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Benefit Details
7/1/2023 - 6/30/2024 Benefits
7/1/2024 - 6/30/2025 Benefits
2023 Summary of Benefits and Coverage (SBC)
Click Here to View the Summary of Benefits and Coverage (SBC) Page
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Benefit Details
(
Effective
7/1/2023 - 6/30/2024
)
View the 2023-2024 Benefits Guide
Value Select Plan
Benefit Booklet
Medical Benefits
Summary of Benefits & Coverage
Rx Benefits
Handbook
CommunityCare Select Network
Formulary and Pharmacy Search (MedalistRx)
Notice of Privacy Practices
Standard Plan
Benefit Booklet
Medical Benefits
Summary of Benefits & Coverage
Rx Benefits
Handbook
CommunityCare POS Standard Network
Formulary and Pharmacy Search (MedalistRx)
Notice of Privacy Practices
HDP Select Plan
Benefit Booklet
Medical Benefits
Summary of Benefits & Coverage
Rx Benefits
Handbook
CommunityCare Select Network
Formulary and Pharmacy Search (MedalistRx)
Notice of Privacy Practices
Out-of-Area PPO Plan
Benefit Booklet
Medical Benefits
Summary of Benefits & Coverage
Rx Benefits
Handbook
CommunityCare PPO Standard Network
Valenz Provider Search (for outside of Oklahoma only)
Formulary and Pharmacy Search (MedalistRx)
Notice of Privacy Practices
