Overview of Your Benefits:
Medical:
Low Deductible Plan:
- Imagine Health - Low Deductible Plan Document
- Imagine Health - Low Deductible Summary of Benefits and Coverage
- Non-Imagine Health - Low Deductible Plan Document
- Non-Imagine Health - Low Deductible Summary of Benefits and Coverage
- Imagine Health - Low Deductible Mammogram Amendment
- Imagine Health - Low Deductible Telehealth Speech Therapy Amendment
High Deductible Plan:
- Imagine Health - High Deductible Plan Document
- Imagine Health - High Deductible Plan Summary of Benefits and Coverage
- Non-Imagine Health - High Deductible Plan Document
- Non-Imagine Health - High Deductible Plan Summary of Benefits and Coverage
- Imagine Health - High Deductible Mammogram Amendment
- Imagine Health - High Deductible Telehealth Speech Therapy Amendment
Network Plan:
- CIGNA Plan Document
- CIGNA Summary of Benefits and Coverage
- CIGNA Mammogram Amendment
- CIGNA Telehealth Speech Therapy Amendment
I360 Resources:
- Imagine360 Answering Provider Questions Flyer
- Imagine360 FAQ Facility Physician Flyer
- Imagine360 ID Card Overview Flyer
- Imagine360 miBenefits Portal Flyer
- Imagine360 Perspecta Member Overview
- Imagine360 Case Management Member Flyer
- Imagine360 Utilization Member Flyer
- Tele-Health 24/7 Virtual Care from Recuro Health
- Upland Advocacy Employee Flyer
Prescription Coverage:
- My RxBenefits Member Portal Flyer
- Ways to Save Money at the Pharmacy
- Prior Authorization Process for Providers
- Prior Authorization Request Form
- FAQ - Prior Authorization
Dental Insurance:
Vision Insurance:
Other Health/Welfare Documents:
- Glossary of Health Coverage and Medical Terms
- DISA Welfare Benefit WRAP Plan – effective 1/1/2023
- Amendment to DISA’s Flexible Spending Account – effective 1/1/2020
- Machine Readable Regulation (MRR) - HB 2090: Texas Law Mandates Health Plan Disclosures. For plans renewed or effective after Jan. 1, 2022, a health benefit plan issuer or administrator must publish on a website machine-readable files that include a comprehensive breakdown of in-network rates and out-of-network rates.
Life Insurance and AD&D:
Disability Insurance:
- Short Term Disability (Sun Life) Reference Page and FAQ’s
- Basic STD Certificate (Sun Life)
- Long Term Disability (Sun Life) Reference Page and FAQ’s
- Basic LTD Certificate (Sun Life)
Indemnity Insurance:
- Accident Insurance (Sun Life) Reference Page
- Accident Certificate Policy (Sun Life)
- Hospital Insurance (Sun Life) Reference Page
- Hospital Indemnity Certificate (Sun Life)
- Critical Illness (Sun Life) Reference Page
- Critical Illness Certificate (Sun Life)