HSTA VB Active – Medical/Prescription Drug

July 1, 2018 - June 30, 2019

Preferred Provider Organization Plans (PPO)

Plan TypeDescriptionBenefits Summary
HSTA VB HMSA 90/10 PPO Plan and CVS Caremark Prescription Drug Plan
Preferred Provider Organization 90/10 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
HSTA VB HMSA 80/20 PPO Plan and CVS Caremark Prescription Drug Plan
Preferred Provider Organization 80/20 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary

Health Maintenance Organization Plans (HMO)

Plan TypeDescriptionBenefits Summary
HSTA VB Kaiser HMO Comprehensive and Prescription Drug Plan
Health Maintenance Organization Comprehensive Plan Administered by KaiserSummary of Benefits and Coverage

Kaiser Benefits Summary

July 1, 2017 - June 30, 2018

Preferred Provider Organization Plans (PPO)

Plan TypeDescriptionBenefits Summary
HSTA VB HMSA 90/10 PPO Plan and CVS Caremark Prescription Drug PlanPreferred Provider Organization 90/10 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary
HSTA VB HMSA 80/20 PPO Plan and CVS Caremark Prescription Drug PlanPreferred Provider Organization 80/20 Plan Administered by HMSA and CVS CaremarkSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits Summary

Health Maintenance Organization Plans (HMO)

Plan TypeDescriptionBenefits Summary
HSTA VB Kaiser HMO Comprehensive and Prescription Drug PlanHealth Maintenance Organization Comprehensive Plan Administered by KaiserSummary of Benefits and Coverage

Kaiser Benefits Summary