Group
POS Plans

Benefits

SBCs

In compliance with new requirements of the Affordable Care Act, AdventHealth Advantage Plans has made available a Summary of Benefits and Coverage (SBC) for our group plans. All SBCs are available at myAHplan.com/mySBC.

2021 Drug Lists (Formularies):

• 5 Tier Commercial Metal:
  Annual Notice of Change
  Online Search | PDF
  Prior Authorization and Step Therapy Criteria
• 5 Tier Commercial:
  Annual Notice of Change
  Online Search | PDF
  Prior Authorization and Step Therapy Criteria
• 3 Tier Commercial:
  Annual Notice of Change
  Online Search | PDF
  Prior Authorization and Step Therapy Criteria

Pediatric dental coverage

Last Updated: 10/01/2020