Active Health Summary Plan Description
As of September 1, 2017
En Español (PDF)
Article 2: Plan Benefits Available to You >>
- Hospital/Medical Benefit Options (Choice of One)
- Anthem Blue Cross PPO Plan
- Kaiser HMO Plan
- UnitedHealthcare HMO Plan
- Dental Benefit Options (Choice of One)
- United Concordia Preferred Provider Organization (PPO) Plan
- CIGNA Dental Health Maintenance Organization (DHMO) Plan
- DeltaCare USA Dental Health Maintenance Organization (DHMO) Plan
- United Concordia Dental Health Maintenance Organization (DHMO) Plan
- Prescription Drug Benefit Options
- Vision Care Benefit Options
- Vision Service Plan (VSP)
(UnitedHealthcare HMO and Anthem Blue Cross PPO Plan Participants)
- Kaiser Vision Plan
(Except prescription safety glasses, which are provided through VSP for Employees only)
- Body Scan Benefits
- Orthotic Benefits
- Advocacy and Assistance Benefit
- Member Assistance Program (MAP)
- Life Insurance/AD&D Benefits
- Anthem Blue Cross Life and Health Insurance Company