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

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Georgia Balanced Funding Plans (effective 1/1/2016)

PW_E240116
Anthem Lumenos Open Access POS Consumer Driven Health Plans (HSA) 
HSA Benefit Summaries (effective 1/1/2016)
 
Blue Essential Plans
Benefit Summaries (effective 1/1/2016)
 
Healthy Support Open Access POS Plans
Benefit Summaries (effective 1/1/2016)
 
Open Access HMO Plans
Rx Option A Plans - Benefit Summaries (effective 1/1/2016)
 
Open Access POS Plans
Rx Option A Plans – Benefit Summaries (effective 1/1/2016)
Rx Option K Plans – Benefit Summaries (effective 1/1/2016)
Copay Only Plan – Benefit Summaries (effective 1/1/2016)
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