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Benefit Details
2024 Summary of Benefits and Coverage (SBC)
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Benefit Details
(
Effective
7/1/2024 - 6/30/2025
)
View the 2024-2025 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
