The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium, and/or co-payments/co-insurance may change on January 1 of each year. The chart below shows some of your benefits available when you are a member of Superior HealthPlan Advantage. For more detailed information on your benefits, please refer to your Summary of Benefits.
|Superior HealthPlan Advantage|
|Plan Service Areas||Bexar, Collin, Dallas, Nueces, and Rockwall Counties|
|Summary of Benefits||View Summary of Benefits|
*Your monthly plan premium will vary from $0 to $28.00 based on your level of Extra Help.
Last Updated: 09302015