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global choice plan

U.S.-payroll expatriates

had a recent life event?

If you get married, have a baby, move or experience some other qualifying life event, you have 31 days to make changes to your benefits. If you miss this important deadline, you'll have to wait until the next open enrollment period to change your benefits.

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Find a network provider
Contact your plan
Get claim forms

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Dental PPO Plan
Mental Health (MHSUD)
Vision Plus Program

quick links

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Global Mobility Specialist finder (intranet)
Assignment Pro (APro MEE)

the basics

The Global Choice Plan (U.S.-Payroll Expatriates) - a fully-insured plan - is the only medical plan option available to eligible U.S.-payroll employees while you’re on a resident or temporary expatriate assignment of 7 months or more. 

Your Global Choice Plan automatically includes coverage for medical services, worldwide, prescription drug benefits for prescriptions obtained outside and inside the U.S., vision coverage. However, be aware that this coverage is administered under a combination of separate programs. This means there is a separate deductible, out-of-pocket maximum, plan provisions, contacts, claim forms and ID cards depending on what kind of services you receive and from where (inside or outside the U.S.). Be sure to see the How-To-At-A-Glance section on this page for important tips about how your coverage works and how to use it both inside and outside the U.S.

When you enroll in the Global Choice Plan, you are automatically enrolled in:

  • Worldwide Medical coverage with Cigna Global Health Benefits (Cigna)
  • Prescription drugs obtained outside the U.S. with Cigna Global Health Benefits (Cigna)
  • The Chevron Prescription Drug Program with Express Scripts for prescriptions obtained in the U.S. and through mail-order.
  • The Chevron Vision Program for basic vision coverage with VSP
  • You are also automatically covered under the Chevron Mental Health and Substance Use Disorder (MHSUD) Plan with Beacon Health Options for behavioral health services.

A network is a group of independent medical providers that have agreed with your medical plan claims administrators to charge contracted fees for services provided to plan members. The Global Choice Plan is a preferred provider organization (PPO) health plan. This means that for services inside the U.S., you can choose to see any provider you choose, network or out-of-network. There are no Cigna networks outside the United States; however Cigna does have a direct settlement agreement with many international providers (physician and hospitals). This means that if you use one of these providers, Cigna can settle your charges directly. Learn more about networks in the How to at-a-glance section on this page.

When you enroll, you can choose your coverage level. Your monthly cost for coverage, your deductible amount, and your out-of-pocket maximum amount varies based on the coverage level you choose:

  • You Only
  • You + One Adult
  • You + Child(ren)
  • You + Family

Employees

  • You can enroll in the Global Choice Plan if you're a U.S.-payroll employee, you're eligible for Chevron's health benefits and you're on a resident or temporary expatriate assignment of 7 months or longer. 

Dependents

  • You can also enroll your eligible dependents, just as you can with Chevron's other health plans. 
  • Eligible dependents generally include your spouse or domestic partner and children under the age of 26.
  • Special rules apply to dependents that are incapacitated or physically or mentally disabled. If you feel that your dependent may qualify to continue coverage beyond age 26 due to being incapacitated or physically or mentally disabled, contact the HR Service Center, in advance of your dependent turning age 26, for further assistance and instructions about how to certify your dependent to be eligible for coverage.

Dependent Verification Process

You are required to verify the eligibility of any new dependents you enroll in your Chevron health plans in a dependent verification process. You have up to 60 days to obtain and submit requested documentation that verifies your dependent(s) are eligible to participate in Chevron’s health benefits. If you don’t provide acceptable documentation by the deadline, your dependent(s) will be disenrolled from coverage. Learn more about this process.

Expatriates

To see the current year deductible amounts for this plan, reference the plan comparison or other plan documents posted on this page.

Your Chevron plan is structured into three cost sharing phases: deductible, coinsurance, and covered (when you reach your out-of-pocket maximum). At the beginning of the plan year, you are responsible for paying most costs until you satisfy the deductible, but as you move from phase to phase, your Chevron plan pays more of the costs.

A deductible is the amount you must pay out-of-pocket for the covered care you receive before your plan begins to pay a share of costs through coinsurance or copayments. The Global Choice Plan has two separate annual deductibles, one for prescription drugs obtained inside the U.S., and another for worldwide medical services and prescription drugs obtained outside the U.S. combined. 

