Availity Portal

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

View requirements for Local Plan and BlueCard Out-of-Area members.

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Benefit Summaries - Non-Grandfathered


BlueChoice Option (POS)

POS Benefit Summaries (effective 10/01/2010)
To view specific details of each Plan, click on the English version, as appropriate. 
100/60% Plans: 

POS Plan 2001SX 
POS Plan 2002SX 
POS Plan 2003SX 
POS Plan 2004SX 
POS Plan 2010SX 
POS Plan 2011SX 
80/60% Plans: 

POS Plan 2500SX 
POS Plan 2501SX 
POS Plan 2502SX 
POS Plan 2503SX 
POS Plan 2504SX 
POS Plan 2510SX 
70/60% Plans: 

POS Plan 2800SX 
POS Plan 2801SX 
70/50% Plans: 

POS Plan 2804SX 
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