Change Healthcare Outage FAQ Update

IU Health Plans continues to navigate the impacts of the Change Healthcare outage and strives to provide the most up-to-date information to our provider partners. In adhering to this standard, we've updated our FAQ and encourage you to review it. Important updates include information on Medicare Advantage (MA) EFT/ERA distribution, MA ERA/835 registration, timely filing and interest payments on delayed MA EFT payments. Please check back regularly for future updates on our website home page banner and the provider resources page, section 4.

Updated Change Healthcare Outage FAQ

If you have any questions or concerns, please contact Provider Services, Mon. - Fri. from 7 am - 7 pm at the following numbers:

Commercial provider line: 866.895.5980
Medicare Advantage provider line: 866.218.1524

Change Healthcare Outage FAQ Update

IU Health Plans continues to navigate the impacts of the Change Healthcare outage and strives to provide the most up-to-date information to our provider partners. In adhering to this standard, we've updated our FAQ and encourage you to review it. Important updates include information on Medicare Advantage (MA) EFT/ERA distribution, MA ERA/835 registration, timely filing and interest payments on delayed MA EFT payments. Please check back regularly for future updates on our website home page banner and the provider resources page, section 4.

Updated Change Healthcare Outage FAQ

If you have any questions or concerns, please contact Provider Services, Mon. - Fri. from 7 am - 7 pm at the following numbers:

Commercial provider line: 866.895.5980
Medicare Advantage provider line: 866.218.1524

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Employer Plans - Large Group

Learn more about our large group options to see what plan best suits your needs:

2024 Employer Plans - Large Group

2024 Non-HSA Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Non-HSA 10001A Download Download
Non-HSA 10001AS Download Download
Non-HSA 10002A Download Download
Non-HSA 10002AS Download Download
Non-HSA 10003A Download Download
Non-HSA 10003AS Download Download
Non-HSA 10004A Download Download
Non-HSA 10004AS Download Download
Non-HSA 10005A Download Download
Non-HSA 10005AS Download Download
Non-HSA 10006A Download Download
Non-HSA 10006AS Download Download
Non-HSA 10007A Download Download
Non-HSA 10007AS Download Download
Non-HSA 10008A Download Download
Non-HSA 10008AS Download Download
Non-HSA 10009A Download Download
Non-HSA 10009AS Download Download
Non-HSA 10010A Download Download
Non-HSA 10010AS Download Download
Non-HSA 10011A Download Download
Non-HSA 10011AS Download Download
Non-HSA 10012A Download Download
Non-HSA 10012AS Download Download
Non-HSA 10013A Download Download
Non-HSA 10013AS Download Download
Non-HSA 10014A Download Download
Non-HSA 10014AS Download Download
Non-HSA 10015A Download Download
Non-HSA 10015AS Download Download
Non-HSA 12001 Download Download
Non-HSA 12001S Download Download
Non-HSA 12002 Download Download
Non-HSA 12002S Download Download
Non-HSA 12003 Download Download
Non-HSA 12003S Download Download
Non-HSA 12004 Download Download
Non-HSA 12004S Download Download
Non-HSA 12005 Download Download
Non-HSA 12005S Download Download
Non-HSA 12006 Download Download
Non-HSA 12006S Download Download
Non-HSA 12007 Download Download
Non-HSA 12007S Download Download
Non-HSA 12008 Download Download
Non-HSA 12008S Download Download
Non-HSA 12009 Download Download
Non-HSA 12009S Download Download
Non-HSA 12010 Download Download
Non-HSA 12010S Download Download
Non-HSA 12011 Download Download
Non-HSA 12011S Download Download
Non-HSA 12012 Download Download
Non-HSA 12012S Download Download
Non-HSA 12013 Download Download
Non-HSA 12013S Download Download
Non-HSA 12014 Download Download
Non-HSA 12014S Download Download
Non-HSA 12015 Download Download
Non-HSA 12015S Download Download
Non-HSA 13001 Download Download
Non-HSA 13001A Download Download
Non-HSA 13001AS Download Download
Non-HSA 13001S Download Download
Non-HSA 13003 Download Download
Non-HSA 13003A Download Download
Non-HSA 13003AS Download Download
Non-HSA 13003S Download Download
Non-HSA 13005 Download Download
Non-HSA 13005A Download Download
Non-HSA 13005AS Download Download
Non-HSA 13005S Download Download
Non-HSA 13007 Download Download
Non-HSA 13007A Download Download
Non-HSA 13007AS Download Download
Non-HSA 13007S Download Download
Non-HSA 13009 Download Download
Non-HSA 13009A Download Download
Non-HSA 13009AS Download Download
Non-HSA 13009S Download Download
Non-HSA 130011 Download Download
Non-HSA 130011A Download Download
Non-HSA 130011AS Download Download
Non-HSA 130011S Download Download
2024 Non-HSA
Non-HSA 10001A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10001AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10002A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10002AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10003A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10003AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10004A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10004AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10005A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10005AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10006A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10006AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10007A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10007AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10008A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10008AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10009A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10009AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10010A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10010AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10011A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10011AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10012A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10012AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10013A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10013AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10014A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10014AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10015A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10015AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12001

