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Active Health Summary Plan Description
As of July 1, 2022
En Español (PDF)

2.2 Residential Agreement

  • Hospital/Medical/Prescription Drug Benefit Options (Choice of One)
    • Blue Shield PPO Plan Plan
    • Kaiser Permanente HMO Plan
    • UnitedHealthcare HMO Plan
  • Dental Benefit Options (Choice of One)
    • United Concordia Preferred Provider Organization (PPO) Plan
    • DeltaCare USA Dental Health Maintenance Organization (DHMO) Plan
    • United Concordia Dental Health Maintenance Organization (DHMO) Plan
  • Vision Care Benefit Options
    • Vision Service Plan (VSP)
      (Available to UnitedHealthcare HMO and Blue Shield PPO Plan Plan Participants)
    • Kaiser Permanente Vision Plan
      (Except prescription safety glasses, which are provided through VSP for Employees only)
  • Body Scan Benefits
    • Body Scan International
  • Orthotic Benefits
  • Advocacy and Assistance Benefit
    • MedExpert
  • Member Assistance Program (MAP)
  • Life Insurance/AD&D Benefits
    • Anthem Blue Cross Life and Health Insurance Company