City of Detroit General Retiree Healthcare Trust Fund

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Health Care Documents

2025 Benefit Information Retirees Before December 31, 2014

	2025 Benefit Book - Retirees Before December 31, 2014

	2025 Cost of Coverage - Retirees Before December 31, 2014

	2025 Healthcare Enrollment Form - Retirees Before December 31, 2014

	2025 HRA, Dental & Vision Enrollment Form - Retirees Before December 31, 2014

	2025 Dental & Vision Only Enrollment Form - Retirees Before December 31, 2014

	2025 Detailed Medical Benefit Comparison Charts

2025 Benefit Information Retirees After January 1, 2015

	2025 Benefit Book - Retirees After January 1, 2025

	2025 Cost of Coverage - Retirees After January 1, 2015

	2025 Dental & Vision Enrollment Form - Retirees After January 1, 2015

	2025 Detailed Dental & Vision Comparison Charts

2024 Enrollment Information Retirees Before December 31, 2014

	2024 Enrollment Book - Retirees Before December 31, 2014

	2024 Cost of Coverage - Retirees Before December 31, 2014

	2024 Healthcare Enrollment Form - Retirees Before December 31, 2014

	2024 HRA, Dental & Vision Enrollment Form - Retirees Before December 31, 2014

	2024 Detailed Benefit Comparison Charts - Retirees Before December 31, 2014

2024 Enrollment Information Retirees After January 1, 2015

	2024 Enrollment Book - Retirees After January 1, 2015

	2024 Cost of Coverage - Retirees After January 1, 2015

	2024 Dental & Vision Enrollment Form - Retirees after January 1, 2015

	2024 Detailed Dental & Vision Comparison Charts - Retirees After January 1, 2025

MICHIGAN NO-FAULT AUTO LAW

Forms

	2024 HRA Reimbursement Form

	HRA Direct Deposit Form

	HRA Opt Out Form

	Protected Health Information Form

	Instructions for Protected Health Information Form

Information from BeneSys, Inc.

BCBSM Medicare Plus Blue PPO

	2025 BCBS PPO Benefits at a Glance

	2025 BCBS Evidence of Coverage

	2025 BCBS Evidence of Coverage Benefit Chart

	2025 BCBS Annual Notice of Change

	2025 Blue Cross Well-Being Digital Program

	2025 Blue Cross Well-Being Program

	2025 BCBSM Medicare Star Rating

	BCBS Non-Discrimination Notice

	BCBS Multi-language Interpreter Services

	2024 BCBS MA Annual Notice of Changes

	2024 BCBS MA Benefits-at-a-Glance

	2024 BCBS MA Evidence of Coverage

	2024 BCBS MA Medicare Star Rating

	2024 Important Information About BCBSM Medicare Plans

	BCBS/BCN Hearing Aid Claim Form

BCN Advantage HMO-POS

HAP

	2024 HAP SilverSneakers

	HAP Plan Information

	HAP Mobile App & Member Discounts

	HAP Silver & Fit

HUMANA

	Humana Information

	Humana Go365 Rewards

	Humana - Safe Disposal of Prescription Drugs

	Humana Silver Sneakers How To's

	Humana SilverSneakers Live and OnDemand

	Humana Go365 Flyer

	SilverSneakers On-Demand Features

	Humana - Value Added Items and Services

Priority Health

	Priority Health Information

	Priority Health No-Fault Auto Insurance Reform

Dental

	BCBS Dental PPO

	Delta Dental PPO High & Low Plans

	Delta Dental - Locating a Dentist

	Delta Dental - Stay in Network and Save

	DENCAP 2025 Plan Overview

	DENCAP 2024 Plan Summary

	DENCAP Network Directory - July 2024

	DENCAP Detailed Schedule of Benefits

Vision/Hearing Aid Discount Plans

	2025 Heritage Vision Local Plan Benefits at a Glance

	2025 Heritage Vision National Plan Benefits at a Glance

	Heritage Vision - Why Enroll?

	Heritage Vision - Schedule an Eye Exam

	Heritage Vision - Participating Optical Chain

	Heritage Vision "Benefits that Cater to You"

	Heritage Vision Hearing Health Partners

	Heritage Vision Out of Network Reimbursement Form

	VSP Information