Anthem Blue Cross Plan Documents

The following Plan Documents explain the benefits, coverage and out-of-pocket costs associated with CVT PPO and HDHP Plans using the Anthem Blue Cross network of providers. These documents pertain to the plans available to both active and retired employees as well as COBRA participants. 

For any questions regarding these plans please contact CVT Member Services by emailing MemberServices@CVTrust.org or calling 800.288.9870.

PPO Plans

• Plan 1 (PDF)
• Plan 2 (PDF)
• Plan 3 (PDF)
• Plan 4 (PDF)
• Plan 5 (PDF)
• Plan 6 (PDF)
• Plan 7 (PDF)
• Plan 8 (PDF)
• Plan 9 (PDF)
• Plan 10 (PDF)
• Wellness Plan (PDF)
• Bronze Plan (PDF)
• High Deductible Health Plan 1 (PDF)
• High Deductible Health Plan 2 (PDF)
• High Deductible Health Plan 3 (PDF)
• Medicare Supplemental Plan 1 (PDF)
• Medicare Supplemental Plan 2 (PDF)
• CVT Medicare Advantage PPO Plan - Scroll down to the "Already Enrolled" section to find the link for the most recent Medicare Advantage Evidence of Coverage document.

EPO Plans

• EPO Premier (PDF)
• EPO Prime (PDF)
• EPO Saver (PDF)
• EPO Value (PDF)
• EPO HSA (PDF)

HMO Plans

The following Plan Documents also known as “Evidence of Coverage” (EOC) are documents that explain the benefits, coverage and out-of-pocket costs associated with CVT HMO Plans using the Anthem Blue Cross network of providers. These documents pertain to the plans available to both active and retired employees as well as COBRA participants.

• HMO Plan 1 (PDF)
• HMO Plan 2 (PDF)
• HMO Plan 3 (PDF)
• HMO Bronze Plan (PDF)