Health plan documents
Access+ HMO plan
Access+ HMO plan: January 1, 2027 - December 31, 2027
- Summary of Benefits and Coverage
- Evidence of Coverage
- Limited pharmacy specialty distribution drug list (coming soon)
- Maintenance medication list (coming soon)
- Travel reimbursement form
Access+ HMO plan: January 1, 2026 - December 31, 2026
Trio HMO plan
Trio HMO plan: January 1, 2027 - December 31, 2027
- Summary of Benefits and Coverage
- Evidence of Coverage
- Limited pharmacy specialty distribution drug list (coming soon)
- Maintenance medication list (coming soon)
- Travel reimbursement form
Trio HMO plan: January 1, 2026 - December 31, 2026
Blue Shield EPO plan
Blue Shield EPO plan: January 1, 2027 - December 31, 2027
- Summary of Benefits and Coverage
- Evidence of Coverage
- Limited pharmacy specialty distribution drug list (coming soon)
- Maintenance medication list (coming soon)
- Travel reimbursement form