Availity Portal

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

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Benefit Summaries - Non-Grandfathered


BlueChoice Healthcare Plan (HMO)

HMO Benefit Summaries (effective 10/01/2010)  
To view specific details of each Plan, click on the English version, as appropriate. 
100% Plans:  

HMO Plan 3001SX 
HMO Plan 3002SX 
HMO Plan 3003SX 
80% Plans:  

HMO Plan 3500SX 
HMO Plan 3502SX 
HMO Plan 3503SX 
70% Plans:  

HMO Plan 3800SX 
HMO Plan 3802SX 
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