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5.4. ERMUSR 10-10-2006
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5.4. ERMUSR 10-10-2006
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4/1/2009 2:05:29 PM
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City Government
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ERMUSR
date
10/10/2006
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<br />{ <br />~, <br />~; <br />~ } ~_ <br />~, ,, ' <br />~, ~~ <br /> <br />Ho~~v this plan option works <br />1\Iembers can see qtly health care provider of their dloice <br />tOr mOSt COVered SerV1CeS - 4Vlthollt retefC;11S. FOr Silllle <br />Seri'1CeS, the hest benetltS art' a~'allable b1'hen IIle11]berS See <br />health Care provlderS In Ollr Statewlde BIUe ~,rll$S {t14V1re~} <br />nerivork. The Rhie Cross network includes primary care <br />clinics, specialists and hospitals. Network providers take care <br />of all claims papena~orl:. <br />Network pra~,riders mean savings <br />Bc- using the ei'tensive network of health rare providers, <br />members avoid hidden costs. :111 dlose providers have agreed <br />to accept the "allinved amount' specified in their contrails as <br />hill payment for covered sen7ces. The BlueCard`° program <br />ei-tends that protection across the United States and even <br />world~~~~ide through the "Traditional" net<~vork. <br />If a member sees a health care provider who doesn't have a <br />contract ~~1th Rlue Cross (a nonpartlapaUng provider), the <br />IIleIIlbeC 1S reSpOllSlble toC ally dedLlctlble, the coinsuratlce <br />amount applied to the allo~~~~ed amount, and the difference <br />between the actual bill and the allowed :unount <br />Expect mare vt~iti~ Bluerririt for Health' <br />Take adv;urtage of programs designed to improve health <br />alld productivity: hUless discounts • E~1F • 24-hour nurse <br />advice line • prenatal support • stop-smoking progr:un <br />easy-to-use health information at our online ~velhless center <br />• B1ueFrint for Health care support, our groundbreaking <br />progrun for members ~~vith chronic conditions. These <br />programs are offered at no additional charge to groups. <br />~~~ <br />
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