Combined Worldwide Medical Services and Prescription Drugs Obtained Outside the U.S. (Cigna)

  • Your deductible amount depends on the coverage level you choose. 
  • The same deductible amount applies to covered medical services whether received outside the U.S., inside the U.S. from a network provider, or inside the U.S. from an out-of-network provider.
  • If you are covering dependents, each covered individual has a maximum deductible limit equal to the You Only network deductible amount.

Prescription Drugs Obtained Inside the U.S. (Chevron Prescription Drug Program with Express Scripts)

  • The Chevron Prescription Drug Program deductible (which applies to prescription drugs obtained inside the U.S.) is separate from the deductible for the Global Choice Plan (which applies to worldwide medical services and prescription drugs obtained outside the U.S.). 
  • Your deductible amount depends on the coverage level you choose. 
  • There is one deductible for network and of out-of-network costs.
  • Mail-order prescriptions are not subject to the annual deductible.
  • If you are covering dependents, each covered individual has a maximum deductible limit equal to the You Only network deductible amount.

Mental Health and Substance Use Disorder

Learn More

  • You can review the plan's summary plan description, included in the Plan Documents section of this page, to understand more about how the deductible works and what services do or do not apply toward meeting your annual deductible.

To see the current year out-of-pocket maximum amounts for this plan, reference the comparison or other plan documents posted on this page.

Your Chevron plan is structured into three cost sharing phases: deductible, coinsurance, and covered (when you reach your out-of-pocket maximum). At the beginning of the plan year, you are responsible for paying most costs until you satisfy the deductible, but as you move from phase to phase, your Chevron plan pays more of the costs. When you reach the out-of-pocket-maximum (OOP) your Chevron medical plan pays 100% of covered services for the remainder of the plan year. 

The Global Choice Plan has two separate annual out-of-pocket maximums:

  • One is for prescription drugs obtained inside the U.S.
  • The other is for worldwide medical services, prescription drugs obtained outside the U.S., and behavioral health services, combined. This means that your Global Choice eligible out-of-pocket expenses and your Chevron Mental Health and Substance Use Disorder (MHSUD) Plan eligible out-of-pocket expenses are applied to one combined out-of-pocket maximum amount. 

Medical, Prescription Drug Outside the U.S. and MHSUD Combined Out-of-pocket Maximum (Cigna)

  • Your OOP amount depends on the coverage level you choose. 
  • The same deductible amount applies to covered medical services whether received outside the U.S., inside the U.S. from a network provider, or inside the U.S. from an out-of-network provider.
  • If you are covering dependents, each covered individual has a maximum OOP limit equal to the You Only network OOP amount.

Prescription Drugs Obtained Inside the U.S. (Chevron Prescription Drug Program with Express Scripts) Out-of-pocket Maximum

  • The Chevron Prescription Drug Program out-of-pocket maximum (which applies to prescription drugs obtained inside the U.S.) is separate from the deductible for the Global Choice Plan (which applies to worldwide medical services, prescription drugs obtained outside the U.S. and MHSUD services). 
  • Your OOP amount depends on the coverage level you choose.
  • There is one OOP for network and of out-of-network costs.

Learn More

  • You can review the plan's summary plan description, included in the Plan Documents section of this page, to understand more about how the out-of-pocket maximum works and what services do or do not apply toward meeting your annual out-of-pocket maximum.

All of Chevron’s medical plans offer access to one of two tax-advantaged accounts that permit you to contribute money so you can later use the money in your account to help pay for certain out-of-pocket health care costs. The Chevron High Deductible Health Plan (HDHP) is compatible with a health savings account. The HDHP is not compatible with a flexible spending account plan, like the Chevron Health Care Spending Account (HCSA).

  • When you enroll in the Chevron Global Choice Plan, you are eligible to participate in Chevron's health flexible spending account plan, the Health Care Spending Account (HCSA) with payroll contributions. Chevron does not contribute to this account.
  • This plan is not compatible with a health savings account (HSA).

Alert! As an expatriate, you are eligible to enroll in the Health Care Spending Account (HCSA). It’s important to be aware that if you leave an expatriate assignment mid-year, you'll be able to enroll in the High Deductible Health Plan (HDHP) or HDHP Basic, if desired. If you enroll in the HDHP or HDHP Basic, you may also be eligible to open and contribute to a health savings account (HSA). However, if you are already enrolled in the HCSA at the time you leave your assignment, you will not be able to open or contribute to a health savings account (HSA) until January 1 of the next year. Please keep this in mind as you make your HCSA enrollment decisions each year during open enrollment.

