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Open Access POS Plans

PW_G313398

Rx Option AE Plans - Benefit Summaries (effective 1/1/2018)

Fully Insured Groups 
OAP5 500 0 7.15K AE 
OAP5 500 0 AE 
OAP5 500 10 AE 
OAP5 500 20 AE 
OAP5 500 10 2K AE 
OAP5 500 20 2K AE 
OAP5 500 20 4.4K AE 
OAP5 1K 0 AE 
OAP5 1K 0 7.15K AE 
OAP5 1K 10 4K AE 
OAP5 1K 20 4K AE 
OAP5 1.5K 0 AE 
OAP5 1.5K 0 7.15K AE 
OAP5 1.5K 10 AE 
OAP5 1.5K 10 7.15K AE 
OAP5 1.5K 20 7.15K AE 
OAP5 1.5K 20 AE 
OAP5 2K 0 AE 
OAP5 2K 0 7.15K AE 
OAP5 2.5K 0 AE 
OAP5 2.5K 0 7.15K AE 
OAP5 2.5K 20 AE 
OAP5 3K 20 7.15K AE 
OAP5 3.5K 0 AE 
OAP5 3.5K 0 7.15K AE 
OAP5 3.5K 20 AE 
OAP5 3.5K 30 AE 
OAP5 5K 0 AE 
OAP5 5K 0 7.15K AE 
OAP5 5K 20 7.15K AE 
OAP5 5K 30 AE 
OAP5 6K 20 7.15K AE 
OAP5 6.35K 0 AE 
 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.