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

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Benefit Summaries - Non-Grandfathered

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Blue Open Access (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 2006AX 
POS Plan 2007AX 
POS Plan 2008AX 
POS Plan 2009AX 
POS Plan 2010AX 
POS Plan 2011AX 
 
90/60% Plans 

POS Plan 2200AX 
POS Plan 2201AX 
 
80/60% Plans 

POS Plan 2505AX 
POS Plan 2506AX 
POS Plan 2507AX 
POS Plan 2508AX 
POS Plan 2509AX 
POS Plan 2510AX 
POS Plan 2511AX 
POS Plan 2512AX 
 
70/60% Plans 

POS Plan 2802AX 
POS Plan 2803AX 
POS Plan 2805AX 
POS Plan 2806AX 
POS Plan 2807AX 
POS Plan 2808AX 
 
70/50% Plans 

POS Plan 2804AX 
 
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