Carecentrix Inc, (877)
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1 Page 1 of 5 Laboratory Quest Diagnostics 641 Highgrove Pl (866) Quest Diagnostics 2188 N State St (866) Myriad Genetic Laboratories (800) Participates in: HMO LocalPlus OAP OAPC Genomic Health. (650) Participates in: HMO LocalPlus OAP OAPC Durable Medical Equipment / Supplies / Sterling Medical (888) Participates in: HMO LocalPlus OAP OAPC CCS Medical (800) Participates in: HMO LocalPlus OAP OAPC Liberty Medical Supply (877) Participates in: HMO LocalPlus OAP OAPC Byram Healthcare s (877) Participates in: HMO LocalPlus OAP OAPC Durable Medical Equipment/supplies/re Carecentrix Participates in: HMO LocalPlus OAP OAPC Edgepark Medical Supplies (800) Participates in: HMO LocalPlus OAP OAPC Northern Prosthetics & Orthopedic 2629 Charles St (815) Participates in: HMO OAP OAPC Lincare Machesney Park IL Participates in: HMO OAP OAPC Home Health Carecentrix Participates in: HMO LocalPlus OAP OAPC St. Anthony for Home Care 9951 Rock Cut Crossing Loves Park IL (815) Participates in: HMO OAP OAPC Beloit Regional Hospice Beloit WI OAPC Home Infusion Carecentrix Participates in: HMO LocalPlus OAP OAPC Lincare Machesney Park IL Participates in: HMO OAP OAPC Genetic Testing Health Care Professional information contained in this directory is updated six days per week excluding holidays Sundays or interruptions due to system maintenance upgrades or unplanned outages. This information is subject to change at any time. Please check with the health Health care professional information addressing specialty hospital affiliations medical group affiliations board certification acceptance of (during credentialing). Physician board certification is validated through the American Board of Medical Specialties (ABMS) American
2 Page 2 of 5 Myriad Genetic Laboratories (800) Participates in: HMO LocalPlus OAP OAPC Rosecrance River District 810 E State St #200 Rockford IL (815) Participates in: HMO OAP OAPC Rosecrance Berry Campus 8616 Northern Ave Rockford IL (815) Participates in: HMO OAP OAPC Rockford Dialysis 3339 N Rockton Ave Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC InformedDNA - Genetic Counseling (800) Participates in: HMO LocalPlus OAP OAPC Genomic Health. (650) Participates in: HMO LocalPlus OAP OAPC Mental Health & Chemical Dependency Rosecrance Ware 526 W State St Rockford IL (815) Participates in: HMO OAP OAPC Rockford Memorial Hospital 2400 N Rockton Ave Rockford IL (815) (815) Participates in: HMO OAP OAPC Rosecrance Harrison Campus 3815 Harrison Ave Fl 1 (815) Participates in: HMO OAP OAPC Rosecrance Griffin Williamson Campus 1601 N University Dr Rockford IL (815) Participates in: HMO OAP OAPC Rosecrance Belvidere Office 915 Alexandra Dr (888) Participates in: HMO OAP OAPC External Prosthetics & Orthotics Rockford Orthopedic Appliance Co. / Linkia 422 E State St Rockford IL (815) Dialysis Stonecrest Dialysis 1302 E State St Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC Roxbury Dialysis 622 Roxbury Rd Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC Churchview Dialysis 417 Ware Ave Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC Audiology & Speech Pathology My First Words 1329 Boilvin Ave Rockford IL (815) Participates in: HMO OAP OAPC Other Inpatient Health Care Professional information contained in this directory is updated six days per week excluding holidays Sundays or interruptions due to system maintenance upgrades or unplanned outages. This information is subject to change at any time. Please check with the health Health care professional information addressing specialty hospital affiliations medical group affiliations board certification acceptance of (during credentialing). Physician board certification is validated through the American Board of Medical Specialties (ABMS) American
