Insurance Plans Covered and Non-Covered Services
If you are going to the doctor and want to know what services are covered, click on the plan charts below for plan summary and comparison grids. 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.
(Please see Benefits Guide for weekly contributions.)
2020 Medical Plans
| Information | |||
| Summary | Details | More Details | |
| Anthem PPO | SBC | Grid | EOC |
| Anthem CDHP | SBC | Grid | EOC |
| Anthem EPO | SBC | Grid | |
| Anthem HMO | SBC | Grid | EOC |
| Kaiser California | SBC | Grid | EOC |
| Kaiser Mid-Atlantic | SBC | Grid | EOC |
| Tricare Supplement | SBC | Grid | EOC |
2020 Dental and Vision Plans
| Information | ||
| Details | More Details | |
| Anthem Dental Net (DHMO) | Grid | EOC |
| CIGNA Dental (DHMO) | Grid | EOC |
| Delta Dental (PPO) | Grid | EOC |
| VSP Vision | Grid | EOC |
Preventive Care Benefits
- Anthem – Preventive Care Benefits
- 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)
- List of Eligible Expenses
- Beginning in 2020 both Healthcare and Dependent Care FSAs are administered through HSA Bank.
- 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 Appointments – call to speak with a doctor for minor health conditions (Southern California only)
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 – Search for 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)