The Global Choice Plan generally provides comprehensive coverage for the major medical services you’d expect, including office visits, emergency services, hospital care, lab services, outpatient care, pregnancy and newborn care, infertility services, and rehabilitative services. Coverage features to note include:

  • 100 percent coverage with no copayment, coinsurance or deductible for certain preventive care services, as specified by the Affordable Care Act, when you see a network provider. Learn more about preventive care.
  • Access to online health visits (also referred to as telehealth) as part of your benefit coverage. Learn about virtual health visits.
  • Mail-order (home delivery pharmacy) is only available through the Chevron Prescription Drug Program with Express Scripts and it only applies to addresses within the United States because medications cannot be shipped overseas. In addition, medications cannot be shipped through Chevron pouch mail.
  • When you are on an expatriate assignment, medications cannot be sent through international mail (including pouch mail). In addition, Chevron cannot control the delivery method or schedule of the home delivery pharmacy. If you require medication on a regular basis, you’ll need to plan ahead for your trips back to the United States. If your time is limited, you’re encouraged to use Your Chevron Prescription Drug Program coverage with Express Scripts at a U.S. network retail pharmacy to fill the prescription. You can fill prescriptions for up to a 365-day supply of covered medication at any Express Scripts network pharmacy prior to departure back to your host country. Please be aware that you’ll possibly need to allow extra time to not only set an appointment with your provider, but also have the prescription filled prior to your departure. Reference the How-To-At-A-Glance section on this page for instructions for requesting up to a 365-day supply of your medication.
  • Covered immunizations can be received from your doctor under your medical coverage, but with the Global Choice Plan, you have the added flexibility to receive a covered immunization, like the flu shot or COVID-19 vaccine, from a network pharmacy or an out-of-network pharmacy through your Express Scripts coverage. 
  • At-home COVID-19 tests make it easy to test anytime, anywhere. Your Chevron prescription drug coverage with Express Scripts provides three ways to help you keep a supply of COVID-19 tests on-hand for you and your family. 
  • Global Choice Plan participants do not need to seek a second opinion through the Chevron Health Decision Support Program administrator prior to receiving knee, hip, back or spine surgery. However, you are still encouraged and eligible to use the services of the Health Decision Support Program to seek a second opinion on any diagnosis or condition you may be facing.
  • You have the opportunity to receive up to $750 off your annual medical plan premium when you participate in Chevron Health Rewards. Learn more about how to qualify for reduced premiums.

Be sure to see the How-To-At-A-Glance section on this page for important tips about how your coverage works and how to use it inside and outside the U.S.

plan documents

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.

Other General Plan Changes

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.

Chevron is legally required to provide certain notices to plan participants. These notices are posted on this website for your reference.

how to at-a-glance

If you are a U.S.-Payroll employee and will be working in a non-U.S. country on a resident or temporary expatriate assignment of 7 months or more, Chevron medical coverage will change if you and your eligible dependents are currently enrolled in any one of the Chevron medical plan choices at the time your expatriate assignment begins. You and any covered, eligible dependents will be automatically enrolled in the Global Choice Plan (U.S.-Payroll Expatriates). The Global Choice Plan is the only medical plan option available while on this type of assignment. 

  • You can view your current coverage from the BenefitConnect website.
  • You can also call the HR Service Center. if you have questions about your benefits eligibility while on assignment. Choose the option for Benefits, then Health coverage.

Tip: When you enroll in health benefits on the BenefitConnect website or through the HR Service Center, know that your election is not immediate with each of the claims administrators. You must wait until your coverage is activated with the claims administrators before ID cards can be generated and for your coverage to display in the plan administrator's system.

  • If you are enrolled mid-year due to starting your assignment, please allow at least 7 business days for BenefitConnect/HR Service Center to process your enrollment election with the claims administrators. Know that this could take slightly less or slightly more days, depending on when you enrolled. If you have questions about your election, contact the HR Service Center. (Choose the option for Benefits, then Health coverage.)

After you enroll, there are two opportunities to change your coverage ongoing:

Open Enrollment

Open enrollment is your annual opportunity to review and make changes to your coverage for the next plan year.  Any changes you make to your benefits coverage during open enrollment become effective January 1 of the new year. If you miss the open enrollment deadline, you must wait until the next open enrollment period or if you experience a qualifying life event. You'll receive information each year about the dates of the open enrollment period and instructions for reviewing your coverage and making any desired changes.

