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.
The following information is only a summary.
Provider Networks
The Plan uses the following provider networks to serve your needs:
- BlueCard PPO (Enhanced access through Sydney's Health app)
- CVS Caremark
- Carelon Behavioral Health
- Delta Dental
- Vision Service Plan