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Whether you're looking for plan information, forms or other legal information, you'll find it all here. Or, browse our 2026 plan info.
Expanded Bronze
Expanded Bronze HDHP
Silver 5800
Silver 5000/1500 Rx
Individual Gold
Individual Plans Master Policy
Expanded Bronze
Bronze HDHP
Silver HDHP
Silver 3500
Silver 5700
Silver 5500/850 Rx
Gold
Gold 1500/500 Rx
Small Group Certificate of Coverage
Small Group Master Policy (for Employers)
Large Group Master Policy
Large Group Certificate of Coverage
Continuity of Care Form
Grievance Form
Higher Level of Benefits Waiver Form
Individual Application (for enrollment outside of the Idaho Exchange)
International Claim Form
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
Pharmacy Appeal Form
Pharmacy Directory
Prescription Drug Claim Form
Provider Manual
Multiple Coverage Inquiry Form
Prior Authorization Form
Provider Appeal and Claims Inquiry Form
Release of Protected Health Information Form
Release of Protected Health Information Form - Psychotherapy
Plan Brochure
Individual Booklet
Small Group Booklet
Silver Plan 4750
Silver 5600
Silver 1000
Silver 300
Silver 3800/1500 Rx
Silver 800/200 Rx
Silver 300/0 Rx
Expanded Bronze Plan Limited Cost Sharing
Expanded Bronze Plan Zero Cost Sharing
Expanded Bronze HDHP Plan Limited Cost Sharing
Expanded Bronze HDHP Plan Zero Cost Sharing
Silver Plan 5000/1500Rx Limited Cost Sharing
Silver Plan 5000/1500Rx Zero Cost Sharing
Silver Plan 5800 Limited Cost Sharing
Silver Plan 5800 Zero Cost Sharing
Gold Plan Limited Cost Sharing
Gold Plan Zero Cost Sharing
Index
Plans
Providers
Formulary
Table of Contents - In Network Rates
Allowed Amounts
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Enroll in St. Luke's Health Plan on Your Health Idaho Marketplace and access a network of 8,700+ doctors and specialists trusted by Idahoans.