Health plan documents
Access+ HMO plan
Access+ HMO plan: January 1, 2026 - December 31, 2026
- Summary of Benefits and Coverage (coming soon)
- Evidence of Coverage (coming soon)
- Limited pharmacy specialty distribution drug list
- Maintenance medication list
- Travel reimbursement form
Access+ HMO plan: January 1, 2025 - December 31, 2025
Trio HMO plan
Trio HMO plan: January 1, 2026 - December 31, 2026
- Summary of Benefits and Coverage (coming soon)
- Evidence of Coverage (coming soon)
- Limited pharmacy specialty distribution drug list
- Maintenance medication list
- Travel reimbursement form
Trio HMO plan: January 1, 2025 - December 31, 2025
Blue Shield EPO plan
Blue Shield EPO plan: January 1, 2026 - December 31, 2026
- Summary of Benefits and Coverage (coming soon)
- Evidence of Coverage (coming soon)
- Limited pharmacy specialty distribution drug list
- Maintenance medication list
- Travel reimbursement form