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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HRA Deductible First Plans

PW_E225454

Anthem Lumenos Open Access POS Benefit Summaries (effective 1/1/2015)

HRAOAP8 2.5K/20 DF 
HRAOAP8 2.5K/20 DF2 
HRAOAP8 5K/20 DF 
HRAOAP8 5K/20 DF2 
HRAOAP8 2.5K/0 DF 
HRAOAP8 2.5K/0 DF2 
HRAOAP8 5K/0 DF 
HRAOAP8 5K/0 DF2 
 

Anthem Lumenos PPO Benefit Summaries (effective 1/1/2015)

HRAPPO8 2.5K/20 DF

English

HRAPPO8 2.5K/20 DF2

English

HRAPPO8 5K/20 DF

English

HRAPPO8 5K/20 DF2

English

HRAPPO8 5K/0 DF

English

HRAPPO8 5K/0 DF2

English

HRAPPO8 2.5K/0 DF

English

HRAPPO8 2.5K/0 DF2

English

 
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