Statement of Benefits and Coverage

General Information

ASBA Insurance Trust Handbook 2021-2022
ASBAIT Plan Document 2021-2022
ASBA 2022-2023 Enrollment Form
SY 2022-2023 Insurance Rates
My Meritain Claims Web Access
Aetna Doc Find Flyer
Nurse Health Coaching/Disease Management Flyer
Lab Work and Costs Flyer
ASBAIT Preventive Care List

Summary of Benefits

Prescription Benefits

NEW Rx Provider, April 1, 2020 CVS Caremark 
CVS Prior-Authorization Information
CVS Getting Started with Mail Order 
CVS Mail Order Form
CVS Drug Cost Tool
Generic vs Name Brand Rx.

Dental Benefits

Vision Benefits

Delta Dental Benefits     
Delta Dental Claim Form
Delta Dental Foreign Provider Reimbursement Guide

Vision Provider Network
AVESIS Enrollment Form
Benefits Summary
Online Eyeware