Below is a list of all VLCT Health Plans with a link to the Summary Plan Description for each plan.
VLCT Health Plans
VHPD – VLCT Health Plan 10/20 A
VLCT Health Plan w/ $10/$20 office visit copays and $100 deductible 25% coinsurance prescription drug option
VHPE – VLCT Health Plan 10/20 B
VLCT Health Plan w/ $10/$20 office visit copays and $50 deductible 20% coinsurance prescription drug option
VHPF – VLCT Health Plan 10/20 C
VLCT Health Plan w/ $10/$20 office visit copays and $50 deductible $5/$10/$25 copay prescription drug option
VHPG – VLCT Health Plan 20/30 A
VLCT Health Plan w/ $20/$30 office visit copays and $100 deductible 25% coinsurance prescription drug option
VHPH – VLCT Health Plan 20/30 B
VLCT Health Plan w/ $20/$30 office visit copays and $50 deductible 20% coinsurance prescription drug option
VLCT Open Access Plans
VLCTB – VLCT Open Access Plus 100 B Plan
VLCT Open Access Plus $100 Deductible Plan with $50 deductible 20% coinsurance prescription drug option
VLCTC – VLCT Open Access Plus 100 C Plan
VLCT Open Access Plus $100 Deductible Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCTD – VLCT Open Access Plus 200 A Plan
VLCT Open Access Plus $200 Deductible Plan with $100 deductible 25% coinsurance prescription drug option
VLCTE – VLCT Open Access Plus 200 B Plan
VLCT Open Access Plus $200 Deductible Plan with $50 deductible 20% coinsurance prescription drug option
VLCTF – VLCT Open Access Plus 200 C Plan
VLCT Open Access Plus $200 Deductible Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCTG – VLCT Open Access Plus 500 A Plan
VLCT Open Access Plus $500 Deductible Plan with $100 deductible 25% coinsurance prescription drug option
VLCTH – VLCT Open Access Plus 500 B Plan
VLCT Open Access Plus $500 Deductible Plan with $50 deductible 20% coinsurance prescription drug option
VLCTI – VLCT Open Access Plus 500 C Plan
VLCT Open Access Plus $500 Deductible Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCT Health Savings Account Plans
VHSA1 – VLCT HSA $1,500
VLCT High Deductible Health Plan with $1,500 Deductible
VHSA2 – VLCT HSA $2,250
VLCT High Deductible Health Plan with $2,250 Deductible
VHSA3 – VLCT HSA $3,000
VLCT High Deductible Health Plan with $3,000 Deductible
VLCT Gold Plans
VLCJ2 – VLCT Gold B Plan
VLCT Gold Plan with $50 deductible 20% coinsurance prescription drug option
VLCJ3 – VLCT Gold C Plan
VLCT Gold Plan with $50 deductible $5/$10/$25 copay prescription drug option
Retiree or Working Aged Plans
VLCM1 – VLCT Medicare Advantage High w/ RX
VLCT Medicare Advantage High Option Plan with Prescription Drug Coverage
VLCM2 – VLCT Medicare Advantage Medium w/ RX
VLCT Medicare Advantage Medium Option Plan with Prescription Drug Coverage
VLCM3 – VLCT Medicare Advantage High without RX
VLCT Medicare Advantage High Option Plan without Prescription Drug Coverage
Grandfathered Carveout Plans – Retiree or Working Aged
(Please Note: These plan are no longer available for new enrollment)
