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Adventist Health Employee Health Plan benefits

Medical benefits

California Medical Benefits

  • Side by side benefit comparison
  • Summary of Benefits and Coverage (SBC)
  • Summary of Benefits and Coverage (SBC) – AHRO and AHMC associates
  • Summary of Benefits and Coverage (SBC) – Delano associates
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  • Summary Plan Description (SPD) - AHRO and AHMC associates
  • Summary Plan Description (SPD) - Delano associates

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  • Side by side benefit comparison
  • Summary of Benefits and Coverage (SBC)
  • Summary Plan Description (SPD)

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Pharmacy benefits:

  • Pharmacy Benefit
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  • Free glucose monitor

Forms:

  • Unavailable Service Request form
  • Medical Claim form
  • Pharmacy Claim form
  • Coordination of Benefits/Other Insurance form
  • General Authorization Designation of Personal Representation and Email Consent form

Flexible Spending Account:

For claims and additional information:

  • Visit EBCFlex.com
  • Call 800-346-2126

Dental:

For claims and additional information:

  • Visit DeltaDentalins.com/AH
  • Call 888-335-8227

Vision:

For claims and additional information:

  • Visit Adventist.VSPForMe.com
  • Call 800-877-7195

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(916) 406-0000
ONE Adventist Health Way
Roseville, CA 95661

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