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12001S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12002

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12002S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12003

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12003S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12004

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12004S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12005

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12005S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12006

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12006S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12007

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12007S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12008

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12008S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12009

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12009S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12010

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12010S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12011

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12011S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12012

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12012S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12013

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12013S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12014

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12014S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12015

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12015S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011S

Summary of Benefits & Coverage

Schedule of Benefits

2024 HSA Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
HSA 00001A Download Download
HSA 00001AS Download Download
HSA 00002A Download Download
HSA00002AS Download Download
HSA 00003A Download Download
HSA 00003AS Download Download
HSA 00006A Download Download
HSA 00006AS Download Download
HSA 00007A Download Download
HSA 00007AS Download Download
HSA 00008A Download Download
HSA 00008AS Download Download
HSA 00009A Download Download
HSA 00009AS Download Download
HSA 00010A Download Download
HSA 00010AS Download Download
HSA 00011A Download Download
HSA 00011AS Download Download
HSA 02001 Download Download
HSA 02001S Download Download
HSA 02002 Download Download
HSA 02002S Download Download
HSA 02003 Download Download
HSA 02003S Download Download
HSA 02006 Download Download
HSA 02006S Download Download
HSA 02007 Download Download
HSA 02007S Download Download
HSA 02008 Download Download
HSA 02008S Download Download
HSA 02009 Download Download
HSA 02009S Download Download
HSA 02010 Download Download
HSA 02010S Download Download
HSA 02011 Download Download
HSA 02011S Download Download
HSA 03003 Download Download
HSA 03003A Download Download
HSA 03003AS Download Download
HSA 03003S Download Download
HSA 03005A Download Download
HSA 03005AS Download Download
HSA 03007 Download Download
HSA 03007A Download Download
HSA 03007AS Download Download
HSA 03007S Download Download
HSA 03008 Download Download
HSA 03008S Download Download
2024 HSA
HSA 00001A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00001AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00002A

Summary of Benefits & Coverage

Schedule of Benefits

HSA00002AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00003A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00003AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00006A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00006AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00007A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00007AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00008A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00008AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00009A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00009AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00010A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00010AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00011A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00011AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02001

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02001S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02002

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02002S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02003

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02003S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02006

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02006S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02007

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02007S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02008

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02008S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02009

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02009S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02010

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02010S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02011

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02011S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03005A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03005AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03008

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03008S

Summary of Benefits & Coverage

Schedule of Benefits

2023 Employer Plans - Large Group

2023 Non-HSA Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
Non-HSA 10001A Download Download
Non-HSA 10001AS Download Download
Non-HSA 10002A Download Download
Non-HSA 10002AS Download Download
Non-HSA 10003A Download Download
Non-HSA 10003AS Download Download
Non-HSA 10004A Download Download
Non-HSA 10004AS Download Download
Non-HSA 10005A Download Download
Non-HSA 10005AS Download Download
Non-HSA 10006A Download Download
Non-HSA 10006AS Download Download
Non-HSA 10007A Download Download
Non-HSA 10007AS Download Download
Non-HSA 10008A Download Download
Non-HSA 10008AS Download Download
Non-HSA 10009A Download Download
Non-HSA 10009AS Download Download
Non-HSA 10010A Download Download
Non-HSA 10010AS Download Download
Non-HSA 10011A Download Download
Non-HSA 10011AS Download Download
Non-HSA 10012A Download Download
Non-HSA 10012AS Download Download
Non-HSA 10013A Download Download
Non-HSA 10013AS Download Download
Non-HSA 10014A Download Download
Non-HSA 10014AS Download Download
Non-HSA 10015A Download Download
Non-HSA 10015AS Download Download
Non-HSA 12001 Download Download
Non-HSA 12001S Download Download
Non-HSA 12002 Download Download
Non-HSA 12002S Download Download
Non-HSA 12003 Download Download
Non-HSA 12003S Download Download
Non-HSA 12004 Download Download
Non-HSA 12004S Download Download
Non-HSA 12005 Download Download
Non-HSA 12005S Download Download
Non-HSA 12006 Download Download
Non-HSA 12006S Download Download
Non-HSA 12007 Download Download
Non-HSA 12007S Download Download
Non-HSA 12008 Download Download
Non-HSA 12008S Download Download
Non-HSA 12009 Download Download
Non-HSA 12009S Download Download
Non-HSA 12010 Download Download
Non-HSA 12010S Download Download
Non-HSA 12011 Download Download
Non-HSA 12011S Download Download
Non-HSA 12012 Download Download
Non-HSA 12012S Download Download
Non-HSA 12013 Download Download
Non-HSA 12013S Download Download
Non-HSA 12014 Download Download
Non-HSA 12014S Download Download
Non-HSA 12015 Download Download
Non-HSA 12015S Download Download
Non-HSA 13001 Download Download
Non-HSA 13001A Download Download
Non-HSA 13001AS Download Download
Non-HSA 13001S Download Download
Non-HSA 13003 Download Download
Non-HSA 13003A Download Download
Non-HSA 13003AS Download Download
Non-HSA 13003S Download Download
Non-HSA 13005 Download Download
Non-HSA 13005A Download Download
Non-HSA 13005AS Download Download
Non-HSA 13005S Download Download
Non-HSA 13007 Download Download
Non-HSA 13007A Download Download
Non-HSA 13007AS Download Download
Non-HSA 13007S Download Download
Non-HSA 13009 Download Download
Non-HSA 13009A Download Download
Non-HSA 13009AS Download Download
Non-HSA 13009S Download Download
Non-HSA 130011 Download Download
Non-HSA 130011A Download Download
Non-HSA 130011AS Download Download
Non-HSA 130011S Download Download
2023 Non-HSA
Non-HSA 10001A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10001AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10002A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10002AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10003A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10003AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10004A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10004AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10005A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10005AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10006A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10006AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10007A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10007AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10008A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10008AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10009A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10009AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10010A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10010AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10011A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10011AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10012A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10012AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10013A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10013AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10014A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10014AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10015A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 10015AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12001

