Schedule of Benefits

2025
Pelican HSA775
Pelican HRA1000
Magnolia Local
Active Employees, Non-Medicare Retirees (retirement date Before & After 3/1/2015) & Medicare Retirees (retirement date After 3/1/2015) Medicare Retirees (retirement date Before 3/1/ 2015)
Magnolia Local Plus
Active Employees, Non-Medicare Retirees (retirement date Before & After 3/1/2015) & Medicare Retirees (retirement date After 3/1/2015) Medicare Retirees (retirement date Before 3/1/ 2015)
Magnolia Open Access
Active Employees, Non-Medicare Retirees (retirement date Before & After 3/1/2015) & Medicare Retirees (retirement date After 3/1/2015) Medicare Retirees (retirement date Before 3/1/ 2015)
Blue Advantage (HMO)
Peoples Health Medicare (HMO-POS)
Humana
2024
Pelican HSA775
Pelican HRA1000
Magnolia Local
Magnolia Local Plus
Magnolia Open Access