2020 Medical Plan Summaries of Benefits and Coverage (SBCs)

Choice Savings Plan

Aetna Choice POS II Choice Savings with HSA SBC

Out of Area Choice Savings Plan

Aetna Open Choice OOA Choice Savings with HSA SBC

Choice Value Plan

Aetna Choice POS II Choice Value Plan SBC

Out of Area Choice Value Plan

Aetna Open Choice OOA Choice Value Plan SBC

Standard PPO

Aetna Choice POS II Standard PPO SBC

Out of Area Standard PPO

Aetna Open Choice OOA Standard PPO SBC

Memorial Hermann Select ACO

Aetna Open Access Aetna Select ACO SBC
Website: www.memorialhermann.org
Phone: 1-713-222-2273

Texas Health Aetna Select ACO

Aetna Open Access Aetna Select ACO SBC
Website: www.texashealthaetna.com

Kaiser North CA

Kaiser Permanente Traditional Plan SBC

Kaiser South CA

Kaiser Permanente Traditional Plan SBC