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  • PLAN COVERAGE
  • MEMBER RESOURCES
  • FIND A DOCTOR
SEARCH

Plan Coverage

Locate information about your SmartHealth plan including dental and vision coverage, pharmacy benefits, plan documents, and spending accounts
Plan Coverage

UNDERSTANDING MY COVERAGE

  • Explore Plans
  • Pharmacy
  • Plan Documents
  • Spending Accounts
  • Ascension Dental and Vision Coverage

Member Resources

Welcome to Member Resources. You can access everything you need as a Member and explore the full SmartHealth experience to make the most of your plan.
Member Resources

FEATURED RESOURCES

  • Urgent Care and Virtual Care
  • Care Management
  • Claims
  • Find a Doctor or Location
  • Pharmacy
  • Member Handbook (PDF)

ADDITIONAL BENEFITS

  • Digital Cardiometabolic Program (Vida Health)
  • Digital Physical Therapy (Sword Health)
  • Center of Excellence Travel Benefit

Find A Doctor

Use the Find a Doctor search tool to locate in-network SmartHealth providers and locations near you.


Things to remember before visiting a provider:

1. Make sure your provider, referred doctor or specialist is part of the Tier 1 network or you may pay more out-of-pocket.

2. If you are being referred for lab services, make sure your lab is part of the Tier 1 network or you could pay more out of pocket.

Find a Doctor

SEARCH FOR CARE

  • Find a Doctor
  • Find a Location
  • Find Tier 2 and Tier 3 Coverage
  • Urgent Care and Virtual Care
  • COE Travel Benefit
  • Digital Cardiometabolic Program (Vida Health)
  • Digital Physical Therapy (Sword Health)

Find information regarding claims and appeals, care management, prior authorization and more.

Provider Resources

Provider Resources

  • Care Management
  • Claims
  • Prior Authorization
  • Provider Log In

2025 Summary of Benefits and Coverage

  • Ministry Markets: AHIS, AHMSC, AHSCM, DCWAS, FLJAC, FLPEN, ILARL, ININD, INMXL, KSWIC, MDBAL, MIKAL, MOSTL, OKTUL, TNNAS, TXAUS, TXWAC, WIAPP, WIMIL

    2025 SBC - HDHP 2500

    2025 SBC - PPO Plan

    2025 SBC - PPO Plan - ACA

    2025 SBC - PPO Plan HBS_50

    2025 SBC - PPO Plan HBS_100

  • Ministry Markets: LADCS, MOSET

    2025 SBC PPO Plan

    2025 SBC PPO Plan - ACA

  • Ministry Market: AHSCM_OLP

    2025 SBC Silver Plan OLP

    2025 SBC Gold Plan OLP

    2025 SBC Bronze Plan OLP

    2025 SBC - PPO Plan - ACA

  • Ministry Market: ILARL

    2025 SBC PPO Plan HBS 100 ILARL

    2025 SBC PPO Plan HBS 50 ILARL

    2025 SBC PPO Plan ILARL

    2025 SBC HDHP 2500 ILARL

    2025 SBC PPO Plan - ACA

  • Ministry Market: EPO Plans: 2025 (FLJAC, FLPEN, ININD, KSWIC, TNNAS, TXAUS, TXWAC, WIAPP, WIMIL)

    2025 SBC EPO Plan - FLJAC, FLPEN, ININD, KSWIC, TNNAS, TXAUS, TXWAC, WIAPP, WIMIL

  • Ministry Markets: ARDCS, MODCM, TXDCS

    2024 SBC PPO Plan

    2024 SBC PPO Plan ACA

    2024 SBC PPO Plan HBS 50

    2024 SBC PPO Plan HBS 100

    2025 SBC PPO Plan

    2025 SBC PPO Plan - ACA

    2025 SBC PPO Plan HBS_50

    2025 SBC PPO Plan HBS_100

  • Ministry Market: OKTUL

    2024 SBC HDHP 2000 OKTUL

    2024 SBC PPO Plan OKTUL

    2024 SBC PPO Plan ACA

    2024 PPO Plan HBS 50 OKTUL

    2024 PPO Plan HBS 100 OKTUL

    2025 SBC PPO Plan HBS 100 OKTUL

    2025 SBC PPO Plan HBS 50 OKTUL

    2025 SBC PPO Plan OKTUL

    2025 SBC HDHP 2500 OKTUL

    2025 SBC EPO Plan OKTUL

    2025 SBC PPO Plan - ACA

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RESOURCES

RESOURCES

  • Ascension Network
  • Automated Benefit Services
  • Contact Us
  • Language Assistance
  • Transparency in Coverage

CONTACT US

CONTACT US

  • 888-492-6811

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