Utah SelectHealth Advantage Plans

SelectHealth Advantage Essential I Wasatch 001

2018 Plan Documents

The Wasatch service area includes Davis, Morgan, Salt Lake, Summit, Utah, Wasatch, and Weber Counties in Utah.

  Annual Notice of Changes (ANOC) / Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

  New Member Materials

 

Espanol

  Aviso Annual de Cambios (ANOC) / Evidencia de Cobertura (EOC)

  Resumen de Beneficios

  Utah Proveedor Y Farmacia Directorio

  Formulario de Medicamentos Completo

 

2019 Plan Documents

The Wasatch service area includes Davis, Morgan, Salt Lake, Summit, Utah, Wasatch, Tooele and Weber Counties in Utah.

  Annual Notice of Changes (ANOC)

  Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

 

SelectHealth Advantage I Southwest and Central Utah 002

2018 Plan Documents

The Southwest and Central service area includes Garfield, Iron, Sanpete, Sevier, and Washington Counties in Utah.

  Annual Notice of Changes (ANOC) / Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

  New Member Materials

 

Espanol

  Resumen de Beneficios

  Utah Proveedor Y Farmacia Directorio

  Formulario de Medicamentos Completo

 

2019 Plan Documents

The Southwest and Central service area includes Garfield, Iron, Sanpete, Sevier, and Washington Counties in Utah.

  Annual Notice of Changes (ANOC)

  Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

 

SelectHealth Advantage I Cache Valley 005

2018 Plan Documents

The Cache Valley Service Area includes Box Elder, Cache, Rich Counties in Utah, and Franklin County in Idaho.

  Annual Notice of Changes (ANOC) / Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

  New Member Materials

 

Espanol

  Resumen de Beneficios

  Utah Proveedor Y Farmacia Directorio

  Formulario de Medicamentos Completo

 

2019 Plan Documents

The Cache Valley Service Area includes Box Elder, Cache, Rich Counties in Utah, and Franklin County in Idaho.

  Annual Notice of Changes (ANOC)

  Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

 

SelectHealth Advantage Enhanced I Wasatch 007

2018 Plan Documents

The Wasatch service area includes Davis, Morgan, Salt Lake, Summit, Utah, Wasatch, and Weber Counties in Utah.

  Annual Notice of Changes (ANOC) / Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

  New Member Materials

 

Espanol

  Resumen de Beneficios

  Utah Proveedor Y Farmacia Directorio

  Formulario de Medicamentos Completo

 

2019 Plan Documents

The Wasatch service area includes Davis, Morgan, Salt Lake, Summit, Utah, Wasatch, Tooele, and Weber Counties in Utah.

  Annual Notice of Changes (ANOC)

  Evidence of Coverage (EOC)

  Summary of Benefits

  Utah Provider and Pharmacy Directory

  Utah Dental Directory

  Comprehensive Formulary

Idaho SelectHealth Advantage Plans

SelectHealth Advantage Essential I Treasure Valley 003

2018 Plan Documents

The Treasure Valley service area includes Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, and Washington Counties in Idaho.

  Annual Notice of Changes (ANOC) / Evidence of Coverage (EOC)

  Summary of Benefits

  Idaho Provider and Pharmacy Directory

  Idaho Dental Directory

  Dental Benefits at a Glance

  Comprehensive Formulary

  New Member Materials

 

Espanol

  Aviso Annual de Cambios (ANOC) / Evidencia de Cobertura (EOC)

  Resumen de Beneficios

  Idaho Proveedor Y Farmacia Directorio

  Formulario de Medicamentos Completo

 

2019 Plan Documents

The Treasure Valley service area includes Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, and Washington Counties in Idaho.

  Annual Notice of Changes (ANOC)

  Evidence of Coverage (EOC)

  Summary of Benefits

  Idaho Provider and Pharmacy Directory

  Idaho Dental Directory

  Comprehensive Formulary

 

SelectHealth Advantage I Magic Valley 004

2018 Plan Documents

The Magic Valley service area includes Blaine, Cassia, Jerome, Minidoka, and Twin Falls Counties in Idaho.

  Annual Notice of Changes (ANOC) / Evidence of Coverage (EOC)

  Summary of Benefits

  Idaho Provider and Pharmacy Directory

  Idaho Dental Directory

  Dental Benefits at a Glance

  Comprehensive Formulary

  New Member Materials

 

Espanol

  Aviso Annual de Cambios (ANOC) / Evidencia de Cobertura (EOC)

  Resumen de Beneficios

  Idaho Proveedor Y Farmacia Directorio

  Formulario de Medicamentos Completo

 

2019 Plan Documents

The Magic Valley service area includes Blaine, Cassia, Jerome, Minidoka, Gooding and Twin Falls Counties in Idaho.

  Annual Notice of Changes (ANOC)

  Evidence of Coverage (EOC)

  Summary of Benefits

  Idaho Provider and Pharmacy Directory

  Idaho Dental Directory

  Comprehensive Formulary

 

SelectHealth Advantage Enhanced I Treasure Valley 008

2018 Plan Documents

The Treasure Valley service area includes Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, and Washington Counties in Idaho.

  Annual Notice of Changes (ANOC) / Evidence of Coverage (EOC)

  Summary of Benefits

  Idaho Provider and Pharmacy Directory

  Idaho Dental Directory

  Dental Benefits at a Glance

  Comprehensive Formulary

 

Espanol

  Resumen de Beneficios

  Idaho Proveedor Y Farmacia Directorio

  Formulario de Medicamentos Completo

 

2019 Plan Documents

The Treasure Valley service area includes Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, Payette, Valley and Washington Counties in Idaho.

  Annual Notice of Changes (ANOC)

  Evidence of Coverage (EOC)

  Summary of Benefits

  Idaho Provider and Pharmacy Directory

  Idaho Dental Directory

  Comprehensive Formulary

 

Nevada SelectHealth Advantage Plans

SelectHealth Advantage Essential | Clark County 009

2019 Plan Documents

The Clark County service area includes Clark County, Nevada.

  Evidence of Coverage (EOC)

  Summary of Benefits

  Nevada Provider and Pharmacy Directory

  Nevada Dental Directory

  Comprehensive Formulary

 

SelectHealth Advantage Heart and Diabetes Care | Clark County 010

2019 Plan Documents

The Clark County service area includes Clark County, Nevada.

  Evidence of Coverage (EOC)

  Summary of Benefits

  Nevada Provider and Pharmacy Directory

  Nevada Dental Directory

  Comprehensive Formulary

 

SelectHealth Advantage Lung Care | Clark County 011

2019 Plan Documents

The Clark County service area includes Clark County, Nevada.

  Evidence of Coverage (EOC)

  Summary of Benefits

  Nevada Provider and Pharmacy Directory

  Nevada Dental Directory

  Comprehensive Formulary