ISSAIC The Information Source for SAIC
SAIC Benefits Summary Plan Description Health & Welfare Benefits for You and Your Family

Insured Medical Plan Benefit Charts — HMOs, PPOs, and POS Plans

For more information about each insured medical plan, participants can use the following links:

Insured Medical Plan Benefit
Insured Medical Plan 2009 Benefit Summary Charts 2010 Benefit Summary Charts Detailed Plan information
Aetna - Austin, Dallas and San Antonio, Texas 2009 (20k) 2010 (20k) Evidence of Coverage (1.7m)
Aetna - Memphis, Tenn. 2009 (19k) 2010 (20k) Evidence of Coverage (1.8m)
Aetna - New Jersey/New York 2009 (18k) N/A Evidence of Coverage (3.8m)
Aetna - Oklahoma City & Tulsa 2009 (18k) N/A Evidence of Coverage (1.5m)
Aetna - St. Louis Area 2009 (25k) 2010 (20k) Evidence of Coverage (3.7m)
Aetna Open Choice Core
(VMCP Only)
2009 (86k) 2010 (86k) Evidence of Coverage (256k)
Aetna Open Choice Low
(VMCP Only)
2009 (87k) 2010 (87k) Evidence of Coverage (256k)
Anthem KeyCare 10 PPO – Premium 2009 (120k) 2010 (20k) Evidence of Coverage (598k)
BlueCross BlueShield - Alabama 2009 (121k) 2010 (20k) Evidence of Coverage (188k)
Cariten Healthcare - Tenn. 2009 (18k) 2010 (20k) Evidence of Coverage (592k)
CIGNA International High 2009 (18k) 2010 (20k) Evidence of Coverage (413k)
CIGNA International Low 2009 (18k) 2010 (20k) Evidence of Coverage (413k)
Harvard Pilgrim - Mass. 2009 (25k) 2010 (20k) Evidence of Coverage (1.4m)
Health America - Pa. 2009 (21k) 2010 (20k) Evidence of Coverage (1.7m)
Health Net - California 2009 (13k) 2010 (20k) Evidence of Coverage (449k)
Health Plan of Nevada 2009 (22k) 2010 (20k) Evidence of Coverage (578k)
HMO Illinois 2009 (20k) N/A Evidence of Coverage (245k)
Humana Health Plan of Louisiana 2009 (68k) 2010 (20k) Evidence of Coverage (747k)
Kaiser Permanente - Atlanta 2009 (20k) 2010 (20k) Evidence of Coverage (2.6m)
Kaiser Permanente - Colorado 2009 (22k) 2010 (20k) Evidence of Coverage (2.6m)
Kaiser Permanente of Georgia 2009 (20k) 2010 (20k) Evidence of Coverage (2.6m)
Kaiser Permanente - Hawaii 2009 (18k) 2010 (20k) Evidence of Coverage (2.3m)
Kaiser Permanente - Northern California 2009 (21k) 2010 (20k) Evidence of Coverage (422k)
Kaiser Permanente - Southern California 2009 (21k) 2010 (20k) Evidence of Coverage (427k)
Kaiser Permanente of the Mid-Atlantic States 2009 (18k) 2010 (20k) Evidence of Coverage (2.6m)
Optima Health Plan - Virginia Beach 2009 (21k) 2010 (20k) Evidence of Coverage (584k)
Optimum Choice - D.C. Area 2009 (19k) 2010 (20k) Evidence of Coverage (2.5m)
PersonalCare - Champaign, Ill. 2009 (17k) N/A Evidence of Coverage (226k)
Presbyterian Health - Albuquerque, N.M. 2009 (18k) 2010 (20k) Evidence of Coverage (952k)
United Health Care - New England 2009 (63k) 2010 (20k) Evidence of Coverage (516k)
UPMC Health Plan - Pa. 2009 (17k) 2010 (20k) Evidence of Coverage (414k)