This booklet gives you a summary of costs and coverage in your plan. 

Please select the document for your plan and county:

For HMO Members:

For PPO Members:

This booklet gives you a complete list of services, limitations and exclusions for your plan coverage.

Please select the document for your plan and county:

For HMO Members

For PPO Members: 

If you were enrolled in Ascension Complete last year, this booklet will tell you about changes to your plan’s costs and benefits for the coming year. Please select the document for your plan and county:

For HMO Members

For PPO Members:

• Medicare Step Therapy Part B (PDF)

• Covered Diabetes Testing Supplies

• Over-the-Counter (OTC) Catalog (PDF)

• Over-the-Counter (OTC) Catalog (PDF)

• Medicare Step Therapy Part B (PDF)

• Covered Diabetes Testing Supplies