Life Event

If you get married, have a baby, move or experience some other qualifying life event, you have 31 days to make changes to your benefits, if permitted by the event. If you miss this deadline, you'll have to wait until the next open enrollment period to change your benefits. To report a life event and understand what changes you may be eligible to make:

  • Go to the BenefitConnect website and click the Report a Life Event link just under the main banner on the home page.
  • Call the HR Service Center. Choose the option for Benefits, then Health coverage.
You are required to verify the eligibility of any new dependents you enroll in your Chevron health plans. You have up to 60 days to obtain and submit requested documentation that verifies your dependent(s) are eligible to participate in Chevron’s health benefits. If you don’t provide acceptable documentation by the deadline, your dependent(s) will be disenrolled from coverage. Learn more about this process.

All medical services are insured by Cigna — whether inside or outside the United States. Express Scripts administers your prescription drugs for prescriptions obtained in the United States or by mail-order within the United States.

  • The Global Choice Plan uses the Cigna Open Access Plus (OA Plus) network, so you can use any doctor you choose – network or out-of the-network. You will generally pay less for your out-of-pocket expenses if you use a network provider. 
  • If you need to obtain a prescription when you are inside the United States, use your Express Scripts ID card. Your Cigna ID card is only for medical services or when you purchase a prescription outside the U.S.
  • Show your Cigna member ID card to your provider for medical services. If they have questions about your coverage they should contact Cigna at the phone number listed on your ID card. Remember, if you need to obtain a prescription when you are inside the U.S., use your Express Scripts ID card.
  • Covered dependents staying behind in the United States will be issued a card with their own name on it and should always use their own Cigna ID card when receiving medical services.
  • If you visit a network provider in the United States, you do not need to submit a claim form for reimbursement. You’ll pay out of your own pocket for your portion of the medical service, if any, when you receive it. Your provider will work directly with Cigna.
  • If you visit an out-of-network medical provider in the United States, you will generally need to pay for the service when you receive it, out of your own pocket. Be sure to give your provider a Cigna claim form, then return the claim form with the required copies of receipts and bills to Cigna.
  • Mail-order is only available through Express Scripts and only applies to addresses within the United States because medications cannot be shipped overseas. In addition, medications cannot be shipped through Chevron pouch mail.

All medical services and prescription drugs obtained outside the United States are insured by Cigna.

  • Individual providers (such as a doctor), pharmacies and outpatient hospital facilities will generally require payment at the time services are delivered. You’ll need to submit a claim directly to Cigna for reimbursement.
  • There are no Cigna networks outside the United States; however Cigna does have a direct settlement agreement with many international providers. This means that if you use one of these providers, Cigna can settle your charges directly. Be sure to provide your member ID card when you visit. If Cigna does not have a direct settlement agreement in place, they can, in many cases, arrange for a Guarantee of Payment. You or the provider should contact the 24-hour member services unit at the number on your ID card to make arrangements. Regardless of the direct settlement agreement, you should always obtain a copy of the bill for services rendered and retain it for your records.
  • Cigna has more than 185,000 doctors and hospitals with either direct settlement or who are a part of CignaLinks. The CignaLinks partnership has arrangements with select, regional networks for additional cost savings and ease of access to health care. CignaLinks can also help you understand how health care works in your host country. Contact Cigna for more information about CignaLinks.
  • If you need to obtain a prescription when you are outside the United States, Cigna can help you locate a physician. Cigna can also verify if a prescription is available or help you determine the drug equivalency in other countries for your prescription medications.
  • If you need to obtain a prescription when you are outside the United States, use your Cigna ID card.
  • Mail-order is only available through Express Scripts and only applies to addresses within the United States because medications cannot be shipped overseas. In addition, medications cannot be shipped through Chevron pouch mail.

You will receive the ID cards listed below. You may also receive a new ID card periodically; always destroy your old card and be sure to present your new card to your provider at your next visit.  

  • You will receive an ID card in the mail from Cigna for worldwide medical services and prescription drugs outside the U.S. You can also download a digital ID card from your account on the CignaEnvoy website.
  • If you are in a work location with the CignaLinks partnership, you may receive a second ID card along with the standard Cigna ID card that all other participants receive. The additional ID card will be issued automatically if applicable in your situation. Just be sure to always carry both cards, but only show your CignaLinks card when you receive medical services from a CignaLinks provider outside the United States.
  • You will receive an ID card in the mail from Express Scripts for prescription drugs. You must present this ID card for retail pharmacy benefits in the U.S. You can also download a digital ID card from your account on the Express Scripts website or the mobile app.
  • You will not receive an ID card from VSP for basic vision coverage. You do not need an ID card to receive care, simply tell your provider that you have coverage under VSP. 

