HSTA VB Active – Medical/Prescription Drug

July 1, 2020 - June 30, 2021

Preferred Provider Organization Plans (PPO)

Plan TypeBenefits Summary
HSTA VB HMSA 90/10 PPO and CVS Caremark Prescription Drug
Summary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits at a Glance
HSTA VB HMSA 80/20 PPO and CVS Caremark Prescription Drug
Summary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits at a Glance

Health Maintenance Organization Plans (HMO)

Plan TypeBenefits Summary
HSTA VB Kaiser HMO Comprehensive and Prescription Drug
Summary of Benefits and Coverage

Kaiser Benefits Summary

July 1, 2019 - June 30, 2020

Preferred Provider Organization Plans (PPO)

Plan TypeBenefits Summary
HSTA VB HMSA 90/10 PPO and CVS Caremark Prescription DrugSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits at a Glance
HSTA VB HMSA 80/20 PPO and CVS Caremark Prescription DrugSummary of Benefits and Coverage

HMSA Guide to Benefits

Drug Summary of Benefits and Coverage

CVS Benefits at a Glance

Health Maintenance Organization Plans (HMO)

Plan TypeBenefits Summary
HSTA VB Kaiser HMO Comprehensive and Prescription DrugSummary of Benefits and Coverage

Kaiser Benefits Summary