Availity Portal

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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

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Benefit Summaries

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BlueChoice Healthcare Plan (HMO)

HMO Benefit Summaries (effective 07/01/10)  
To view specific details of each Plan, click on the English or Spanish version, as appropriate. 
100% Plans:  

HMO Plan 6000SX 
HMO Plan 6001SX 
HMO Plan 6002SX 
HMO Plan 6003SX 
HMO Plan 6008SX 
HMO Plan 6009SX 
 
90% Plans:  

HMO Plan 6200SX 
 
80% Plans:  

HMO Plan 6500SX 
HMO Plan 6502SX 
 
70% Plans:  

HMO Plan 6800SX 
HMO Plan 6802SX 
HMO Plan 6803SX 
 
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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.