Active PPO Benefit Information

Resources

Below are links to forms to help you manage your benefit plan. Don't see what you're looking for or have a question?

You can review all your plan benefits in one document.

In this coming year, there may be changes to the plan's costs and benefits.

This document gives you the details about your Medicare healthcare and prescription drug coverage from January 1 – December.

The formulary may change at any time. You will receive notice if necessary. To request a printed copy, contact us at 800.779.6962.

This directory provides a list of network pharmacies.