaho Health Service, Inc. Product Name Preferred Blue Plan Name Preferred Blue PPO Small Group
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
ILLINOIS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Illinois Product Name PPO Plan Name Blue PPO Gold 011
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
INDIANA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Anthem Insurance Companies Inc. Product Name Legacy PPO Plan Name Blue 6.0 Blue Access PPO Option 14, Rx G
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
IOWA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Wellmark Inc. Product Name CompleteBlue Plan Name CompleteBlue 2000
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
KANSAS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Kansas, Inc. Product Name Comprehensive Major Medical - Blue Choice Plan Name Comprehensive Major Medical - Blue Choice
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
KENTUCKY EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name UnitedHealthcare of Kentucky, Ltd. Product Name Choice Plus Plan Name Choice Plus
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
LOUISIANA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Louisiana Health Service & Indemnity Company Product Name GroupCare PPO Plan Name GroupCare Copay 80/60 $1000
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
MAINE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Anthem Health Plans of Maine (Anthem BCBS) Product Name PPO Off Exchange Plan Name Blue Choice, $30.00, $2,500 Ded
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
MARYLAND EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name CareFirst BlueChoice, Inc. Product Name BlueChoice HMO HSA/HRA Plan Name BlueChoice HMO HSA-HRA $1,500
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
MASSACHUSETTS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Blue Cross and Blue Shield of Massachusetts HMO Blue, Issuer Name Inc. Product Name HMO Blue With Deductible Plan Name HMO Blue New England $2000 Deductible
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. One value here is too long for its column, so the text layer prints it above and below its own label and the quote reads that way. That is what the document prints; tidying it back into label-and-value pairs would make the quote a synthesis rather than a quote. CMS, MICHIGAN EHB-BENCHMARK PLAN (2025-2027), MI-BMP-Summary-PY2025-2027.pdf, Summary Information
MICHIGAN EHB-BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
MINNESOTA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name HealthPartners, Inc. Product Name Small Group Product 2 Plan Name HLPT-129123512
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
MISSISSIPPI EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Mississippi Product Name Network Blue Plan Name Network Blue
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
MISSOURI EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Healthy Alliance Life Co (Anthem BCBS) Product Name PPO On Exchange Plan Name PPO On Exchange
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
MONTANA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Montana Product Name Blue Preferred PPO Plan Name Blue Preferred Gold PPO 007
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
NEBRASKA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of Nebraska Product Name SG BCBSNE 2 Tier (Blue Pride Plus) Plan Name Blue Pride Plus Option 102 Gold
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
NEVADA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Health Plan of Nevada, Inc. Product Name HMO Plan Name HPN Solutions HMO Platinum 15/0/90%
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
NEW HAMPSHIRE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Anthem Product Name HMO On Exchange Plan Name Matthew Thornton Blue
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
NEW JERSEY EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Horizon Healthcare Services, Inc. Product Name Advantage EPO Plan Name Advantage EPO Silver 100/50
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. CMS, NEW MEXICO EHB-BENCHMARK PLAN (2025-2027), NM-BMP-Summary-PY2025-2027.pdf, Summary Information
NEW MEXICO EHB-BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
NEW YORK EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Oxford Health Insurance, Inc. Product Name EPO Plan Name Oxford EPO
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
NORTH CAROLINA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of North Carolina Product Name Blue Options Plan Name Blue Options PPO
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
NORTH DAKOTA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
OHIO EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Community Insurance Company (Anthem BCBS) Product Name PPO (Blue Access PPO) Plan Name Blue Access (PPO) - Standard Opt D55
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
OKLAHOMA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Oklahoma Product Name Blue Options PPO Plan Name Blue Options Gold 002
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. CMS, OREGON EHB-BENCHMARK PLAN (2025-2027), OR-BMP-Summary-PY2025-2027.pdf, Summary Information
OREGON EHB-BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
PENNSYLVANIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Keystone Health Plan East, Inc. Product Name Keystone HMO Plan Name Gold Premier HMO
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
RHODE ISLAND EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Rhode Island Product Name VantageBlue VantageBlue 100/60 1500/3000 RX 3/12/35/60/100 Plan Name WOPD
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. One value here is too long for its column, so the text layer prints it above and below its own label and the quote reads that way. That is what the document prints; tidying it back into label-and-value pairs would make the quote a synthesis rather than a quote. Benchmark summary, 2025-2027
SOUTH CAROLINA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross and Blue Shield of South Carolina Product Name Business Blue Complete Plan Name Business Blue Complete
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
SOUTH DAKOTA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
TENNESSEE EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name BlueCross BlueShield of Tennessee Product Name Small Group Shop HDHP Plan Name SG Gold 13S
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
TEXAS EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Texas Product Name Blue Choice PPO Plan Name Blue Choice PPO RSH3
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
UTAH EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type State Employee Plan Issuer Name N/A Product Name N/A Public Employees Health Program (PEHP) Utah Basic Plus Plan Name Plan
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. One value here is too long for its column, so the text layer prints it above and below its own label and the quote reads that way. That is what the document prints; tidying it back into label-and-value pairs would make the quote a synthesis rather than a quote. Benchmark summary, 2025-2027
VERMONT EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
VIRGINIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type N/A Issuer Name N/A Product Name N/A Plan Name N/A
