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

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

VLCT Gold Plans

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

VLCT Open Access Plans

VLCT Open Access Plus 100 B Plan (VLCTB)
VLCT Open Access Plus $100 Deductible Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCT Open Access Plus 100 C Plan (VLCTC)
VLCT Open Access Plus $100 Deductible Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCT Open Access Plus 200 B Plan (VLCTE)
VLCT Open Access Plus $200 Deductible Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCT Open Access Plus 200 C Plan (VLCTF)
VLCT Open Access Plus $200 Deductible Plan with $50 deductible $5/$10/$25 copay prescription drug option
VLCT Open Access Plus 500 B Plan (VLCTH)
VLCT Open Access Plus $500 Deductible Plan with $100 deductible 25/50% coinsurance prescription drug option
VLCT Open Access Plus 500 C Plan (VLCTI)
VLCT Open Access Plus $500 Deductible Plan with $50 deductible $5/$10/$25 copay prescription drug option

VLCT High Deductible Health Plans

VLCT HSA $1,500/$3,000 (VHSA1)
VLCT High Deductible Health Plan with deductibles of $1,500 for a single subscriber or $3,000 for a couple or family
VLCT HSA $2,250/$4,500 (VHSA2)
VLCT High Deductible Health Plan with deductibles of $2,250 for a single subscriber or $4,500 for a couple or family
VLCT Value Plan $1,500/$3,000 (VVP2)
VLCT High Deductible Value Plan with deductibles of $1,500 for a single subscriber or $3,000 for a couple or family
VLCT Value Plan $2,250/$4,500 (VVP3)
VLCT High Deductible Value Plan with deductibles of $2,250 for a single subscriber or $4,500 for a couple or family
VLCT Value Plan $3,000/$6,000 (VVP4)
VLCT High Deductible Value Plan with deductibles of $3,000 for a single subscriber or $6,000 for a couple or family

Retiree or Working Aged Plan

VLCT Gold B Medicare Carveout (VLRJ2)
VLCT Gold Carveout Plan with $100 deductible 25/50% coinsurance prescription drug option

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 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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