medical benefit contacts

The HR Service Center generally manages your enrollment in and eligibility for these plans (unless otherwise indicated below). For all other questions regarding your coverage, contact the insurer or administrator. The administrator and the insurer manage the administration of your plan — for example, claims, what's covered and what's not, certificates of insurance, and more.

When you enroll in the Chevron Medical PPO, the High Deductible Health Plan or the High Deductible Health Plan Basic, you are also automatically enrolled in medical coverage, the Chevron Prescription Drug Program and the Chevron Vision Program for basic vision coverage.

medical coverage

• Plan Type  Medical Plan
• Eligibility  U.S. Payroll Employees | Dependent verification process required
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Anthem Blue Cross (Anthem)
• Group Number  174209
• Network Name  National PPO (CCV)
• Phone  1-844-627-1632
• Websitewww.anthem.com/ca
• Mobile App   Sydney Health app on the Apple App Store or Google Play
• Virtual Visits / Telehealth  Learn more here
• Know Your Costs Sydney Health app on the Apple App Store or Google Play
• Get a Second Opinion Learn more here
• Claim Form  Forms Library
• Address  Anthem Group Claims – Chevron ǀ Group #174209 ǀ P.O. Box 60009 ǀ Los Angeles, CA 90060

prescription drug program

• Plan Type  Prescription Drug Benefit (Obtained inside the U.S.)
• Eligibility  U.S. Payroll Employees, U.S. Payroll Expatriates, Expatriates in the U.S. │ Dependent verification process required
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Express Scripts
• Group Number  CT1839
• U.S. Network  National Plus Network
• Phone 1-800-987-8368
• Website  www.express-scripts.com
• Mobile App   Express Scripts app on the Apple App Store or from Google Play 
• Claim Form  Forms Library

chevron vision program

• Eligibility  U.S. Payroll Employees, U.S. Payroll Expatriates, Expatriates in the U.S.
• Enrollment  Enrollment is automatic when you enroll in the Medical PPO, HDHP, HDHP Basic or Global Choice Plans
• Claims Administrator  VSP Vision Care (VSP) 
• Group Number  30021085
• Network name  VSP Choice
• Phone (Inside U.S.) 1-800-877-7195 
• Phone (Outside U.S.) 1-916-851-5000 (Press '0' for operator assistance)
• Website  www.vsp.com
• Mobile App   VSP Vision Care app from the Apple App Store or Google Play
• Claim Form  Forms Library
• Address  Vision Service Plan │ Attention: Claims Services │ P.O. Box 385018 │ Birmingham, AL 35238-5018

When you enroll in the Global Choice Plan (U.S.-Payroll Expatriates) or Global Choice Plan (Expatriates in the U.S.), your coverage includes medical coverage, prescription drug coverage and basic vision coverage.

medical (worldwide) and prescription drugs (obtained outside U.S.) coverage

• Plan Type  Medical Plan (worldwide coverage) │ Prescription Drugs (Obtained outside the U.S.)
• Eligibility  U.S. Payroll Expatriates, Expatriates in the U.S. │ Dependent verification process required
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Cigna Global Health Benefits (Cigna)
• Group Number  U.S. Payroll Expatriates 05721A008 │Expatriates in the U.S. 05721A009
• U.S. Network  Cigna refers to the U.S. network as the Open Access Plus (OA Plus) network. 
• Outside U.S. Network  Outside the U.S., learn about CignaLinks: U.S.-Payroll Expatriates │ Expatriates in the U.S.  
• Phone (Inside the U.S.)  1-800-441-2668 
• Phone (Outside the U.S.)  1-302-797-3100
• Website  www.CignaEnvoy.com
• Mobile App  Cigna Envoy Customer app on the Apple App Store or from Google Play
• Virtual Visits/Telehealth  Learn more here
• Claim Form  Forms Library
• Email  You can send Cigna a secure email through the CignaEnvoy website

prescription drug program

• Plan Type  Prescription Drug Benefit (Obtained inside the U.S.)
• Eligibility  U.S. Payroll Employees, U.S. Payroll Expatriates, Expatriates in the U.S. │ Dependent verification process required
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Express Scripts
• Group Number  CT1839
• U.S. Network  National Plus Network
• Phone 1-800-987-8368
• Website  www.express-scripts.com
• Mobile App   Express Scripts app on the Apple App Store or from Google Play 
• Claim Form  Forms Library

chevron vision program

• Eligibility  U.S. Payroll Employees, U.S. Payroll Expatriates, Expatriates in the U.S.
• Enrollment  Enrollment is automatic when you enroll in the Medical PPO, HDHP, HDHP Basic or Global Choice Plans
• Claims Administrator  VSP Vision Care (VSP) 
• Group Number  30021085
• Network name  VSP Choice
• Phone (Inside U.S.) 1-800-877-7195 
• Phone (Outside U.S.) 1-916-851-5000 (Press '0' for operator assistance)
• Website  www.vsp.com
• Mobile App   VSP Vision Care app from the Apple App Store or Google Play
• Claim Form  Forms Library
• Address  Vision Service Plan │ Attention: Claims Services │ P.O. Box 385018 │ Birmingham, AL 35238-5018

via benefits

• Plan Type  Post-65 Retiree Individual Health Coverage and the Retiree Health Reimbursement Arrangement (Retiree HRA) Plan
• Eligibility  U.S. Payroll Employees
• Claims Administrator Via Benefits 
• Phone  1-844-266-1392 
• Website my.viabenefits.com/chevron
• Email  my.viabenefits.com/help/ask
• Claim Form  my.viabenefits.com/chevron

COBRA continuation coverage

• Plan Type  Continuation coverage for health plans
• Eligibility  U.S. Payroll Employees
• Enrollment  Call BenefitConnect|COBRA or access their website
• Claims Administrator  BenefitConnect|COBRA 
• Phone (Inside U.S.) 1-877-292-6272 
• Phone (Outside U.S.) 1-858-314-5108
• Website  https://cobra.ehr.com
• Claim Form  BenefitConnect|COBRA only manages eligibility, enrollment and monthly premium payments for COBRA coverage. If you need help with a claim for health services or questions about what the health plan covers or does not cover, contact your health plan claims administrator directly.
• Address  BenefitConnect COBRA | Dept:COBRA | PO Box 981915 | El Paso, TX 79998