Medical - 2022
Below you'll find information about health insurance plan benefits including Uniform Summary of Benefits and Coverage, general plan information and COBRA coverage.
Uniform Summary of Benefits and Coverage
Optima Health Plan Documents
CDHP Equity Plus Benefit Information Guide
PDF, 4 MB
PDF, 4 MB
CDHP Equity Plus Summary Plan Description
PDF, 2 MB
PDF, 2 MB
Coordination of Benefits
PDF, 20 KB
PDF, 20 KB
HMO Vantage Benefit Information Guide
PDF, 3 MB
PDF, 3 MB
HMO Vantage Summary Plan Description
PDF, 1 MB
PDF, 1 MB
POS Benefit Information Guide
PDF, 3 MB
PDF, 3 MB
POS Summary Plan Description
PDF, 1 MB
PDF, 1 MB
PPO Plus Benefit Information Guide
PDF, 3 MB
PDF, 3 MB
PPO Plus Summary Plan Description
PDF, 1 MB
PDF, 1 MB
Summary of Benefits - Equity Vantage Benefits - HDHP
PDF, 344 KB
PDF, 344 KB
Summary of Benefits - POS Benefits - POS
PDF, 344 KB
PDF, 344 KB
Summary of Benefits - Plus Benefits - Plus
PDF, 365 KB
PDF, 365 KB
Summary of Benefits - Vantage Benefits - HMO
PDF, 352 KB
PDF, 352 KB
Plan Information
Emergency Travel Assistance Flyer
PDF, 194 KB
PDF, 194 KB
Find a Doctor Search Tool
PDF, 428 KB
PDF, 428 KB
How to View Claims
PDF, 143 KB
PDF, 143 KB
Treatment Cost Calculator
PDF, 265 KB
PDF, 265 KB
MDLIVE Behavioral Health Flyer
PDF, 1 MB
PDF, 1 MB
MDLIVE Flyer
PDF, 1 MB
PDF, 1 MB
MyOptima Mobile App
PDF, 380 KB
PDF, 380 KB
Out of Area Dependent Form
PDF, 36 KB
PDF, 36 KB
PHCS National Provider Network
Preventive Services Covered Under Health Care Reform
PDF, 53 KB
PDF, 53 KB
Treatment Cost Calculator
Health Savings Account (HSA)
COBRA Information
2022 COBRA Rate Chart
PDF, 53 KB
PDF, 53 KB
CMS COBRA Participant Letter
PDF, 186 KB
PDF, 186 KB