Southwest Health Benefits Fund
Southwest Health Benefits Fund
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  • Information & Disclosures
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  • Price Shopping Tool

Participant Information & Disclosures

No Surprises Act (2023)

Summary Plan Description

No Surprises Act (2023)

Important Information concerning Billing Practices 

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Summary of Benefits

Summary Plan Description

No Surprises Act (2023)

2025 Summary of Benefits & Coverages

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Summary Plan Description

Summary Plan Description

Summary Plan Description

Plan Guide


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Dental & Vision Coverage

Summary Plan Description

Summary Plan Description

Important Benefit Information


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Privacy Protections

COBRA and Retiree Self Pay Rates

Privacy Protections

Privacy Notice


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Department of Labor

COBRA and Retiree Self Pay Rates

Privacy Protections

Affordable Care Act


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New Vision Network

COBRA and Retiree Self Pay Rates

COBRA and Retiree Self Pay Rates

Eyemed Notice


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COBRA and Retiree Self Pay Rates

COBRA and Retiree Self Pay Rates

COBRA and Retiree Self Pay Rates

2025 Rates

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CHIP Notice 2025

SavRx Benefit Guide

SavRx Benefit Guide

Updated March 2025

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SavRx Benefit Guide

SavRx Benefit Guide

SavRx Benefit Guide

Helpful Rx drug information

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INFORMACIÓN Y DIVULGACIONES DEL PARTICIPANTE

Según la Ley Sin Sorpresas

Cobertura dental y de la vista

Según la Ley Sin Sorpresas

 Información importante sobre las prácticas de facturación

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Resumen de beneficios

Cobertura dental y de la vista

Según la Ley Sin Sorpresas

2024  resumen de beneficios



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Descripción resumida del plan

Cobertura dental y de la vista

Cobertura dental y de la vista

 Guía de planos



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Cobertura dental y de la vista

Cobertura dental y de la vista

Cobertura dental y de la vista

Información importante sobre beneficios


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Formulario de inscripción

COBRA y tarifas de pago por cuenta propia para jubilados

Protecciones de privacidad

 Formulario para agregar dependientes calificados


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Protecciones de privacidad

COBRA y tarifas de pago por cuenta propia para jubilados

Protecciones de privacidad

Aviso de Privacidad



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COBRA y tarifas de pago por cuenta propia para jubilados

COBRA y tarifas de pago por cuenta propia para jubilados

COBRA y tarifas de pago por cuenta propia para jubilados

Tarifas 2024



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plan SERVICE Providers

Benefit Resources Member Portal

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield of Illinois

Participant Eligibility Records


Link

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield of Illinois

Insurance Carrier


Link

Sav-RX

Blue Cross Blue Shield of Illinois

Sav-RX

Pharmacy Benefits


Link

Cigna

Blue Cross Blue Shield of Illinois

Sav-RX

Dental & Vision


Link

USEFUL Plan Form

Enrollment Form

Member Termination Request Form

Medical Claim Form

Link

Medical Claim Form

Member Termination Request Form

Medical Claim Form

Link

Accident Form

Member Termination Request Form

Member Termination Request Form

Link

Member Termination Request Form

Member Termination Request Form

Member Termination Request Form

Link

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