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Health Insurance
PPO Self-Funded Plans & Policies
- Addendum - Base Plan (PDF)
- Addendum - Indemnity Base Plan (PDF)
- Addendum - Indemnity Premier Plan (PDF)
- Addendum - Premier Plan (PDF)
- Additional Addendum-Base Plan over 65 (PDF)
- Additional Addendum-Base Plan over 65 (Spanish) (PDF)
- Additional Addendum-Base Plan under 65 (PDF)
- Additional Addendum-Base Plan under 65 (Spanish) (PDF)
- Additional Addendum-Premier Plan over 65 (PDF)
- Additional Addendum-Premier Plan over 65 (Spanish) (PDF)
- Additional Addendum-Premier Plan under 65 (PDF)
- Additional Addendum-Premier Plan under 65 (Spanish) (PDF)
- Benefit Summary - Base Plan over 65 (Spanish) (PDF)
- Benefit Summary - Base Plan Over 65 Indemnity (PDF)
- Benefit Summary - Base Plan Under 65 (PDF)
- Benefit Summary - Base Plan under 65 (Spanish) (PDF)
- Benefit Summary - Premier Plan over 65 (Spanish) (PDF)
- Benefit Summary - Premier Plan Over 65 Indemnity (PDF)
- Benefit Summary - Premier Plan Under 65 (PDF)
- Benefit Summary - Premier Plan under 65 (Spanish) (PDF)
- Choice Plus - Base Plan (PDF)
- CHOICE PLUS BASE PLAN (PDF)
- Choice Plus Base Plan (Spanish) (PDF)
- Choice Plus- Premier Plan (PDF)
- CHOICE PLUS PREMIER PLAN (PDF)
- Choice Plus Premier Plan(Spanish) (PDF)
- Indemnity Base Plan (PDF)
- INDEMNITY BASE PLAN (PDF)
- Indemnity Base Plan(Spanish) (PDF)
- Indemnity Premier Plan (PDF)
- Indemnity Premier Plan (PDF)
- Indemnity Premier Plan(Spanish) (PDF)
- New Health Insurance Marketplace Coverage Options and Your Health Coverage - Español (PDF)
- New Health Insurance Marketplace Coverage Options and Your Health Coverage (PDF)
- PPO Base Indemnity Plan SPD (PDF)
- PPO Base Plan SPD (PDF)
- PPO Premier Indemnity Plan SPD (PDF)
- PPO Premier Plan SPD (PDF)
- Premium Assistance under Medicaid and Childrens Health Insurance Program (CHIP)
- Prescription Drug Coverage and Medicare (PDF)
- Prescription Drug Coverage and Medicare (PDF)
- RX Base Plan (PDF)
- RX Base Plan (Spanish) (PDF)
- RX Base Plan (Spanish) (PDF)
- RX Premier Plan (PDF)
- RX Premier Plan (Spanish) (PDF)
- RX Premier Plan (Spanish) (PDF)
- Summary of Benefits and Coverage - Base Plan (PDF)
- Summary of Benefits and Coverage - Base Plan (PDF)
- Summary of Benefits and Coverage - Base Plan (Spanish) (PDF)
- Summary of Benefits and Coverage - Base Plan (Spanish) (PDF)
- Summary of Benefits and Coverage - Base Plan over Age 65 (PDF)
- Summary of Benefits and Coverage - Base Plan Over Age 65 (PDF)
- Summary of Benefits and Coverage - Base Plan over Age 65 (Spanish) (PDF)
- Summary of Benefits and Coverage - Open Access Plan (OAP) (Spanish) (PDF)
- Summary of Benefits and Coverage - Premier Plan (PDF)
- Summary of Benefits and Coverage - Premier Plan (PDF)
- Summary of Benefits and Coverage - Premier Plan (Spanish) (PDF)
- Summary of Benefits and Coverage - Premier Plan (Spanish) (PDF)
- Summary of Benefits and Coverage - Premier Plan over age 65 (PDF)
