2025 Plan Comparison Charts

These charts provide a detailed list of services that are covered or not covered, and the percentages the insurance company will pay for in-network and out-of-network providers. 

Please see  Benefits eGuide for weekly contributions.


Medical Plans   

Anthem PPO SBC Grid  EOC
Anthem CDHP

SBC (HSA)

SBC (Basic HSA)

Grid

Grid  

EOC

Anthem EPO (Non CA) SBC Grid EOC
Anthem HMO (CA)

SBC

Grid EOC
Kaiser California

SBC  SoCA

SBC NoCA

Grid EOC
Kaiser Colorado SBC Grid  
Kaiser Mid-Atlantic SBC Grid  
Tricare Supplement Grid

 

Dental and Vision 

Delta Dental PPO

DPPO Premium

DPPO Basic

EOC
Delta Dental HMO DeltaCare DHMO EOC
Delta Dental Resources 

VSP EasyOptions

VSP Basic

VSP Premium

EOC

Anthem Claim Form

Rights and Protections Against Surprise Medical bills

Anthem Concierge Cancer Care  (Anthem HMO excluded)

Visit the Hinge Health Aerospace website to learn about a back and joint program offered at no cost to employees & eligible family members covered by Anthem plans. 

Kaiser Permanente – Care Away from Home


Preventive Care Benefits

Anthem – Preventive Care Benefits

Lark’s diabetes prevention program (PPO,/EPO/CDHP)   Lark FAQs

Express Scripts – Preventive Medication List


Health Savings Account (HSA) Information for CDHP members

Anthem / HSA Registration packet (how to use your HSA online)

UMB Bank HSA Deposit Account Terms and Conditions

UMB Bank HSA Custodial Agreement

Making the most of your HSA

Limited Purpose Flexible Spending Account (LPFSA)
A Limited Purpose FSA (LPFSA) is available for Anthem Consumer Driven Health Plan (CDHP) members. 


Flexible Spending Accounts (FSA)

Administered through HSA BankFSA Grid

Reimbursement form 

List of Eligible Expenses

Limited Purpose Flexible Spending Account (Grid)
A Limited Purpose FSA (LPFSA) is available for Anthem Consumer Driven Health Plan (CDHP) members. 


Express Scripts ®

Anthem PPO, 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 – Search for drugs by name

Find potential lower-cost options with Savings Advisor

Accredo -Express Scripts’ pharmacy for specialty prescriptions (Phone 877.985.9697