Health Insurance and Prescription Drug plans
Health Insurance and Rx Plan Options
鶹 offers two health insurance plans to benefits-eligible employees, spouse/ domestic partner and/ or eligible dependents. 2025 plans are effective 1/1/2025 - 12/31/2025.
Traditional PPO Plan
- Benefit summary - PPO Plan
- Summary of Benefits and Coverage (SBC) - PPO Plan
- Preventive care covered 100% (In-network 100%, out-of-network 80%)
- Does not provide access to any specialized account
- Capital Blue Cross PPO Benefit Booklet
Qualified High Deductible Health Plan (QHDHP)
- Benefit summary - QHDHP
- Summary of Benefits and Coverage (SBC) - QHDHP
- Preventive care covered 100% (In-network 100%, out-of-network 80%)
- Capital Blue Cross QHDHP Benefit Booklet
- Provides access to a Health Savings Account (HSA)
Enrollment
Qualifying life event? New hire? Click here for information on how to enroll.
Carrier Information
Health Insurance: Capital Blue Cross
- Website:
- Member Welcome Flyer
- Phone: 800-216-9741
- BlueCard - Across the country and around the world... Capital Blue Cross has got you covered. One card gives you access everywhere.
- Traveling within the United States
- International travel (more info. at )
- MyCare Finder - Use Plan Name "PPO" regardless of the plan you are enrolled in!
- Find doctors - Search by name, specialty or location to find the right care at the right place for your needs. See real patient ratings and reviews, too.
- Compare Costs - Save money by comparing costs of services you need based on your plan status.
- Treatment Timelines - Learn more about the services you need, including treatment timelines with cost estimates and savings opportunities for the many steps along the way - from evaluation to recovery.
- Preauthorization Program
- SBC Uniform Glossary of Terms - Learn the difference between the terms deductible, premium, copay & more!
- Explanation of EOB - Learn how to understand your claims and read your Explanation of Benefits (EOB)! Click on the examples below.
- Stay connected with Capital's Loop app
- Preventive schedule
Prescription Drugs - Express Scripts Administered by RxBenefits
- Website:
- Website:
- RXBenefits Phone: 800.334.8134
- Check the current preferred drug list during open enrollment on the
- Customer Care: customercare@rxbenefits.com
- Specialty Medications are covered when purchased through Express Scripts' Specialty Pharmacy, known as Accredo.
- Accredo: 1.800.922.8279
- Download the today
- Express Scripts Prescription Formulary List
- RxBenefits Welcome Packet
RxBenefits will continue to be our prescription carrier for 2025. Express Scripts, one of the largest pharmacy providers will continue to manage maintenance drug prescriptions while Accredo manages specialty drugs prescriptions.
What to Expect:
- Effective January 1, 2024, your pharmacy coverage with Express Scripts will be administered by RxBenefits
- You will continue to have:
- Prescription Drug Coverage Statement High-Touch Service
- Access to Express-Scripts.com to review medication tiers, drug pricing, local pharmacies, plan details, and ways to maximize benefits. New members will need to create an account.
- Specialty medications are covered when purchased through Express Scripts’ Specialty Pharmacy, known as Accredo.
- Members currently using a specialty medication should expect to have their information transfer, requiring no action on their part to have these filled by Accredo beginning on January 1, 2024.
- Mail order Prescriptions will be provided by Express Scripts Home Delivery.