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Plan Benefits

2016 Plan Document
Complete List of Benefits for the Performance Plus Plan offered by the Teachers Health Trust

2016 Summary of Benefits
2016 Summary of Plan Benefits offered by the Teachers Health Trust

Copay Comparison Chart
Performance Plus Plan: Copayments At-A-Glance

Advanced Control Formulary for Teachers Health Trust
The Advanced Control Formulary for Teachers Health Trust is a guide within select therapeutic categories for clients, plan members and health care providers.

Vision Benefits Summary
Teachers Health Trust and VSP provide you with an affordable eyecare plan.

Dental Fee Schedule
Out–of–Network Dental Fee Schedule

Premium Rate Sheets
A quick overview of the premiums for the Performance Plus Plan.

Services Requiring Prior Authorization
Certain procedures and services require Prior Authorization to evaluate the medical necessity and appropriateness of the service. You should advise your Physician to obtain Prior Authorization on your behalf if the services require it.

Plan Benefits