3 Page 3 of 5 Physicians North Rockton 2300 N Rockton Ave Rockford IL Participates in: HMO OAP OAPC Physicians Roscoe 5000 Prairie Rose Dr Roscoe IL Participates in: HMO OAP OAPC External Prosthetics and Orthotics Northern Prosthetics & Orthopedic 2629 Charles St (815) Participates in: HMO OAP OAPC Lincare Machesney Park IL Participates in: HMO OAP OAPC Hospice Heartland Hospice 6885 Vistagreen Way Rockford IL (800) Beloit Regional Hospice Beloit WI OAPC Urgent Care Physicians Immediate Care 4350 Morsay Dr Rockford IL (815) Participates in: HMO OAP OAPC Northpointe Immediate Care 5605 E Rockton Rd Roscoe IL (815) OAPC Physicians Immediate Care 1673 Belvidere Rd (815) Participates in: HMO LocalPlus OAP OAPC Rehabilitation Asta Care of Rockford 707 W Riverside Blvd Rockford IL (815) Participates in: HMO OAP OAPC Van Matre HealthSouth Rehabilitation Hospital 950 S Mulford Rd (815) Participates in: HMO OAP OAPC Skilled Nursing Facilities Asta Care of Rockford 707 W Riverside Blvd Rockford IL (815) Participates in: HMO OAP OAPC Presence St. Anne 4405 Highcrest Rd Rockford IL (815) Participates in: HMO OAP OAPC Fairview Nursing Plaza 321 Arnold Ave (815) Participates in: HMO OAP OAPC Alden-Park Strathmoor 5668 Strathmoor Dr Rockford IL (815) Participates in: HMO OAP OAPC Presence Cor Mariea 3330 Maria Linden Dr Rockford IL (815) Participates in: HMO OAP OAPC Health Care Professional information contained in this directory is updated six days per week excluding holidays Sundays or interruptions due to system maintenance upgrades or unplanned outages. This information is subject to change at any time. Please check with the health Health care professional information addressing specialty hospital affiliations medical group affiliations board certification acceptance of (during credentialing). Physician board certification is validated through the American Board of Medical Specialties (ABMS) American
4 Page 4 of 5 Alden Alma Nelson Manor 550 S Mulford Rd (815) Participates in: HMO OAP OAPC Neighbors Rehabilitation 811 W 2nd St Byron IL (815) Participates in: HMO OAP OAPC Fair Oaks Rehabilitation and Health Care 1515 Blackhawk South Beloit IL (815) Participates in: HMO OAP OAPC Beloit Health and Rehabilitation 1905 W Hart Rd Beloit WI (608) Participates in: HMO OAP OAPC Management and Network LLC 1905 W Hart Rd Beloit WI (608) Participates in: HMO OAP OAPC Outpatient Surgery Rockford Endoscopy 401 Roxbury Rd Rockford IL (815) Participates in: HMO OAP OAPC Rockford Orthopedic Surgery LLC 346 Roxbury Rd Rockford IL (815) (815) Participates in: HMO OAP OAPC Surgery Rockford IL Participates in: HMO OAP OAPC Convenience Care Minuteclinic 6506 N Alpine Rd Loves Park IL Participates in: HMO LocalPlus OAP OAPC Physicians Perryville 3401 N Perryville Rd Rockford IL Participates in: HMO OAP OAPC Health Care Professional information contained in this directory is updated six days per week excluding holidays Sundays or interruptions due to system maintenance upgrades or unplanned outages. This information is subject to change at any time. Please check with the health Health care professional information addressing specialty hospital affiliations medical group affiliations board certification acceptance of (during credentialing). Physician board certification is validated through the American Board of Medical Specialties (ABMS) American
5 Page 5 of 5 Lithotripsy Surgery Rockford IL Participates in: HMO OAP OAPC Pain Management Surgery Rockford IL Participates in: HMO OAP OAPC Advanced Imaging Forest City Diagnostic Imaging 735 N Perryville Rd Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC Summit Radiology 3849 N Perryville Rd Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC Radiology and Imaging Forest City Diagnostic Imaging 735 N Perryville Rd Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC Summit Radiology 3849 N Perryville Rd Rockford IL (815) Participates in: HMO LocalPlus OAP OAPC Ultrasound of Belvidere 1006 Logan Ave (815) Participates in: HMO LocalPlus OAP OAPC Sleep Disorder Studies Stateline Sleep Ltd 175 Cadillac Ct #2 (815) Participates in: HMO OAP OAPC Humane and compassionate care Beloit Regional Hospice Beloit WI OAPC Physical Therapy Wisconsin Therapist Ltd 2739 Prairie Ave Beloit WI (608) Participates in: HMO OAP OAPC Health Care Professional information contained in this directory is updated six days per week excluding holidays Sundays or interruptions due to system maintenance upgrades or unplanned outages. This information is subject to change at any time. Please check with the health Health care professional information addressing specialty hospital affiliations medical group affiliations board certification acceptance of (during credentialing). Physician board certification is validated through the American Board of Medical Specialties (ABMS) American
