Summary of Benefits

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Below you will find our Summary of Benefits for 2020. If you need a printed copy mailed to you, please call Member Services toll free at 1-833-742-3125 (TTY 1-855-532-3740). We are available October 1 – March 31, 8 a.m. to 8 p.m. Mountain Time (MT) daily; and, April 1- September 30, 8 a.m. to 8 p.m. Mountain Time (MT) Monday through Friday.

The documents below are in PDF format. Click on picture to download a document. You need Adobe Acrobat to read a PDF. If you don’t have Adobe Acrobat you can download it for free here.

2020 Summary of Benefits CMS Approved FINAL 100919

2020 Summary of Benefits – Version en Español

 

 

H3407_website CMS Accepted 10/09/2019 | Last Updated:11/09/2019