Silver-Gold Plan

Silver-Platinum Plan Comparison

1-800-966-5772
Mail Order: 1-800-875-0867
http://www.caremark.com

RX Plan $20-$40-$70-$125

1-800-578-4403 (Prudent) 

Prudent Rx Plan $20-$40-$70-$0

Member FAQ- The Prudent Rx Copay Program

1-800-932-0783
http://www.deltadentalins.com

Dental Summary - Delta Dental Enhanced Plan

Health Advocate
1-800-343-2186
https://healthadvocate.com/video/membereap.html

Employee Assistance Program Summary

1-800-945-5513

FSA - Health Care Account 2025

FSA - Health Care Claim Form

FSA - Dependent Day Care 2025

FSA - Dependent Care Claim Form

BAS MyEnroll360 Guide

1-800-ASK-BLUE or 1-800-275-2583
http://www.ibx.com

How to Navigate IBC Personal Choice Portal

How to Submit for Reimbursement HRA - Health Spending Account

HRA Claim Form

Silver Plan Benefits and Coverage

Silver Plan Summary of Benefits and Coverage 7-1-2025

Platinum Plan Summary

Platinum Plan Summary of Benefits and Coverage 7-1-2025

Gold Plan Summary

Gold Plan Summary of Benefits and Coverage 7-1-2025

Public School Employees’ Retirement System
1-888-773-7748
http://www.psers.state.pa.us

1-800-432-4966
http://www.vbaplans.com

Vision Summary - VBA Enhanced Plan