2019 Insurance Plan Details
Insurance Plans Summary of Benefits and Coverage (SBC)
Links to 2019 SBCs will be posted soon
- Anthem PPO
- Anthem EPO
- Anthem HMO
- Anthem CDHP
- Kaiser Permanente HMO, Northern California
- Kaiser Permanente HMO, Southern California
- Kaiser Permanente HMO, Mid Atlantic
Insurance Plans’ Covered and Non-Covered Services
If you are going to the doctor and want know what services are covered, click on the plan charts below. These charts provide a detailed list of services that are covered or not covered, and percentages the insurance company will pay for in-network and out-of-network providers. To compare Anthem plan options (PPO, EPO, HMO, or CDHP), see the Plan Comparison Tool.
(Please see the Benefits Guide for weekly contributions.)
Medical
- Anthem PPO
- Anthem EPO
- Anthem HMO
- Anthem CDHP
- Kaiser Permanente California
- Kaiser Permanente Mid Atlantic
- Selman & Company/Tricare Supplement
Preventive Care Benefits
- Anthem – Preventative Care Benefits 2019
- Express Scripts – Preventive Medication List
More Information about the Consumer Driven Health Plan (CDHP)
Health Savings Account (HSA) Information for CDHP members only
- Anthem / HSA Registration packet (how to use your HSA on line)
- How to open your Act Wise HSA account
- UMB Bank HSA Investment Options
- UMB Bank HSA Deposit Account Terms and Conditions
- UMB Bank HSA Custodial Agreement
Flexible Spending Accounts (FSA)
Health Care and Dependent Care FSA
Flexible Spending Accounts (FSA) Administration
View the PayFlex (FSA) FAQs for information about PayFlex card activation, usage, family cards, and using the PayFlex Mobile App to submit claims.
- View an FAQ about an FSA overpayment
- View an FAQ about your Explanation of Payment (EOP) document
Limited Purpose Flexible Spending Account (LPFSA)
A Limited Purpose FSA (LPFSA) is available for Anthem Consumer Driven Health Plan (CDHP) members.
Mobile and Online Apps
- Anthem
- Mobile App – Available for all Anthem members
- LiveHealth Online –At home or on the go, see a doctor or therapist (Available for Anthem PPO, EPO, and CDHP members)
- Kaiser – My Health Manager
- Mobile App – email doctor’s office, view test results, refill most prescriptions, etc. Register at kp.org/registernow
- Telephone – call to speak with a doctor for minor health conditions (Southern California only)
Express Scripts ®
Anthem EPO, EPO, CDHP
- Express Scripts’ online resources are available to help you learn about and manage your prescription benefit program
- Find a local participating pharmacy
- Compare prescription medication costs
- Formulary – Look up drugs by name
- Find potential lower-cost options with Savings Advisor
- Preventive Medication List (to be used as a guide)
- Accredo -Express Scripts’ pharmacy for specialty prescriptions (Phone 877-985-9697)