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2026-2028
WASHINGTON EHB BENCHMARK PLAN (2026-2028), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2026-2028 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Regence BlueShield Product Name Regence Group Direct Plan Name Regence Direct Gold +
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
WEST VIRGINIA EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Highmark Blue Cross Blue Shield West Virginia Product Name Shared Cost Blue PPO grp NON-X Plan Name Gold Shared Cost PPO $1000
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
WISCONSIN EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name UnitedHealthcare Insurance Company Product Name Choice Plus Plan Name Choice Plus
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Benchmark summary, 2025-2027
WYOMING EHB BENCHMARK PLAN (2025-2027), SUMMARY INFORMATION
Centers for Medicare & Medicaid Services · Benchmark plan document · PY2025-2027 · Read Aug 3, 2026
Plan Type Small Group Market Issuer Name Blue Cross Blue Shield of Wyoming Product Name BlueSelect PPO Plan Name BlueSelect Silver for Employer Groups
Page 1 of the summary chart PDF inside the ZIP, read from the PDF text layer with runs of spaces collapsed to one. The summary block in document order, from the Plan Type line to the line before Supplemented Categories. Phone 1-800-318-2596. TTY 1-855-889-4325
Where the answer would be published
The question to ask, worded to name each of the 50 documents:
Alabama's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Alaska's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Arizona's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Arkansas's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
California's EHB benchmark summary lists no Anti-Obesity Agents class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Connecticut's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Delaware's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
District of Columbia's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Florida's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Georgia's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Hawaii's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Idaho's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Illinois's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Indiana's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Iowa's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Kansas's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Kentucky's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Louisiana's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Maine's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Maryland's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Massachusetts's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Michigan's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Minnesota's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Mississippi's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Missouri's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Montana's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Nebraska's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Nevada's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
New Hampshire's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
New Jersey's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
New Mexico's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
New York's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
North Carolina's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
North Dakota's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Ohio's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Oklahoma's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Oregon's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Pennsylvania's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Rhode Island's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
South Carolina's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
South Dakota's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Tennessee's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Texas's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Utah's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Vermont's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Virginia's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Washington's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
West Virginia's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Wisconsin's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Wyoming's EHB benchmark summary lists no anti-obesity drug class. Which prescription drug class does my plan use for weight-loss medication, and where is that plan's formulary published?
Start by finding out which document governs your plan
Everything else follows from it. A state program publishes its own rules. A marketplace plan is measured against a state benchmark. An employer plan that pays claims out of the employer's own funds sets its own rules, and no state rule reaches it.
What this table can and cannot tell you
It tells you the floor your state set. It does not tell you what your plan pays. An issuer may substitute one benefit for another of the same value, a plan may require prior authorization the chart never mentions, and a self-funded employer plan is not measured against a state benchmark at all, which covers most people with job-based coverage.
If you want the answer for your own plan, the question to settle first is which document governs it, and that has its own page: the benchmark reaches plans the state regulates and nothing else.
And if the coverage you are asking about is a state Medicaid program rather than a marketplace plan, the benchmark chart does not reach it at all. What state Medicaid programs actually paid for is the federal payment record for that side, and it is a different kind of evidence: a count of prescriptions rather than a benefit a document promises.
Common questions
Does the benchmark plan decide what my plan covers?
No. A benchmark plan is the reference standard a state selected, and it sets a floor for plans sold on that state marketplace. An issuer may substitute benefits, a plan may add its own prior authorization rules, and a self-funded employer plan is not reached by it at all. Your own plan documents decide what your plan pays.
Why does every state say the drugs are not published?
Because the benchmark summary chart does not print a line for anti-obesity medication. That is a gap in the published document rather than an exclusion, and reporting it as a ninth status is the honest reading. Whether a marketplace plan pays for the drug lives in that plan formulary, not in the benchmark chart.
Two states show the same answer. Is one of them wrong?
No. Most states landed on the same treatment of these four benefits, which is why this is one table rather than a page for each state. Twenty-one of the fifty records read so far carry the identical combination of statuses.
Where does each answer come from?
Each row cites the benchmark summary chart the state published, by document title and the line the status was read from, with the date it was read. Follow the badge in the row to see it.