2023 Schedule of Benefits

Plan Coverage

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

UNDERSTANDING MY 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

ADDITIONAL 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

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

Provider Resources

Provider Resources

Ministry Markets: AHIS, AHMSC, AHSCM, ALBIR, ALMOB, DCWAS, FLJAC, FLPEN, ININD, INMXL, MDBAL, MIDET, MIGRA, MIKAL, MIROC, MOSTL, TNNAS, TXAUS, TXWAC, WIAPP, WIMIL

2023 HDHP Schedule
2023 PPO Copay Schedule
2023 PPO Copay Schedule - ACA
2023 PPO Copay Schedule HBS 50
2023 PPO Copay Schedule HBS 100
Ministry Market: AHSCM_OLP

2023 OLP Bronze Schedule
2023 OLP Silver Schedule
2023 OLP Gold Schedule
2023 PPO Copay Schedule - ACA
Ministry Market: ARDCS, MODCM, TXDCS

2023 PPO Copay Schedule
2023 PPO Copay Schedule - ACA
2023 PPO Copay Schedule HBS 50
2023 PPO Copay Schedule HBS 100
Ministry Market: ILARL

2023 HDHP Schedule ILARL
2023 PPO Copay Schedule ILARL
2023 PPO Copay Schedule - ACA
2023 PPO Copay Schedule HBS 50 ILARL
2023 PPO Copay Schedule HBS 100 ILARL
Ministry Market: KSWIC

2023 HDHP Schedule
2023 PPO Copay Schedule
2023 PPO Copay Schedule - ACA
2023 PPO Copay Schedule HBS 50
2023 PPO Copay Schedule HBS 100
2023 EPO Schedule
Ministry Market: LADCS (DePaul Comm. Health Center)
Ministry Markets: MISAG, MITAW, NYBIN

2023 HDHP OB Schedule
2023 PPO Copay Plan OB Schedule
2023 PPO Copay Plan Schedule - ACA
2023 PPO Copay Plan OB Schedule HBS 50
2023 PPO Copay Plan OB Schedule HBS 100
Ministry Market: MOSET

2023 PPO Copay Schedule
2023 PPO Copay Schedule - ACA
Ministry Market: OKTUL

2023 HDHP Schedule OKTUL
2023 PPO Copay Schedule OKTUL
2023 PPO Copay Schedule - ACA
2023 PPO Copay Schedule HBS 50 OKTUL
2023 PPO Copay Schedule HBS 100 OKTUL