Applies to: Individual Consumer Market: Horizon Advantage and OMNIA℠ Health Plans
2026 Benefit Changes for Individual Plans
Beginning January 1, 2026, upon renewal, members will see changes to their coverage, including updated minimum deductibles, maximum out-of-pocket (MOOP) amount, and benefit cost sharing. New members enrolling in these plans on or after January 1, 2026 will also have the same updated deductibles, MOOPs, and cost sharing.
The updated 2026 deductibles, MOOPs, and cost sharing are in the attached PDFs.