medical benefits
summary plan descriptions
related SPDs
medical PPO plan
The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.
The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.
Medical Coverage Changes
- Expanded Travel Reimbursement Benefit (August 1, 2022)
- Anthem Total Health Total You Program (January 1, 2021)
- Online visits: Coverage for non-LiveHealth Online providers March 27, 2020 | January 1, 2021 Update
- COVID-19 testing coverage | March 19, 2020 | March 27, 2020 Update
- COVID-19 treatment coverage | March 19, 2020 | March 27, 2020 Update
- COVID-19 Qualifying preventive care services Coverage established (March 27, 2020) | Out-of-network COVID-19 immunizations (December 11, 2020)
- LiveHealth Online temporary fee waiver (March 19, 2020)
- Update to Infertility Services (January 1, 2020)
- Coverage for adult hearing aids (January 1, 2018)
Prescription Drug Program Changes
- Coverage for COVID-19 at-home test kits (January 15, 2022)
- New coverage for weight loss class of prescription drugs (January 1, 2022)
- Flu Shots, COVID-19, other immunization coverage: Established coverage from a pharmacy (February 15, 2021)
- New coverage for continuous glucose monitoring systems (January 1, 2021)
- Rare Conditions Value Program (January 1, 2021)
- Flu shots: Temporary coverage when received at a network pharmacy (September 15 - December 31, 2020)
- Managed prior authorization for Xyrem (January 1, 2020)
- Advanced Opioid Management Program (January 1, 2019)
- Condition-specific prescription drug programs (January 1, 2018)
Deductible Changes
- Update to Medical PPO Deductibles (January 1, 2018)
Permian Basin Participants
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
Other General Plan Changes
- "Other dependent" legal guardian administrative clarification (January 1, 2021)
- New address for benefits correspondence (June 1, 2020)
- New dependent verification requirement (January 1, 2019) | Learn more
- New qualifying life event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
Review the Summary of Benefits and Coverage (SBC) to understand basic information about your plan, such as benefits, copayments, deductibles, and coinsurance.
- Go to the SBC section of this website to locate the document for your plan.
high deductible health plan
The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.
The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.
Medical Coverage Changes
- Expanded Travel Reimbursement Benefit (August 1, 2022)
- Anthem Total Health Total You Program (January 1, 2021)
- Online visits: Coverage for non-LiveHealth Online providers March 27, 2020 | January 1, 2021 Update
- COVID-19 testing coverage | March 19, 2020 | March 27, 2020 Update
- COVID-19 treatment coverage | March 19, 2020 | March 27, 2020 Update
- COVID-19 Qualifying preventive care services Coverage established (March 27, 2020) | Out-of-network COVID-19 immunizations (December 11, 2020)
- LiveHealth Online temporary fee waiver (March 19, 2020)
- Preventive services for chronic conditions January 1, 2020
- Update to Infertility Services (January 1, 2020)
- Coverage for adult hearing aids (January 1, 2018)
Prescription Drug Program Changes
- Coverage for COVID-19 at-home test kits (January 15, 2022)
- New coverage for weight loss class of prescription drugs (January 1, 2022)
- Preventive medications: January 1, 2018 | January 1, 2020 | Breast cancer and HIV pre-exposure prophylaxis (PrEP) (January 1, 2021)
- Flu Shots, COVID-19, other immunization coverage: Established coverage from a pharmacy (February 15, 2021)
- New coverage for continuous glucose monitoring systems (January 1, 2021)
- Rare Conditions Value Program (January 1, 2021)
- Flu shots: Temporary coverage when received at a network pharmacy (September 15 - December 31, 2020)
- Managed prior authorization for Xyrem (January 1, 2020)
- Advanced Opioid Management Program (January 1, 2019)
- Condition-specific prescription drug programs (January 1, 2018)
Deductible Changes
- HDHP Deductible update (January 1, 2021)
- HDHP Deductible update (January 1, 2020)
- HDHP Deductible update (January 1, 2018)
Permian Basin Participants
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
Other General Plan Changes
- "Other dependent" legal guardian administrative clarification (January 1, 2021)
- New address for benefits correspondence (June 1, 2020)
- New dependent verification requirement (January 1, 2019) | Learn more
- New qualifying life event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
Review the Summary of Benefits and Coverage (SBC) to understand basic information about your plan, such as benefits, copayments, deductibles, and coinsurance.
- Go to the SBC section of this website to locate the document for your plan.
high deductible health plan basic
The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.
The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.
