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Keeping up with your health care doesn’t have to be hard. We’re in this together. Your member website can help you understand and manage your benefits. So you know what your plan offers and where to go for care that’s right for you.
Find in-network doctors, including those who offer virtual care services. You can also locate walk-in clinics and urgent care centers near you.
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Search medicine and side effects, find a pharmacy and refill your prescription. You can also estimate your drug costs before you go.
Take a health survey, try health coaching, start a wellness program and get treatment options. You have choices to feel your best.
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Learn what your health care costs and how much your plan covers. Not sure if you’ve met your deductible? You can find that, too.
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Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.
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The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.
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Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law.
Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?
At home, at the doctor or in line at your local pharmacy. Wherever you are, you can rest assured knowing that trusted benefits information is here when you need it. You can: