See below for detailed plan design information (deductibles, copays, coinsurance, etc.)
Standard PPO (Actives and COBRA)
Out of Area Standard PPO (Actives and COBRA)
Out of Area Choice Savings Plan (Actives and COBRA)
Choice Savings Plan (Actives and COBRA)
Houston Select ACO (Actives and COBRA)
Dallas Select ACO (Actives and COBRA)
Retiree Post 65 (Post 65 Retirees not eligible for Medicare)
Retiree Basic (Pre 65 Retirees)
Retiree Premium Pre 65 (Pre 65 Retirees)
See below for additional information including: ERISA language, eligibility, network, coordination of benefits, termination provisions, detailed exclusions and covered benefit descriptions, appeal process, etc.
Out of Area PPO Book – These provisions apply to the Out of Area Standard PPO and the Out of Area Choice Savings HSA plans (Actives and COBRA)
Select ACO Book (Actives and COBRA)
Choice Savings Plan Book (Actives and COBRA)
Standard PPO Book (Actives and COBRA)
Sutter Health Network in Northern California Addendum
Retiree Medical Book – These provisions apply to the Post 65 Premium Retiree, the Pre 65 Basic Retiree, and the Pre 65 Premium Retiree plans (Pre 65 and Post 65 Retirees)
