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Health & Wellness

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Benefit Summaries

PW_B144736

Lumenos Open Access POS Benefit Summaries

To view specific details of each Plan, click on the English version, as appropriate.  

HSA – No Incentive Plans (Non-Embedded Deductible) 
Fully Insured Groups 
Self Funded Groups (ASO) 

Open Access POS CDHP
GHSA17

English

Open Access POS CDHP
GHSA17

English

Open Access POS CDHP
GHSA19

English

Open Access POS CDHP
GHSA19

English

Open Access POS CDHP
GHSA20

English

Open Access POS CDHP
GHSA20

English

Open Access POS CDHP
GHSA21

English

Open Access POS CDHP
GHSA21

English

Open Access POS CDHP
GHSA23

English

Open Access POS CDHP
GHSA23

English

Open Access POS CDHP
GHSA24

English

Open Access POS CDHP
GHSA24

English

Open Access POS CDHP
GHSA30

English

Open Access POS CDHP
GHSA30

English

 

HSA w/Rx Copays – No Incentive Plans (Non-Embedded Deductible) 
Fully Insured Groups 
Self Funded Groups (ASO) 

Open Access POS CDHP w/Rx Copays GHSA179

English

Open Access POS CDHP w/Rx Copays GHSA179

English

Open Access POS CDHP w/Rx Copays GHSA180

English

Open Access POS CDHP w/Rx Copays GHSA180

English

 

HRA – Limited Contribution Rollover Maximum Plans  

Open Access POS CDHP GHRA13

English

Open Access POS CDHP GHRA25

English

Open Access POS CDHP GHRA37

English

Open Access POS CDHP GHRA47

English

 

HRA – Unlimited Contribution Rollover Maximum Plans  

Open Access POS CDHP GHRA14

English

Open Access POS CDHP GHRA16

English

Open Access POS CDHP GHRA24

English

Open Access POS CDHP GHRA26

English

Open Access POS CDHP GHRA30

English

Open Access POS CDHP GHRA32

English

Open Access POS CDHP GHRA36

English

Open Access POS CDHP GHRA38

English

Open Access POS CDHP GHRA46

English

Open Access POS CDHP GHRA48

English

Open Access POS CDHP GHRA60

English

Open Access POS CDHP GHRA112

English

Open Access POS CDHP GHRA114

English

 

HRA w/Rx Copays – Unlimited Contribution Rollover Maximum Plans  
Open Access POS CDHP w/Rx Copays GHRA271 
Open Access POS CDHP w/Rx Copays GHRA273 
Open Access POS CDHP w/Rx Copays GHRA275 
Open Access POS CDHP w/Rx Copays GHRA277 
 

HIA – Fully Insured Groups and Self Funded Groups (ASO)  
Open Access POS CDHP GHIA2 
Open Access POS CDHP GHIA3 
Open Access POS CDHP GHIA4 
Open Access POS CDHP GHIA5 
 
 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.