Medical Benefits and Services for Railroad Employes

Santa Fe has been serving the needs of our members since 1891 and providing the best in medical coverage has always been a top priority. As such SFEHACL offers a wide range of health coverage options.

Below is a list of a few forms and documents that SFEHACL uses for you to download. Please take a few minutes to look these forms over. As they are here to help our members understand what health options are best for them and their families.

Documents for Download

• 2024 Annual Notice of Change
• 2024 Summary of Benefits
• 2024 EOC Part A & B Guide Book
• 2024 Part D Benefit Guide Book
• 2024 Part D Formulary
• Amplifon Hearing Health Care
• Depot Drugs Physician Fax Form
• Depot Drugs New Prescription Form
• Optum Rx Prescription Form
• Enrollment Application