Medical Benefit - Deductible, Copay and Coinsurance Overview
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FOR SALE. Don Arnold o c Wichita, Kansas
Medical Office 10100 E. Shannon Woods Wichita, Kansas Property Highlights Building Size: 15,535 sq. ft. Divisible into 7,200 sq. ft. & 8,335 sq. ft. FOR SALE Years Built: 2005 & 2007 Land Area: 85,782
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SBC0143W021720170952 HUMANA WI HEALTH ORG INS CORP/HUMANA INSURANCE CO: NCR NPOS HDHP 16 DED/COINS OV,IP,OP Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: Beginning
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Martin Memorial Health Systems, Inc. Health Plan: Martin Benefit Plan Coverage Period: 10/01/2014-9/30/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Single
LIFE HAS A PLAN. Your Benefit Plan Details. Hamilton College. Group Name. A nonprofit independent licensee of the Blue Cross Blue Shield Association
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This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.qualcareinc.com/qcmewa or by calling 1-888-670-8135.
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Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 Highmark Blue Cross Blue Shield: my Direct Blue HMO 7000B Coverage for:
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SBC01489W050320171146KYEQ0019 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: Beginning on or after 07/01/2017 HUMANA HEALTH PLAN, INC.: KY
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Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 Highmark Blue Cross Blue Shield: my Priority Blue Flex HMO 6900S Coverage
Maine's Choice Pemaquid Silver HMO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services
Maine Maine's Choice Pemaquid Silver HMO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018 12/31/2018 Coverage for: Individual + Family
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Anthem BlueCross BlueShield Premier Plus Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2013-01/01/2014 Coverage For: Individual/Family Plan Type: PPO This
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Prepared for Rochester City School District Effective: 01/01/2014 Plan Feature Highlights Annual deductible None None Annual out-of-pocket $3,400 in network N/A maximum (medical services only, does not
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Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-888-224-4902. Important Questions
Important Questions Answers Why this Matters: $100 Member/$200 Family for PCP Benefit level. $250 Member/$500 Family for Self-Referred Benefit level.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/meabt or by calling 1-800-527-7706. Important
Coverage for: Individual/Family Plan Type: PPO
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Calvo s SelectCare: Standard Option Coverage Period: 01/01/ /31/2019 Coverage for: Self Only, Self Plus One or Self and Family Plan Type: HMO
Calvo s SelectCare: Standard Option Coverage Period: 01/01/2019 12/31/2019 This is only a summary. Please read the FEHB Plan brochure (73-874]) that contains the complete terms of this plan. All benefits
Coverage for: Individual/Family Plan Type: PPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
Anthem BlueCross BlueShield Premier Plus POS / Optional Maternity Coverage 20% Summary of Benefits and Coverage:
Anthem BlueCross BlueShield Premier Plus POS / Optional Maternity Coverage 20% Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2013-01/01/2014 Coverage For:
Calvo s SelectCare: High Option Coverage Period: 01/01/ /31/2018 Coverage for: Self Only, Self Plus One or Self and Family Plan Type: HMO
Calvo s SelectCare: High Option Coverage Period: 01/01/2018 12/31/2018 This is only a summary. Please read the FEHB Plan brochure (73-874]) that contains the complete terms of this plan. All benefits are
ELAUWIT STAFFING LLC Coverage Period: 10/01/ /30/2018
ELAUWIT STAFFING LLC Coverage Period: 10/01/2017-09/30/2018 Coverage for: SINGLE-FAMILY Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services The Summary
Medical Mutual : Diocese of Toledo Standard Plan
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at MedMutual.com/SBC or by calling 800.540.2583. Important Questions
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan
