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Open Access POS Plans

PW_G313526

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

Fully Insured Groups 
OAP5 500 0 N 
OAP5 500 0 7.15K N 
OAP5 500 10 N 
OAP5 500 10 4.4K N 
OAP5 500 20 2K N 
OAP5 500 20 4.4K N 
OAP5 500 20 N 
OAP5 1K 0 N 
OAP5 1K 0 7.15K N 
OAP5 1K 10 4K N 
OAP5 1K 20 4K N 
OAP5 1.5K 0 N 
OAP5 1.5K 0 7.15K N 
OAP5 1.5K 10 N 
OAP5 1.5K 10 7.15K N 
OAP5 1.5K 20 7.15K N 
OAP5 1.5K 20 N 
OAP5 2K 0 7.15K N 
OAP5 2K 0 N 
OAP5 2.5K 0 N 
OAP5 2.5K 0 7.15K N 
OAP5 2.5K 20 N 
OAP5 3K 20 7.15K N 
OAP5 3.5K 0 N 
OAP5 3.5K 0 7.15K N 
OAP5 3.5K 20 N 
OAP5 3.5K 30 N 
OAP5 5K 0 N 
OAP5 5K 0 7.15K N 
OAP5 5K 20 7.15K N 
OAP5 5K 30 N 
OAP5 6K 20 7.15K N 
OAP5 6.35K 0 N 
 
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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.