Plan Documents
Select the name of the plan you are enrolled in to view your plan-specific documents — Summary of Benefits, Evidence of Coverage, and Annual Notice of Changes. You can find your plan name on your member ID card.
2025 Plan Name Changes
Several of our plans will have a new name beginning Jan. 1, 2025:
- Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO) will change to Saint Alphonsus Health Plan Cash Back (HMO)
- Saint Alphonsus Health Plan Cash Back No Premium 2 (HMO) will change to Saint Alphonsus Health Plan Glory No RX (HMO)
- Saint Alphonsus Health Plan No Premium Choice (PPO) will change to Saint Alphonsus Health Plan Choice (PPO)
The menu below has been updated to reflect the 2025 plan names.
Other Coverage Information
Provider Directory
Saint Alphonsus Health Plan offers a large network of high-quality providers. You can use the Provider/Pharmacy Directory below to find network providers and pharmacies in your area. You can also search the directory on the Find a Provider page of our website.
2024-2025 Provider/Pharmacy Directory (last updated 11/01/24)
At any time, you can request a printed copy of the Provider/Pharmacy Directory by calling Member Services. You can also call to ask Member Services for more information about our network providers, including their qualifications and any changes in the pharmacy network.