The member handbook is a guide that provides information about plan benefits and how the plan works, including how to access care. Used together with the Evidence of Coverage, employees will have complete information on their plan including covered services, costs (copayments and deductibles), prior authorization, and how to file a complaint, grievance, or appeal. The handbook ensures members understand how to use their health plan effectively and make informed decisions about their healthcare.
Small Business (1-100)
2025 handbooks
2024 handbooks
Large Groups (101+)
2025 handbooks
| Handbook name | Download link |
|---|---|
| High-Deductible Health Plan | English (PDF, 1.2 MB) |
| HMO | English (PDF, 1.2 MB) |
| Trio HMO | English (PDF, 1.2 MB) |
| Local Access+ HMO | English (PDF, 1.2 MB) |
| PPO | English (PDF, 1.2 MB) |
| Tandem PPO | English (PDF, 1.2 MB) |
| Added Advantage POS | English (PDF, 1.2 MB) |
| Active Choice® Plus and Active Choice® Classic | English (PDF, 1.2 MB) |
| EPO | English (PDF, 1.2 MB) |
| Tandem EPO | English (PDF, 1.2 MB) |
| Virtual Blue PPO | English (PDF, 2 MB) |
| Virtual Blue PPO Savings | English (PDF, 1.1 MB) |
| Virtual Blue EPO | English (PDF, 1.6 MB) |
| Virtual Blue EPO Savings | English (PDF, 1.1 MB) |
2024 handbooks
| Handbook name | Download link |
|---|---|
| High-Deductible Health Plan | English (PDF, 1.6 MB) |
| HMO | English (PDF, 1.6 MB) |
| Trio HMO | English (PDF, 1.6 MB) |
| Local Access+ HMO | English (PDF, 1.6 MB) |
| PPO | English (PDF, 1.6 MB) |
| Tandem PPO | English (PDF, 1.6 MB) |
| Added Advantage POS | English (PDF, 1.6 MB) |
| Active Choice® Plus and Active Choice® Classic | English (PDF, 1.6 MB) |
| EPO | English (PDF, 1.6 MB) |
| Tandem EPO | English (PDF, 1.6 MB) |
| Virtual Blue PPO | English (PDF, 1.7 MB) |
| Virtual Blue PPO Savings | English (PDF, 1.2 MB) |
| Virtual Blue EPO | English (PDF, 1.2 MB) |