- Summary of Benefits and Coverage - Premier Plan over Age 65 (PDF)
- Summary of Benefits and Coverage - Premier Plan over age 65 (Spanish) (PDF)
- UNITED HEALTHCARE - COVER LETTER (PDF)
Open Access Plus Plan / HMO
- Aetna Discount Wellness Program (PDF)
- AETNA MEMBER LETTER (PDF)
- Aetna OAP Plan Design and Benefits ( PDF)
- Aetna Open Access Elect Choice- Summary Of Benefits (PDF)
- Benefit Summary HMO (PDF)
- Cigna Telehealth Connection with Behavioral Health Customer Flyer (PDF)
- Cigna Total Behavioral Health Customer Flyer (PDF)
- Cigna.com Business to Customer Directory Open Enrollment Flyer - (Spanish) (PDF)
- Cigna.com Business to Customer Directory Open Enrollment Flyer (PDF)
- Colorado Supplement to Summary of Benefits and Coverage (PDF)
- CVS Extra Care Health Card (PDF)
- Home Delivery Pharmacy Customer Flyer FAQ - (Spanish) (PDF)
- Home Delivery Pharmacy Customer Flyer FAQ (PDF)
- Home Delivery Pharmacy QuickSwitch Customer Flyer (PDF)
- Medical Open Access Plus In Network Product Flyer (PDF)
- Medical Open Access Plus Product Flyer (PDF)
- myCigna Price a Medication Customer Flyer (PDF)
- Notice of certain mandatory benefits-Texas (PDF)
- OPEN ACCESS PLAN DESIGN AND BENEFITS (PDF)
- Open Access Plus (OAP) Plan (PDF)
- PHARMACY DRUG LIST (PDF)
- Pharmacy Five Ways to Get the Most Out of Your Pharmacy Benefit Customer Flyer - (Spanish) (PDF)
- Pharmacy Five Ways to Get the Most Out of Your Pharmacy Benefit Customer Flyer (PDF)
- Pharmacy Standard PDL Buck Slip (PDF)
- Pre-Enrollment Collateral Benefits of Cigna Flyer (PDF)
- Prescription Drug Coverage and Medicare - HMO Plan (PDF)
- Prescription Drug Coverage and Medicare - OAP Plan (PDF)
- SBC Subscriber Letter - English (PDF)
- SBC Subscriber Letter - Español (PDF)
- SCHEDULE OF BENEFITS OPEN ACCESS ELECT CHOICE (PDF)
- Summary of Benefits and Coverage - Open Access Plan (OAP) (PDF)
- Summary of Benefits and Coverage - Open Access Plan (OAP) (Spanish) (PDF)
- Summary of Benefits and Coverage (English) (PDF)
- Summary of Benefits and Coverage (Spanish) (PDF)
- Summary of Benefits and Coverage (Spanish) (PDF)
- Supplemental information (PDF)
Medicare Advantage Plan
- 2021 City of Hialeah UHC Medicare Advantage PPO Benefit Summary (PDF)
- Bonus Drug List (PDF)
- City of Hialeah Plan Guide_SP_Final (PDF)
- Enrollment Form_City of Hialeah (PDF)
- Formulary (PDF)
- MEDICARE ADV SUMMARY BENEFITS (PDF)
- Medicare Advantage Plan with Aetna Healthcare (PDF)
- Medicare Advantage Summary of Benefits (PDF)
- Plan Guide_City of Hialeah_13977 (PDF)
- Premium Formulary Exclusion List (PDF)
- STANDARD PREM FORMULARY (PDF)
- United Healthcare Medicare Advantage Enrollment Application
- United Healthcare Plan Guide
- United Healthcare Plan Guide (Spanish)
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Risk Management
Physical Address
501 Palm Avenue
Hialeah, FL 33010
Phone: 305-883-8068
Hours of Operations:
Monday through Friday:
8:30 a.m. - 5:00 p.m.
Closed holidays and weekends.