Vincennes University: Blue Access (PPO) Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO This
Important Questions Answers. Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-800-227-3641. Important
Important Questions Answers Why this Matters: Network: $500 Individual $1,000 Family Non-Network: $1,500 Individual $3,000 Family
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.inhealthohio.org or by calling 1-800-580-8502. Important
Important Questions Answers Why this Matters: $2,850 individual / $5,650. providers
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cpaprotectplus.com/main/forms_other.php or by calling
Anthem: Self-Funded PPO Plan Coverage Period: 01/01/ /31/2015
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-877-442-4686. Important Questions
Important Questions Answers Why this Matters: For in-network providers, $2,600 individual / $5,000 family For out-of-network providers,
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-855-255-9952. Important Questions
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.summacare.com or by calling 1-800-996-8701. Important
Ohio University: Blue Access PPO Package 007 AFSMCE Bargaining Unit Coverage Period: 07/01/ /30/2015 Summary of Benefits and Coverage:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-599-6903 Important Questions
Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/ /31/2018
Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2018 12/31/2018 Highmark Delaware: Shared Cost Blue EPO 1400 Coverage for: Individual/Family Plan Type: EPO
PreferredOne. Are there other deductibles for specific services? Is there an out-ofpocket. There are no other specific deductibles.
PEIP Advantage HSA Single Plan Cost Level 4 Coverage Period: Beginning on or after 1-01-2018 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage for: Single coverage only Plan
Coverage for: Individual/Family Plan Type: PPO. In-network $0 person / $0 family. Out-ofnetwork $0 person / $0 family.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.arkbluecross.com or by calling 1-800-800-4298. Important
University of the Pacific: HDHP Plan Coverage Period: 01/01/17 12/31/17
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.deltahealthsystems.com or by calling 1-888-212-1231.
California State University Risk Management Authority
Anthem Blue Cross Your Plan: Custom Premier PPO 150/15/30 - Medicare Your Network: Prudent Buyer PPO California State University Risk Management Authority This summary of benefits is a brief outline of
Important Questions Answers Why this Matters:
Anthem BlueCross BlueShield Blue Access Choice PPO Option 16 / Rx Option AJ Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 07/01/2014-06/30/2015 Coverage For:
Anthem Blue Cross Your Plan: Custom Lumenos HSA 2600/ /50 Embedded (LHSA500) Your Network: Prudent Buyer PPO
Anthem Blue Cross Your Plan: Custom Lumenos HSA 2600/5200 20/50 Embedded (LHSA500) Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the
Arkansas Blue Cross and Blue Shield: HDHP HSA Option - 2 Summary of Benefits and Coverage: What this Plan Covers & What it Costs
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.arkansasbluecross.com or by calling 1-800-238-8379. Important
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://eoc.anthem.com/eocdps/fi or by calling 1-888-650-4047.
Medtronic HRA Plan Coverage Period: Beginning on or after
Medtronic HRA Plan Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage Period: Beginning on or after 01-01-2016 Coverage for: All Coverage Levels Plan Type: HDHP This is only
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-451-1527. Important Questions
HealthPartners. Are there other deductibles for specific services? Is there an out-ofpocket. There are no other specific deductibles.
PEIP Advantage HSA Single Plan Cost Level 1 Coverage Period: Beginning on or after 1-01-2014 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage for: Single coverage only Plan
Blue Choice Plan 2 Adobe Systems Incorporated
Blue Choice Plan 2 Adobe Systems Incorporated Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2013-12/31/2013 Coverage for: Individual and Family Plan Type:
You don't have to meet deductibles for specific services, but see the chart starting on page 2 for other costs for services this plan covers.