Medical Coverage Changes
- Expanded Travel Reimbursement Benefit (August 1, 2022)
- Anthem Total Health Total You Program (January 1, 2021)
- Online visits: Coverage for non-LiveHealth Online providers March 27, 2020 | January 1, 2021 Update
- COVID-19 testing coverage | March 19, 2020 | March 27, 2020 Update
- COVID-19 treatment coverage | March 19, 2020 | March 27, 2020 Update
- COVID-19 Qualifying preventive care services Coverage established (March 27, 2020) | Out-of-network COVID-19 immunizations (December 11, 2020)
- LiveHealth Online temporary fee waiver (March 19, 2020)
- Preventive services for chronic conditions January 1, 2020
- Update to Infertility Services (January 1, 2020)
- Coverage for adult hearing aids (January 1, 2018)
Prescription Drug Program Changes
- Coverage for COVID-19 at-home test kits (January 15, 2022)
- New coverage for weight loss class of prescription drugs (January 1, 2022)
- Preventive medications: January 1, 2018 | January 1, 2020 | Breast cancer and HIV pre-exposure prophylaxis (PrEP) (January 1, 2021)
- Flu Shots, COVID-19, other immunization coverage: Established coverage from a pharmacy (February 15, 2021)
- New coverage for continuous glucose monitoring systems (January 1, 2021)
- Rare Conditions Value Program (January 1, 2021)
- Flu shots: Temporary coverage when received at a network pharmacy (September 15 - December 31, 2020)
- Managed prior authorization for Xyrem (January 1, 2020)
- Advanced Opioid Management Program (January 1, 2019)
- Condition-specific prescription drug programs (January 1, 2018)
Deductible Changes
- HDHP Basic deductible update (January 1, 2018)
Permian Basin Participants
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
Other General Plan Changes
- "Other dependent" legal guardian administrative clarification (January 1, 2021)
- New address for benefits correspondence (June 1, 2020)
- New dependent verification requirement (January 1, 2019) | Learn more
- New qualifying life event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
Review the Summary of Benefits and Coverage (SBC) to understand basic information about your plan, such as benefits, copayments, deductibles, and coinsurance.
- Go to the SBC section of this website to locate the document for your plan.
medical HMO plans
The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.
The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.
- "Other dependent" legal guardian administrative clarification (January 1, 2021)
- New address for benefits correspondence (June 1, 2020)
- New dependent verification requirement (January 1, 2019) | Learn more
- New qualifying life event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
Review the Summary of Benefits and Coverage (SBC) to understand basic information about your plan, such as benefits, copayments, deductibles, and coinsurance.
- Go to the SBC section of this website to locate the document for your plan.
global choice plan (U.S.-payroll expatriates)
The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.
The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.
Prescription Drug Program Changes
For prescription drugs obtained inside the U.S. or mail-order in the U.S.
- Coverage for COVID-19 at-home test kits (January 15, 2022)
- New coverage for weight loss class of prescription drugs (January 1, 2022)
- Flu Shots, COVID-19, other immunization coverage: Established coverage from a pharmacy (February 15, 2021)
- New coverage for continuous glucose monitoring systems (January 1, 2021)
- Rare Conditions Value Program (January 1, 2021)
- Flu shots: Temporary coverage when received at a network pharmacy (September 15 - December 31, 2020)
- Managed prior authorization for Xyrem (January 1, 2020)
- Advanced Opioid Management Program (January 1, 2019)
- Condition-specific prescription drug programs (January 1, 2018)
Other General Plan Changes
- "Other dependent" legal guardian administrative clarification (January 1, 2021)
- New address for benefits correspondence (June 1, 2020)
- Medical coverage for expatriate assignments (January 1, 2019)
- New dependent verification requirement (January 1, 2019) | Learn more
- New qualifying life event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
Review the benefit summary and highlights to understand basic information about your dental plan, such as benefits, copayments, deductibles, coinsurance and plan contact information.
Review the Certificate of Insurance to understand what is covered under the plan. You can contact Cigna to request a current Certificate of Insurance.
Prescription Drug Program
For prescription drugs obtained inside the U.S. or mail-order in the U.S.
global choice plan (expatriates in the U.S.)
The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.
The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.
Prescription Drug Program Changes
For prescription drugs obtained inside the U.S. or mail-order in the U.S.
- Coverage for COVID-19 at-home test kits (January 15, 2022)
- New coverage for weight loss class of prescription drugs (January 1, 2022)
- Flu Shots, COVID-19, other immunization coverage: Established coverage from a pharmacy (February 15, 2021)
- New coverage for continuous glucose monitoring systems (January 1, 2021)
- Rare Conditions Value Program (January 1, 2021)
- Flu shots: Temporary coverage when received at a network pharmacy (September 15 - December 31, 2020)
- Managed prior authorization for Xyrem (January 1, 2020)
- Advanced Opioid Management Program (January 1, 2019)
- Condition-specific prescription drug programs (January 1, 2018)
Other General Plan Changes
- "Other dependent" legal guardian administrative clarification (January 1, 2021)
- New address for benefits correspondence (June 1, 2020)
- New dependent verification requirement (January 1, 2019) | Learn more
- New qualifying life event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
Review the benefit summary and highlights to understand basic information about your dental plan, such as benefits, copayments, deductibles, coinsurance and plan contact information.
Review the Certificate of Insurance to understand what is covered under the plan. You can contact Cigna to request a current Certificate of Insurance.
Prescription Drug Program
For prescription drugs obtained inside the U.S. or mail-order in the U.S.
This communication provides only certain highlights about benefit provisions. It is not intended to be a complete explanation. If there are any discrepancies between this communication and the legal plan documents, the legal plan documents will prevail to the extent permitted by law. Oral statements about plan benefits are not binding on Chevron or the applicable plan. Chevron Corporation reserves all rights, for any reason and at any time, to amend, change or terminate these plans or to change or eliminate the company contribution toward the cost of such plans. Such amendments, changes, terminations or eliminations may be applicable without regard to whether someone previously terminated employment with Chevron or previously was subject to a grandfathering provision. Unless required by applicable law, there are no vested rights with respect to any Chevron health and welfare plan benefit or to any company contributions towards the cost of such health and welfare plan benefits. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union-represented employees.
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