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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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~~ F <br />J <br /> <br />pit- ~ i:'ir ~ .~ ,. ._ .. <br /> <br /> <br /> <br />. r..- ~ z~_~.. <br />Hot~j this plan option 4vorks <br />Members can see any health care proc-ider of their chore <br />for most covered serviies -without referrals. For some <br />sen-ices, the best benefits are available ~~~hen members see <br />health rare providers in our statewide Blue Cross (Aware`} <br />network. The Blue Cross net~•vork includes priman~ care <br />clinics, specialists and hospitals. Net~~vork providers take care <br />of all claims paperwork. <br />Net~~~ork providers mean savings <br />By using the et-tensive net~•vork of health rare pro~~iders, <br />members avoid hidden costs. All those providers ha~~~e agreed <br />to accept the "allu~ved amount' specified in their contracts as <br />hill payment for covered senzces. The BlueCard`~ program <br />extends that protection across the United States and even <br />worldwide through the "Traditional" network. <br />If a member sees a health care provider ~vho doesn't have a <br />a~ntract ~~ith Blue Cross (a nonparticipating provider), the <br />member is responsible for any deductible, the coinsurance <br />amount applied to the allowed amount, and the difference <br />bet<•veen the actual bill and the allowed amount <br />Expert more vt~ith EiueFrint for Health`"~' <br />Take ad~•atttage of pro~ratns designed to improve health <br />and productivity: fitness discounts • ELF • ?4-hour nurse <br />advice line • prenatal support •stop-smoking program • <br />easv-to-use health infonnation at our online ~•velh~ess center <br />• BlueFrint for Health care support, our groundbreaking <br />program for members ~aid~ chronic a~nditions. These <br />programs are offered at no additional charge to groups. <br />~~. <br />
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