The following information is only a summary.
Full Plan details and rules are available in the Summary Plan Description (SPD).
- For benefits on and after January 1, 2023, please refer to the January 1, 2023, Summary Plan Description.
Provider Networks
The Plan uses the following provider networks to serve your needs:
- BlueCard PPO (Enhanced access through Sydney's Health app)
- CVS Caremark
- Beacon Health Options
- Delta Dental
- Vision Service Plan