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  • PLAN COVERAGE
  • MEMBER RESOURCES
  • FIND A DOCTOR
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Plan Coverage

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

Understanding my Coverage

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

Insurance Information

  • Claims and EOBs
  • Appeals Process
  • Benefit Elevation
  • Prior Authorization

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.

Featured Resources

  • Ascension One
  • Pharmacy Benefits
  • Care Management
  • Ascension Network
  • Interactive Benefits Guide
  • Member Handbook (pdf)

Additional Benefits

  • Virtual Care
  • Behavioral Health and Well-Being
  • Pregnancy and Maternal Health
  • Supportive Care
  • Preventive Care
  • Substance Use Disorder and Addiction Treatment
  • Transplant Travel Benefits

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.

Search for Care

  • Tier 1 network
  • Find Tier 2 Coverage
  • Urgent Care

More Options

  • Lab Services
  • Virtual Care
  • Online Health Coaching
  • Digital Physical Therapy
  • International Travel

2025 Summary Plan Description

  • AHIS

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  • AHSCM
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  • AHSCM_OLP
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  • AHSCM OLP Union
    Click here to view your SPD
  • ARDCS
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  • DCWAS
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  • DCWAS  Union
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  • FLJAC
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  • FLPEN
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  • ILARL
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  • ILARL Union
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  • ININD
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  • INMXL
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  • KSWIC
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  • KSWIC Union
    Click here to view your SPD
  • LADCS (DePaul Comm Health Center)
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  • MDBAL
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  • MIKAL
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  • MIKAL Union
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  • MODCM
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  • MOSET
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  • MOSTL
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  • NYBIN
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  • OKTUL
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  • TNNAS
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  • TXAUS
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  • TXAUS Union
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  • TXDCS
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  • TXWAC
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  • WIAPP
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  • WIMIL
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  • WIMIL Union
    Click here to view your SPD
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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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