Virginia Isd #706 Coverage Period: Beginning on or after 09-01-2016 Summary of Benefits and Coverage: What this Plan covers & What it CostsCoverage for: Single and family coverage Plan Type: PPO This is
a) $4,000, per contract year b) $8,000, per contract year c) Yes
Consumer Driven Health Plan (CDHP), DENVER PUBLIC SCHOOLS, Group # 00100 Denver/Boulder Large Group PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Health Maintenance Organization (HMO) 2. OUT-OF-NETWORK CARE
You don t have to meet deductibles for specific services.
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 Highmark Blue Cross Blue Shield: my Priority Blue Flex HMO 6200BQE Coverage
Calvo s SelectCare: Standard Option Coverage Period: 01/01/ /31/2017 Coverage for: Self Only, Self Plus One or Self and Family Plan Type: HMO
This is only a summary. Please read the FEHB Plan brochure (73-874]) that contains the complete terms of this plan. All benefits are subject to the definitions, limitations, and exclusions set forth in
Oscar Silver Plan Coverage Period: 01/01/ /31/2015
This is only a summary. If you want more detail about coverage and costs, you can get the complete terms in the policy or plan document at www.hioscar.com or by calling 1-855-OSCAR-55. Important Questions
Administered by Capital BlueCross 1
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://www.capbluecross.com/sbcs or by calling 1-866-683-2242.
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-542-9402. Important Questions
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.empireblue.com or by calling 1-800-342-9816. Important
The Jay School Corp. Plan C
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-295-4119 Important Questions
limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.
Medtronic BCBSMN PPO Plan Coverage Period: Beginning on or after 01-01-2016 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage for: Single and family coverage Plan Type: PPO
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/imshealth or by calling 1-877-403-4424. Important
You don t have to meet deductibles for specific services.
$start Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services $$ Coverage Period: 01/01/2018-12/31/2018 WAKE FOREST UNIVERSITY: Blue Value Coverage for: Individual
PreferredOne. Are there other deductibles for specific services? Is there an out-ofpocket. There are no other specific deductibles.
PEIP Advantage Plan Cost Level 3 Coverage Period: Beginning on or after 1-01-2016 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage for: Single and family coverage Plan Type:
You can see the specialist you choose without permission from this plan.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.chatn.org or by calling 1-800-580-8574. Important Questions
Our service area includes these counties in:
2018 SUMMARY OF BENEFITS Overview of your plan Erickson Advantage Freedom (HMO-POS) H5652-006 Look inside to learn more about the health services and drug coverages the plan provides. Call Customer Service
HUMANA INSURANCE COMPANY:
HUMANA INSURANCE COMPANY: Humana Local Preferred Silver 4600/6300 Plan Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage
limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.
3M Choice Advantage Plan Coverage Period: Beginning on or after 01-01-2013 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage for: Single and family coverage Plan Type: HSA
limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.
State of MN Advantage Consumer-Directed Health Plan, Family, Cost Level 1, HealthPartners Coverage Period: Beginning on or after 01-01-2013 Summary of Benefits and Coverage: What this Plan covers & What
Assurant Health. Time Insurance Company. Summary of Benefits and Coverage for Assurant Health individual major medical Silver plans
Assurant Health Time Insurance Company Summary of Benefits and Coverage for Assurant Health individual major medical Silver plans View Summary of Benefits and Coverage for an individual plan View Summary
Highmark Health Insurance Company: Alliance Flex Blue PPO 1000 ONX (Base Plan)
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkblueshield.com or by calling 1-888-510-1064.
