Who is eligible for this plan?
Universal is a plan for government employees, retirees without Medicare A and B coverage, and their direct and optional dependents, who during the established enrollment period join or renew their coverage.
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Universal is a plan for government employees, retirees without Medicare A and B coverage, and their direct and optional dependents, who during the established enrollment period join or renew their coverage.
Documents | Size | |
---|---|---|
BrochurePromotional brochure that provides information about some of the covered benefits, such as, physicians visits, hospitalizations and the copays and/or coinsurances applicable to the services, pharmacy benefits and more. |
28.7 MB | Download |
Drug List or FormularyYour pharmacy coverage uses a Drug List or a Formulary that offers a wide selection of treatment options. |
2.3 MB | Download |
Provider DirectoryList of the Network's participating providers. |
3.3 MB | Download |
Enrollment FormForm for new enrollment or renewal of the health plan. Instructions to complete the form are included. |
886 KB | Download |
Summary of BenefitsThe Summary of Benefits and Coverage is a document created by the National Association of Insurance Commissioners (NAIC) that helps consumers understand, compare and make better choices about their health coverage. |
532 KB | Download |
Ivision Provider DirectoryIvision International's participating providers list. |
73 KB | Download |
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