...about your plan’s costs and coverage. BACK TO PLAN DOCUMENTS SUMMARY OF BENEFITS AND COVERAGE The Summary of Benefits and Coverage is an easy-to-read summary that lets you make an...

...Whether through an answering machine or a taped message used after hours, patients should be given the means to contact their PCP/BH* provider or a back-up provider to be triaged...

...disposition of the dispute within 15 business days from the receipt of dispute for claim disputes, and 30 business days for disputes involving medical necessity. Written notice will not be...

...and needs, including: Asthma Diabetes Heart disease Depression High blood pressure and cholesterol Low back pain Pregnancy Weight loss You can now access care plans online through the Provider Portal...

...decision. There are 5 levels of appeals. Details of these levels can be found in Chapter 9 in sections 8 and 9 of the Evidence of Coverage on our Plan...

Having a healthy baby starts before you’re pregnant. When you’re healthy, you’ll be more likely to have an easy pregnancy. Your baby will be more likely to be healthy too....

...a payment. Your payments may change every month because your monthly bill is based on: What you would have paid for any prescriptions you get Plus, your previous month’s balance...

...your covered benefits and any limitations. This is only a summary. View your Evidence of Coverage for a full list of benefits. Summary of Benefits (10/06/2025) Last updated on 10/06/2025...

...do not suggest only thinking of cost, but there may be a few choices of drug for a certain condition. There may be a lower-cost drug option that has the...

What is Advance Care Planning? Advance care planning is the process of preparing for decisions about your health care if you become seriously ill. It involves talking with your providers,...