View and Search Current Benefit Booklets.
Here you can find the details regarding your plan coverage. Please choose the plan you are interested in from the options below. After clicking on a link, use your browser's FIND menu item to search for specific words within the booklet.
Medical Plan Documents (SPDs)
EPO Medical Benefit Plan 7/1/2021
EPO COVID-19 Testing Plan Amendment
EPO SurgeryPlus Plan Amendment
EPO Prophylactic Surgery Amendment
PPO&HD Medical Benefit Plan 7/1/2021
PPO&HD COVID-19 Testing Plan Amendment
PPO & HD SurgeryPlus Plan Amendment
PPO & HD Prophylactic Surgery Amendment
Summary of Benefits and Coverage (SBC)
SBC-EPO3 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-EPO4 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-EPO5 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-EPO6 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-HDHP 2 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-HD2800 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-HDHP 3 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-HD3500 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-HDHP 4 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-HDHP 5 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-PPO2 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-PPO3 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-PPO4 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-PPO5 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-PPO6 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-PPO7 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC-PPO8 - 7/1/2021-12/31/2021 ~ 1/1/2022-6/30/2022
SBC – Kaiser Permanente Plans
SBC-KP-HMO 40 - 7/1/2021-6/30/2022
SBC-KP-HMO 45 - 7/1/2021-6/30/2022
SBC-KP-HMO 50 - 7/1/2021-6/30/2022
SBC-KP-DHMO 750- 7/1/2021-6/30/2022
SBC-KP-DHMO 1000 - 7/1/2021-6/30/2022
SBC-KP-DHMO 1500 - 7/1/2021-6/30/2022
SBC-KP-DHMO 2500 - 7/1/2021-6/30/2022
SBC-KP-HDHP 1500 - 7/1/2021-6/30/2022
SBC-KP-HDHP 2500 - 7/1/2021-6/30/2022
Kaiser Permanente
For covered drugs in your area, click here. Once you are directed to the page, click the Find out what drugs are covered in your area link.