Benefit Summaries/Forms
Medical/Prescription Drug SBC'S (Summary of Benefits and Coverage)
- ISEBA Option 11 PPO SBC (Summary of Benefits and Coverage 7.1.23)
- ISEBA Option 20 PPO SBC (Summary of Benefits and Coverage 7.1.23)
- ISEBA Option 53 Choice POS SBC (Summary of Benefits and Coverage 7.1.23)
ISEBA Wellmark Blue Cross and Blue Shield Coverage Benefits
- Doctor on Demand Article
- Doctor on Demand Member Flyer
- Doctor on Demand Virtual Visit
- Prescription Mail Service Form
- Prescription PBM Mail Order Q&A
- Prescription PBM Mail Order Member Letter
- Amplifon Hearing - ISEBA (This hearing program is for all employees employed with the School District, whether they are enrolled in the school's Health Insurance Plan or not)
- Blue Rx Value Plus Member Brochure
- Formulary Exception Prior Authorization Request Form
- ISEBA AE CI Brochure (Accident Expense and Critical Illness)
- ISEBA AE CI Rates
Best Care Employee Assistance
Advantage Administrators