Granite Group

Best Buy HMO LP

• Schedule of Benefits (SOB)
• 3-Tier Premium Prescription Drug Benefit
• Summary of Benefits & Coverage (SBC)
• Save money with low cost providers

Best Buy HMO HSA

• Schedule of Benefits (SOB)
• 3-Tier Premium Prescription Drug Benefit
• Summary of Benefits & Coverage (SBC)
• Preventive Drug Benefit for HSA plan

Best Buy Access America

• Schedule of Benefits (SOB)
• 3-Tier Premium Prescription Drug Benefit
• Summary of Benefits & Coverage (SBC)

• Best Buy Access America HSA

  • Schedule of Benefits (SOB)
  • 3-Tier Premium Prescription Drug Benefit
  • Summary of Benefits & Coverage (SBC)
  • Preventive Drug Benefit for HSA Plan

Quicklinks

• Optum Rx Order Form
• Optum Rx Brochure
• Discounts & Savings flyer
• Fitness Reimbursement flyer
• Virtual Visits flyer
• Use the drug tier look-up
  To determine your copay.  Select 2022 Premium 3-Tier.