Tip: When you enroll in health benefits on the BenefitConnect website or through the HR Service Center, know that your election is not immediate with each of the claims administrators. You must wait until your coverage is activated with the claims administrators before ID cards can be generated and for your coverage to display in the plan administrator's system.

  • If you enroll during open enrollment, your ID cards will be generated in December, and your coverage fully activated on January 1 of the new year.
  • If you enroll mid-year as a new hire or due to a qualifying life event, please allow at least 7 business days for BenefitConnect/HR Service Center to process your enrollment election with the claims administrators. Know that this could take slightly less or slightly more days, depending on when you enrolled. If you have questions about your election, contact the HR Service Center. (Choose the option for Benefits, then Health coverage.)

A network is a group of independent medical providers that have agreed with your medical plan claims administrators to charge contracted fees for services provided to plan members. The Global Choice Plan is a preferred provider organization (PPO) health plan. 

For services inside the U.S., you can choose to see any provider you choose, network or out-of-network. There are different levels of benefits for network providers and out-of-network providers. Higher benefits are paid when you receive health care services from a network provider in the U.S. You always have the option of using an out-of-network provider, but plan benefits are lower if you do.  

There are no Cigna networks outside the United States; however Cigna does have a direct settlement agreement with many international providers (physician and hospitals). This means that if you use one of these providers, Cigna can settle your charges directly. Be sure to provide your member ID card when you visit. If Cigna does not have a direct settlement agreement in place, they can, in many cases, arrange for a Guarantee of Payment. You or the provider should contact the 24-hour member services unit at the number on your ID card to make arrangements. Regardless of the direct settlement agreement, you should always obtain a copy of the bill for services rendered and retain it for your records.

Cigna has more than 185,000 doctors and hospitals with either direct settlement or who are a part of CignaLinks. The CignaLinks partnership is an agreement with select, regional networks for additional cost savings and ease of access to health care. CignaLinks can also help you understand how health care works in your host country. Contact Cigna for more information about CignaLinks (see contact information at the bottom of this page).

What happens when I use an out-of-network provider in the U.S.? If you visit an out-of-network provider in the U.S., you may be responsible for paying the full amount and submitting a claim to the claims administrator after the visit. Your services will be subject to the out-of-network annual deductible and your coinsurance amounts will be higher, so your out-of-pocket costs will be higher. In addition, you may be subject to the maximum reimbursable charge (MRC) and out-of-network providers may balance bill you for the difference between the plan MRC and their usual fee for services. Learn more about going out-of-network.

What is the maximum reimbursable charge (MRC)? MRC is the maximum amount the Global Choice Plan will pay for covered out-of-network services. You will be responsible for paying any amount above the plan’s MRC for the service. Generally, your provider will bill you for this amount and you’ll pay the provider directly. Providers often refer to this as balance billing. These payments do not apply to your deductible or out-of-pocket maximum. And these payments are in addition to your coinsurance obligation for the service, if applicable.

how to find a network provider

When you are on an expatriate assignment, medications cannot be sent through international mail (including pouch mail). In addition, Chevron cannot control the delivery method or schedule of the home delivery pharmacy. If you require medication on a regular basis, you’ll need to plan ahead for your trips back to the United States. If your time is limited, you’re encouraged to use a U.S. network retail pharmacy to fill the prescription. You can fill prescriptions for up to a 365-day supply of covered medication at any Express Scripts network pharmacy prior to departure back to your host country. Here’s how: 

  1. Speak with your health care provider and request the respective prescriptions. You may be required to set an appointment with your provider, so plan ahead accordingly.
    • If you need a year’s supply, make sure your doctor writes the prescription for one year or 365 days (not 30-days with refills)
    • The prescription must include the dose per day.
    • The prescriptions must be written by a U.S.-licensed doctor.
    • Be aware that certain controlled substances, by law, may be limited to less than a 365 day supply.
  2. Show your Prescription Drug Program ID card to the pharmacist or provide your Express Scripts ID number when you hand in your prescription. Your eligibility will be confirmed by a computerized system. You’ll receive a generic version of the drug, unless a generic version is not available. If your doctor specifies that you receive a brand-name drug instead of a generic drug (by writing “Dispense as Written” on your prescription), or if you tell the pharmacist that you want a brand-name drug, even when a generic is available, your prescription will be filled with a brand-name drug. You’ll pay a generic copayment plus the difference between the cost of the brand-name drug and the generic drug unless your doctor provides the medical reason that neither the generic version of the drug, or other covered drugs that treat the same condition will work. In that case, you will not pay the difference between the cost of the brand-name drug and the generic drug. 
  3. The pharmacist will process your prescription, using the program’s computer system to confirm your eligibility, and make sure the drug is covered under the plan. The computer system may notify the pharmacist if there’s a potential problem with the prescription (such as a risk of adverse interaction with other drugs you’re taking).

