Additional Materials

2026 Health & Welfare Rate Sheet—this sheet shows your cost for coverage for 2026 benefits.
2026 Aetna Preventive Drug List—preventive generic medications (displayed in lowercase italics) on this list are available at no cost to you. All other preventive medications on this list are not subject to your medical plan deductible. COMING SOON
2026 Aetna Health Care Reform Preventive Drug List—this list shows preventive medications that are free to covered medical plan participants. COMING SOON
2026 Aetna Prescription Drug List (PDL)—this list shows commonly prescribed medications and their corresponding category: generic, preferred brand, non-preferred brand, preferred specialty, or non-preferred specialty. View Aetna's 2025 Prescription Drug List and updates as of April 1, 2025, July 1, 2025, October 2025, and January 1, 2026.
Aetna Specialty Pharmacy Brochure—this brochure describes how the specialty pharmacy program can assist you if you are prescribed a specialty medication.
PrudentRx Specialty Pharmacy Brochure—this brochure describes how the PrudentRx specialty pharmacy program may help you reduce your cost for a qualifying specialty medication.
PrudentRx Specialty Drug List—this is a list of current medications that are included in the PrudentRx program (medications on this list may change at any time).
2026 Domestic Partners Enrollment Guide—to add a domestic partner and/or his or her children during Open Enrollment, complete the forms in this guide and email them to the Benefits Department at benefits@us.medical.canon.
2026 Domestic Partners Rate Sheet—this chart shows the after-tax costs for medical, dental, and vision coverage.
Life Insurance Evidence of Insurability Form and Instructions—complete this form if you need to provide proof of your good health for Supplemental Life and/or Dependent Life Insurance (your enrollment session will alert you if this form is required)
Legal Notices

Additional Materials

Additional Materials

Summary of Benefits and Coverage