If you are looking for the specific copayment amount for your TriVantage EPO coverage, please find the copay code on your ID card. It is directly below the TriVantage EPO product name, and it starts with a “T”

Click here if your copay code is T01A, T01B or T01C.

Click here if your copay code is T02A, T02B or T02C.

Click here if your copay code is T03A, T03B or T03C.

Click here if your copay code is T04A, T04B or T04C.

Click here if your copay code is T05A, T05B or T05C.