Outside the U.S., individual providers (such as a doctor), pharmacies and outpatient hospital facilities will generally require payment at the time services are delivered. You’ll need to submit a claim directly to Cigna for reimbursement. However Cigna does have a direct settlement agreement with many international providers. This means that if you use one of these providers, Cigna can settle your charges directly. Be sure to provide your member ID card when you visit. If Cigna does not have a direct settlement agreement in place, they can, in many cases, arrange for a Guarantee of Payment. You or the provider should contact the 24-hour member services unit at the number on your ID card to make arrangements. Regardless of the  direct settlement agreement, you should always obtain a copy of the bill for services rendered and retain it for your records.

Should you need to submit a claim:

  • Cigna claim form (medical services or prescription drugs outside the U.S.)
  • You can submit claim forms and bills by mail, email or fax, or you can submit claims online at CignaEnvoy.com.
  • Keep a copy of your completed claim form and receipts for your records. You can track the status of your claim on CignaEnvoy.com and you can contact Cigna if you have any questions. Cigna offers several options for reimbursement including international direct deposit, checks, electronic funds and wire transfers.

Inside the U.S., typically If you visit a network provider, your provider will usually handle all claims and paperwork for you. If you visit an out-of-network provider you may have to pay the cost out-of-pocket and/or be billed directly from the provider. To be reimbursed for covered services, you’ll have to file a claim form with the claims administrator. 

Out-of-Network Medical Services in the U.S.

  • Cigna claim form (medical services or prescription drugs outside the U.S.)
  • You can submit claim forms and bills by mail, email or fax, or you can submit claims online at CignaEnvoy.com.
  • Keep a copy of your completed claim form and receipts for your records. You can track the status of your claim on CignaEnvoy.com and you can contact Cigna if you have any questions. Cigna offers several options for reimbursement including international direct deposit, checks, electronic funds and wire transfers.

Prescription Drugs Inside the U.S. with Express Scripts

  • Express Scripts claim form
  • You can also submit a claim online from the Express Scripts website or the mobile app.
  • To ensure timely payment, you should file your claim as soon as you can. If you don’t file a claim within 365 days from the date on which you incur a covered charge, no plan benefits will be payable for that covered charge.   

Basic Vision with VSP

  • VSP claim form
  • To ensure timely payment, you should file your claim as soon as you can. Typically, June 30 of the following year is the normal deadline to submit claims for eligible expenses incurred from January 1 through December 31 of the plan year.
The Global Choice Plan is only available to employees on an expatriate assignment. So, if you repatriate following the conclusion of your expatriate assignment, your Global Choice Plan coverage ends the last day of the month of the effective date of your repatriation. You and any enrolled, eligible dependents will be automatically enrolled in the Medical PPO Plan when your Global Choice Plan coverage ends. However, you can choose another medical plan option if you call the HR Service Center within 31 days of the effective date of your repatriation.

If you’re enrolled in the Chevron medical coverage, you’ll be covered until the last day of the month in which your employment ends. 

  • You can elect COBRA coverage for you and your covered dependents for this plan. If  you timely elect COBRA coverage, your medical coverage will be retroactive to the date your active employee coverage ended. If you wish to continue medical coverage, you must make an election to continue it.
  • Medical coverage is available to eligible retirees. If you're eligible for retiree health benefits, there are different decisions and actions required of you. 
    • See if you're eligible for retiree health benefits on BenefitConnect. Go to I need to… on the top navigation, then choose Retiree medical eligibility.
    • Learn about health benefits available to eligible pre-65 retirees here.
    • Learn about health benefits available to eligible post-65 retirees here.
    • Go to the Leaving Chevron resource on this website for more information about the things you need to do and the choices you need to make. 
icon: medical case
supplement your health coverage

Supplement your medical coverage with a variety of optional benefits such as:

contacts

The HR Service Center manages your enrollment in and eligibility for this benefit plan. For all other questions regarding your coverage, contact the claims administrator. A claims administrator manages the administration of your plan — for example, claims, account balances, ID cards, what's covered and what's not, provider networks, phone numbers, the administrator's website or mobile app, and more. 

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

prescription drug program

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



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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