Access+ HMO ($15 copay) plan

2025 Access+ HMO ($15 copay) plan documents

• Summary of Benefits – Medical, pharmacy, acupuncture, chiropractic, and hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage

2024 Access+ HMO ($15 copay) plan documents

• Summary of Benefits – Medical
• Summary of Benefits – Pharmacy
• Summary of Benefits – Acupuncture and chiropractic services
• Summary of Benefits - Hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage
• Evidence of Coverage Amendment

Access+ HMO ($20 copay) plan

2025 Access+ HMO ($20 copay) plan documents

• Summary of Benefits – Medical, pharmacy, acupuncture, chiropractic, and hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage

2024 Access + HMO ($20 copay) plan documents

• Summary of Benefits – Medical
• Summary of Benefits – Pharmacy
• Summary of Benefits – Acupuncture and chiropractic services
• Summary of Benefits - Hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage
• Evidence of Coverage Amendment

Trio HMO plan

2025 Trio HMO plan documents

• Summary of Benefits – Medical, pharmacy, acupuncture, chiropractic, and hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage

2024 Trio HMO plan documents

• Summary of Benefits – Medical
• Summary of Benefits – Pharmacy
• Summary of Benefits – Acupuncture and chiropractic services
• Summary of Benefits - Hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage
• Evidence of Coverage Amendment

PPO plan

2025 PPO plan documents

• Summary of Benefits – Medical, pharmacy, acupuncture, chiropractic, and hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage

2024 PPO plan documents

• Summary of Benefits – Medical, pharmacy, acupuncture, and chiropractic services
• Summary of Benefits - Hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage
• Evidence of Coverage Amendment