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

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Small Group Benefit Summaries (2 to 50 Employees) - Non-Grandfathered

PW_B150146
 
Lumenos PPO Consumer Driven Health Plans (HSA, HRA, HIA) 
Benefit Summaries (effective 10/1/2010, 1/1/2011 and 1/1/2012)
 
Lumenos Open Access POS Consumer Driven Health Plans (HSA, HRA, HIA)  
Benefit Summaries (effective 10/1/2010, 1/1/2011 and 1/1/2012)
 
Lumenos PPO Consumer Driven Health Plans with Rx Copays (HSA, HRA)  
Benefit Summaries (effective 10/1/2010, 1/1/2011 and 1/1/2012)
 
Lumenos Open Access POS Consumer Driven Health Plans with Rx Copays (HSA, HRA)  
Benefit Summaries (effective 10/1/2010, 1/1/2011 and 1/1/2012)
 
Blue Essential Health Plans 
Benefit Summaries (effective 10/1/2010)
 
EmployeeElect Plans  
Benefit Summaries (effective 10/1/2010)
 
BlueChoice Healthcare Plan (HMO)  
Benefit Summaries (effective 10/01/2010)
 
BlueChoice Option (POS)  
Benefit Summaries (effective 10/01/2010)
 
Blue Open Access (HMO)  
Benefit Summaries (effective 10/01/2010)
 
Blue Open Access (POS)  
Benefit Summaries (effective 10/01/2010)
 
BlueChoice PPO  
Benefit Summaries (effective 10/01/2010)
 
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