VLCT Plan Descriptions

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Below is a list of all VLCT Health Plans. Some have links to their Summary Plan Description. We will add more links gradually, so if you do not see a link for the plan you are interested in, please check back in a few days.

VLCT Health Plans

VHPE – VLCT Health Plan 10/20 B
VLCT Health Plan with $10/$20 office visit copays and $100 deductible 25/50% coinsurance prescription drug option
VHPF – VLCT Health Plan 10/20 C
VLCT Health Plan with $10/$20 office visit copays and $50 deductible $5/$10/$25 copay prescription drug option
VHPH – VLCT Health Plan 20/30 B
VLCT Health Plan with $20/$30 office visit copays and $100 deductible 25/50% coinsurance prescription drug option

VLCT Gold Plans

VLCJ2 – VLCT Gold B Plan
VLCT Gold Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCJ3 – VLCT Gold C Plan
VLCT Gold Plan with $50 deductible $5/$10/$25 copay prescription drug option

VLCT Open Access Plans

VLCTB – VLCT Open Access Plus 100 B Plan
VLCT Open Access Plus $100 Deductible Plan with $100 deductible 25/50% 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
VLCTE – VLCT Open Access Plus 200 B Plan
VLCT Open Access Plus $200 Deductible Plan with $100 deductible 25/50% 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
VLCTH – VLCT Open Access Plus 500 B Plan
VLCT Open Access Plus $500 Deductible Plan with $100 deductible 25/50% 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 High Deductible Health 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
VVP2 – VLCT Value Plan $1,500
VLCT High Deductible Value Plan with $1,500 Deductible
VVP3 – VLCT Value Plan $2,250
VLCT High Deductible Value Plan with $2,250 Deductible
VVP4 – VLCT Value Plan $3,000
VLCT High Deductible Value Plan with $3,000 Deductible

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)

VLCT Open Access Plus 100 B Carveout
VLCT Open Access Plus $100 Deductible Carveout Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCT Open Access Plus 100 C Carveout
VLCT Open Access Plus $100 Deductible Carveout Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCT Open Access Plus 200 B Carveout
VLCT Open Access Plus $200 Deductible Carveout Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCT Open Access Plus 200 C Carveout
VLCT Open Access Plus $200 Deductible Carveout Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCT Open Access Plus 500 B Carveout
VLCT Open Access Plus $500 Deductible Carveout Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCT Open Access Plus 500 C Carveout
VLCT Open Access Plus $500 Deductible Carveout Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCT Gold B Carveout
VLCT Gold Carveout Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCT Gold C Carveout
VLCT Gold Carveout Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCT Medicomp
Medicare Part A & B Supplement without prescription drug coverage
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