2017 Important Plan Documents

Below are important documents about your current health care plan and your new health care plan that begins on August 1, 2017.

  • New Summary of Benefits and Coverage: Includes medical benefit coverage and costs.
  • Provider List: A searchable list of the health care professionals on your plan.
  • Formulary: A list of drugs covered under your plan.

To view the documents, please click on links under your plan.

HIP Prime EPO Download (PDF)
New Summary of Benefits and Coverage Download (PDF)
Formulary Download (PDF)
HIP Select EPO Download (PDF)
New Summary of Benefits and Coverage Download (PDF)
Formulary Download (PDF)
CompreHealth Large Group Download (PDF)
New Summary of Benefits and Coverage Download (PDF)
Formulary Download (PDF)
HIP Prime EPO HIP Select EPO CompreHealth Large Group