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Privacy Notice
(updated 7/13/2007)
This notices describes how medical information about you may be used and disclosed and how you can get access to this information.
Member Handbook (downloadable PDF)
(updated 6/27/2007)
Complete Member Handbook in PDF format. You may open and print this complete handbook or select a topic below to view specific information contained within the handbook.
Important Telephone Numbers
(updated 6/27/2007)
A Local Health Plan
(updated 6/27/2007)
Choice of Health Care Provider
(updated 6/27/2007)
Do I Have To Designate A Primary Care Practitioner (PCP)?
(updated 6/27/2007)
Importance Of Your Primary Care Practitioners (PCPs)
(updated 6/27/2007)
Pre-Service Authorization
(updated 6/27/2007)
When Do I Need A Pre-Service Authorization?
(updated 6/27/2007)
Continuity of Care
(updated 6/27/2007)
Services that Do Not Need a Pre-Service Authorization
(updated 6/27/2007)
Whose Responsibility Is It To Obtain Required Pre-Service Authorizations?
(updated 6/27/2007)
How Will Bills Be Paid If I Receive Authorized Care From A Non-participating Specialist?
(updated 6/27/2007)
Utilization Management
(updated 6/27/2007)
Affirmative Statement Regarding Incentives
(updated 6/27/2007)
Pharmacy Benefit Information
(updated 6/27/2007)
Emergency Care
(updated 6/27/2007)
Urgent Care
(updated 6/27/2007)
Out Of Area Care
(updated 6/27/2007)
Out Of Area Medical Care For College Students
(updated 6/27/2007)
Benefits
(updated 6/27/2007)
Wellness Benefits
(updated 6/27/2007)
Office Services
(updated 6/27/2007)
Behavioral Health Care
(updated 6/27/2007)
Chiropractic Services
(updated 6/27/2007)
Exclusions
(updated 6/27/2007)
Coordination Of Benefits
(updated 6/27/2007)
Insurance Card Indentification
(updated 6/27/2007)
Not Sure If You Should See A Doctor?
(updated 6/27/2007)
How To File A Claim
(updated 6/27/2007)
Claims Denials
(updated 6/27/2007)
How To Voice A Complaint Or File A Grievance
(updated 6/27/2007)
Your Right To An Independent Review
(updated 6/27/2007)
New And Emerging Medical Technologies
(updated 6/27/2007)
Collection, Use And Disclosure Of Health Information
(updated 6/27/2007)
Your Rights As A Health Plan Member
(updated 6/27/2007)
Your Responsibilities as a Health Plan Member
(updated 6/27/2007)
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