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Review the following Summaries of Benefits and Coverage (SBCs) prior to enrolling for your 2022 benefits. The summaries highlight the key provisions, limitations and exceptions for your Medical Program options. They are designed to help you compare options and better understand the coverage and out-of-pocket costs for each, with examples to illustrate common medical events.

Call the Benefits Center at 1-844-44-DFSCO (1-844-443-3726) if you need paper copies or have questions about the SBCs.


Bronze HSA medical plan 2023
Silver HSA medical plan 2023
Gold PPO medical plan 2023

Spanish (Español) 

Chinese (中文), Tagalog (Tagalog) and Navajo (Dine)

To get this information in these languages, call the customer service number on the back of your medical ID card. If you are not a member or don't have a medical ID card, call 1-888-895-6981.