Cayuga-Onondaga BOCES

Summary of Benefits​​​​​​​

• Summary of Benefits 2025 – Grandfathered Rx Copay
• Summary of Benefits 2025 – Traditional
• Summary of Benefits 2025 – Modified
• Glossary of Health Coverage and Medical Terms

Schedule of Benefits

• Schedule of Benefits for Traditional Plan
• Schedule of Benefits for Modified Plan
• Schedule of Benefits Comparison Traditional-Modified Plans

Traditional Plan Deductible and Co-Insurance Explanation 

• ​​​​​​​Traditional Plan Deductible and Co-Insurance Explanation

• Healthcare Enrollment Form

• Express Scripts
• Express Scripts Prescription Claim Form
• 2025 National Preferred Formulary​​​​​​​

• KPCM for COASEHP
• KPCM FAQ

Helpful Links

• Machine Readable Files
• Cost Estimate Tool
• Excellus Blue Cross Blue Shield Website

File Library

• Excellus Blue365 Discount Savings Program
• Global Core Information for Traveling
• Excellus Claims Reimbursement Process Instructions
• Excellus How To Create Online Account
• Excellus Medical Claim Form
• Excellus Mobile App Information
• Excellus Online Claims Instructions
• Excellus Prescription Claim Form - Fillable Document
• Excellus Wellframe App Quick Start Guide