Primary care visit to treat an injury or illness 10% coinsurance 30% coinsurance. Specialist care visit 10% coinsurance 30% coinsurance
Anthem Blue Cross Life and Health Insurance Company Student Health Plan: Saint Mary s College of California Your Plan: Custom PPO 200/10 Your Network: Prudent Buyer PPO This summary of benefits is a brief
Carpenters Health and Security Plan of Western Washington: Retiree Coverage Coverage Period: 4/1/ /31/2017 Summary of Benefits and Coverage:
WASHINGTON OREGON This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the plan document at www.ctww.org or by calling 1-800-552-0635. Important
Assurant Health. Time Insurance Company. Summary of Benefits and Coverage for Assurant Health individual major medical Platinum plans
Assurant Health Time Insurance Company Summary of Benefits and Coverage for Assurant Health individual major medical Platinum plans View Summary of Benefits and Coverage for an individual plan View Summary
Our service area includes these counties in:
2018 SUMMARY OF BENEFITS Overview of your plan Erickson Advantage Signature with Drugs (HMO-POS) H5652-001 Look inside to learn more about the health services and drug coverages the plan provides. Call
Special Notice: Total Plan. Individual Maximum $ 6,250 Family Maximum $ 12,500. Individual Medical Maximum Out of Pocket: $ 6,000
Gates Auto Group Coverage Period: 07/01/2015 06/30/2016 Maximum Out of Pocket Explanation Plan Type: NPOS 14 COPAYF 70/50 D3000 Special Notice: Starting in 2014 there will be a federally mandated maximum
Medical Mutual : Plan 1
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at MedMutual.com/SBC or by calling 800.362.4700. Important Questions
HMO PLANS What is an HMO plan? How does it work? Key terms Features
HMO PLANS What is an HMO plan? How does it work? Key terms Features HMO PLANS Value. Simplicity. Choice. Our HMO plans offer all three. If you re looking for great value and simplicity, then one of our
2018 Summary of Benefits Eon Select (HMO) and Eon Choice (PPO) GEORGIA / SOUTH CAROLINA
208 Summary of Eon Select (HMO) and Eon Choice (PPO) GEORGIA / SOUTH CAROLINA For more information, call -844-895-8643 Y022_074 Accepted MAPD This page intentionally left blank 208 Summary of Eon Select
NEWCO INC. Coverage Period: 04/01/ /31/2018
NEWCO INC. Coverage Period: 04/01/2017-03/31/2018 Coverage for: SINGLE-FAMILY Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services The Summary of Benefits
Blue Cross Blue Shield PPO2 Medical Plan CVS Caremark 10/20/30 Prescription Plan
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
Important Questions Answers Why this Matters:
Anthem Blue Cross: Anthem Preferred DirectAccess - ccas Coverage Period: 01/01/2014 12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual / Family
Blue Choice Plan 2 Adobe Systems Incorporated
Blue Choice Plan 2 Adobe Systems Incorporated Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: on or after 01/01/2014 Coverage for: Individual and Family Plan Type:
You don t have to meet deductibles for specific services.
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 Highmark Health Insurance Company: Shared Cost Blue PPO 7000 Coverage
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-855-333-5730. Important
You don t have to meet deductibles for specific services.
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 Highmark Blue Cross Blue Shield: my Direct Blue EPO 1000G Coverage for:
limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.
Rochester Public Schools Ind School Dist 535 Coverage Period: Beginning on or after 01-01-2013 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage for: Single and family coverage
You don t have to meet deductibles for specific services.
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 Highmark Health Insurance Company: my Direct Blue Lehigh Valley EPO 7150S
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-855-333-5730. Important
BUSINESS BLUEESSENTIALS PPO SILVER 1 Coverage Period: 01/01/ /31/2019
BUSINESS BLUEESSENTIALS PPO SILVER 1 Coverage Period: 01/01/2019-12/31/2019 Coverage for: INDIVIDUAL-FAMILY Plan Type: PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered
COASTAL HEALTHCARE RESOURCES I Coverage Period: 03/01/ /28/2018 Summary of Benefits and Coverage: What this Plan Covers & What it Costs
COASTAL HEALTHCARE RESOURCES I Coverage Period: 03/01/2017-02/28/2018 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: SINGLE-FAMILY Plan Type: PPO This is only a summary.