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12001S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12002

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12002S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12003

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12003S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12004

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12004S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12005

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12005S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12006

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12006S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12007

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12007S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12008

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12008S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12009

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12009S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12010

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12010S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12011

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12011S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12012

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12012S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12013

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12013S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12014

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12014S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12015

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 12015S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13001S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13003S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13005S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13007S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 13009S

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011A

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011AS

Summary of Benefits & Coverage

Schedule of Benefits

Non-HSA 130011S

Summary of Benefits & Coverage

Schedule of Benefits

2023 HSA Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
HSA 00001A Download Download
HSA 00001AS Download Download
HSA 00002A Download Download
HSA 00002AS Download Download
HSA 00003A Download Download
HSA 00003AS Download Download
HSA 00006A Download Download
HSA 00006AS Download Download
HSA 00007A Download Download
HSA 00007AS Download Download
HSA 00008A Download Download
HSA 00008AS Download Download
HSA 00009A Download Download
HSA 00009AS Download Download
HSA 00010A Download Download
HSA 00010AS Download Download
HSA 00011A Download Download
HSA 00011AS Download Download
HSA 02001 Download Download
HSA 02001S Download Download
HSA 02002 Download Download
HSA 02002S Download Download
HSA 02003 Download Download
HSA 02003S Download Download
HSA 02006 Download Download
HSA 02006S Download Download
HSA 02007 Download Download
HSA 02007S Download Download
HSA 02008 Download Download
HSA 02008S Download Download
HSA 02009 Download Download
HSA 02009S Download Download
HSA 02010 Download Download
HSA 02010S Download Download
HSA 02011 Download Download
HSA 02011S Download Download
HSA 03003 Download Download
HSA 03003A Download Download
HSA 03003AS Download Download
HSA 03003S Download Download
HSA 03005A Download Download
HSA 03005AS Download Download
HSA 03007 Download Download
HSA 03007A Download Download
HSA 03007AS Download Download
HSA 03007S Download Download
HSA 03008 Download Download
HSA 03008S Download Download
2023 HSA
HSA 00001A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00001AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00002A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00002AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00003A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00003AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00006A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00006AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00007A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00007AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00008A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00008AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00009A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00009AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00010A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00010AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00011A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 00011AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02001

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02001S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02002

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02002S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02003

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02003S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02006

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02006S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02007

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02007S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02008

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02008S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02009

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02009S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02010

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02010S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02011

Summary of Benefits & Coverage

Schedule of Benefits

HSA 02011S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03003S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03005A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03005AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007A

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007AS

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03007S

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03008

Summary of Benefits & Coverage

Schedule of Benefits

HSA 03008S

Summary of Benefits & Coverage

Schedule of Benefits

Drug Formulary - Large Group

Formulary Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
2024 Large Group Formulary Guide Download N/A
2024 Drugs Requiring Prior Authorization and Step Therapy Download N/A
Formulary Summary of Benefits & Coverage (SBC) Schedule of Benefits (SOB)
2024 Large Group Formulary Guide

Summary of Benefits & Coverage HEY

N/A

2024 Drugs Requiring Prior Authorization and Step Therapy

Summary of Benefits & Coverage HEY

N/A