Plan Documents

We are truly invested in your health and can help you access the health care services you need including doctors, hospitals, and community resources. Please read the plan documents below to understand what is covered under your health plan.

You can request plan documents be mailed to you, free of charge, by calling Member Services at (210) 358-6400.

Definition of Terms

      • Summary of Benefit and Coverage (SBC): The SBC is an easy-to-read summary document that allows comparison between health plans. This document lists important information about the plan such as cost-sharing, coverage limitations, exceptions and benefits scenarios.


      • Formulary: A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a drug list.

All Members receive:

– Free preventive care
– 24/7/365 Nurse Line​
– Access to a trusted network of health care providers and hospitals


Our hours of operation are
Monday through Friday, 8:30 a.m. to 5 p.m.

Contact Us
Local: (210) 358-6400

Toll-Free: 1-888-512-2347

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