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Health Tradition
Home
Providers
  • Information Requests
  • Submitting Claims
  • Provider Manual
  • Provider Contact Us
  • Provider News
Members
  • Information Requests
  • Plans and Policies
  • Member Contact Us
  • Forms
Secure File Upload
Contact Us
More
  • Home
  • Providers
    • Information Requests
    • Submitting Claims
    • Provider Manual
    • Provider Contact Us
    • Provider News
  • Members
    • Information Requests
    • Plans and Policies
    • Member Contact Us
    • Forms
  • Secure File Upload
  • Contact Us

  • Home
  • Providers
    • Information Requests
    • Submitting Claims
    • Provider Manual
    • Provider Contact Us
    • Provider News
  • Members
    • Information Requests
    • Plans and Policies
    • Member Contact Us
    • Forms
  • Secure File Upload
  • Contact Us

Member Plans & Policies

Select your plan type below to view 2022 policies. Not all plans have the same policies or options. 


Not sure which plan you have? Check your 2022 benefit summary, or check with your employer to determine your 2022 Health Tradition benefit plan. 

Large Group HMO

2022 Large Group HMO Certificate (pdf)Download
2022 Large Group HMO Certificate Amendment (pdf)Download
2022 Large Group HMO Disabled Employee Continuation Rider (pdf)Download
2022 Large Group HMO Disabled Employee Continuation Rider Limited Duration (pdf)Download
2022 Large Group HMO Domestic Partner Rider (pdf)Download
2022 Large Group HMO Drug Plan Amendment Rider (pdf)Download
2022 Large Group HMO Return Eligibility Rider (pdf)Download
2022 Large Group HMO Global Office Visit Rider (pdf)Download
2022 Large Group HMO Retired Employee Continuation Rider (pdf)Download
2022 Large Group HMO Retired Employee Continuation Rider -Limited Rider (pdf)Download
2022 Large Group HMO Retired Employee Spousal Continuation Rider (pdf)Download
2022 Large Group HMO Retired Employee Continuation Consecutive COBRA Rider (pdf)Download
2022 Large Group HMO Surviving Dependent Continuation Rider (pdf)Download
2022 Large Group HMO Surviving Dependent Continuation Rider - Limited Duration (pdf)Download
2022 Large Group HMO Termination Rider A (pdf)Download

Large Group HMO CarePlus

2022 Large Group HMO CarePlus Certificate (pdf)Download
2022 Large Group HMO CarePlus Amendment (pdf)Download
2022 Large Group HMO CarePlus Disabled Employee Continuation Rider (pdf)Download
2022 Large Group HMO CarePlus Disabled Employee Continuation Rider - Limited Duration (pdf)Download
2022 Large Group HMO CarePlus Domestic Partner Rider (pdf)Download
2022 Large Group HMO CarePlus Drug Plan Amendment for Medicare Part D Eligible Individuals Rider (pdf)Download
2022 Large Group HMO CarePlus Retired Employee Continuation Rider (pdf)Download
2022 Large Group HMO CarePlus Retired Employee Continuation Rider - Limited Duration (pdf)Download
2022 Large Group HMO CarePlus Retired Employee Continuation-Consecutive COBRA Rider (pdf)Download
2022 Large Group HMO CarePlus Retired Employee Spousal Continuation Rider (pdf)Download
2022 Large Group HMO CarePlus Returning Employee Eligibility Rider (pdf)Download
2022 Large Group HMO CarePlus Surviving Dependent Continuation Rider (pdf)Download
2022 Large Group HMO CarePlus Surviving Dependent Continuation Rider-Limited Duration (pdf)Download
2022 Large Group HMO CarePlus Termination Date Rider (pdf)Download

Large Group POS

2022 Large Group POS Certificate (pdf)Download
2022 Large Group POS Certificate Amendment (pdf)Download
2022 Large Group POS Disabled Employee Continuation Rider (pdf)Download
2022 Large Group POS Disabled Employee Continuation Rider-Limited Duration (pdf)Download
2022 Large Group POS Domestic Partner Rider (pdf)Download
2022 Large Group POS Drug Plan Rider (pdf)Download
2022 Large Group POS Global Office Visit Rider (pdf)Download
2022 Large Group POS Out-of-Area Coverage Rider (pdf)Download
2022 Large Group POS Preventive Health Services Rider (pdf)Download
2022 Large Group POS Retired Employee Continuation Rider (pdf)Download
2022 Large Group POS Retired Employee Continuation Rider-Limited Duration (pdf)Download
2022 Large Group POS Retired Employee Continuation-Consecutive COBRA Rider (pdf)Download
2022 Large Group POS Retired Employee Spousal Continuation (pdf)Download
2022 Large Group POS Surviving Dependent Continuation Rider (pdf)Download
2022 Large Group POS Surviving Dependent Continuation Rider-Limited Duration (pdf)Download

Large Group POS Continued

2022 Large Group POS Termination Rider (pdf)Download
2022 Large Group POS Returning Eligibility Rider (pdf)Download

Small Group HMO

2022 Small Group HMO Certificate (pdf)Download

Small Group POS

2022 Small Group POS Certificate (pdf)Download

Health Tradition 65Plus

2022 Medicare Select 65Plus Platinum Policy (pdf)Download
2022 Medicare Select 65Plus Premier Policy (pdf)Download

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