Health & Welfare Information

End of COVID-19 Emergency Periods

Behavioral Health Provider Change, MAP Provider Change, Medical Changes (Annual Deductible, Copays & Coinsurance, Annual Out-of-Pocket Maximum), Prescription Drug Changes (Copays, Generic Substitution, Maintenance Choice, Exclusive Specialty Pharmacy, Specialty Preferred Drug Strategy)

Prescription Drug In-Network, Out-of- Pocket Maximum, Definition of Essential Health Benefits

Definition of Spouse, Changes to Covered Provider Requirements, Copayment & Coinsurance, Maximum Annual Benefit Limit, Occupational, Physical & Speech Therapy Benefit Maximums, Chiropractic & Napropathic Benefit Maximum, Acupuncture Benefit Maximum, Pediatric Hearing Aids, Orthodontia & Vision

Fraudulent Conduct Benefit Offset Policy

Annual Deductible

Definition of Dependent Child, Out-of-Network Emergency Care, Life-time Dollar Limit, Certain Preventative Services Covered Without Cost Sharing, Breast Reconstruction After Mastectomy, In/Out-of Network Vision Exams for Dependent Children, In/Out-of-Network Dental Expenses for Dependent Children, Claims & Appeals Procedures

Annual Deductible, Office Visit Copays, Prescription Drug Copays, Vision Exam Copay

Behavioral Health & Substance Abuse Benefits

Chiropractic & Napropathic Benefit Maximums, Occupational, Physical & Speech Therapy Benefit Maximums, Prescription Drug Copays, Dental Benefits