Plan Documents

 
Title Sort ascending Date
UHC Medicare Advantage PPO (MAPD) Prescription Claim Form
Retirees, Retirees with Medicare, UnitedHealthcare, UHC PPO (pre 2022), 2021, 2020
Download
UHC Home Test Reimbursement Form
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees without Medicare, Superior Court of SF Employees, UHC PPO - Companion Plan, 2022
Download
UHC Doctors Plan EPO SBC
Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, UHC Doctors Plan EPO, 2023
Download
UHC At-Home Testing Flyer
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees without Medicare, Superior Court of SF Employees, UHC PPO - Companion Plan, 2022
Download
TruHearing Hearing Aid Discount Offer
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, VSP Vision, 2022, 2021
Download
Trio Plan Update
2018
Download
Surrogacy and Adoption Reimbursement Form
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2022, 2021, 2020, 2019
Download
Summary SFHSS Adoption Surrogacy Plan
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2022, 2021, 2020, 2019, 2018, 2017
Download