P8K1PFR Blue Preferred Platinum PPO 421.pdf

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Preview of P8K1PFR Blue Preferred Platinum PPO 421
🔗 Source: bcbsok.com
📊 Size: 2.02 MB
👤 Author: Binu Joseph
⬇️ Downloads: 78

Summary

- Calendar year benefit period
- $1,000 deductible for Network Provider Services, $2,000 for Out-of-Network
- Copayments: $25 office visit, $45 specialist visit, $50 urgent care, $300 emergency room
- Out-of-Pocket Limit: $2,000 for Network, unlimited for Out-of-Network
- 90% coverage for Hospital, Surgical/Medical, and Outpatient Diagnostic Services from Network Providers
- 100% coverage for Preventive Care Services from Network Providers
- Prior Authorization required for many services.

Description

- Calendar year benefit period
- $1,000 deductible for Network Provider Services, $2,000 for Out-of-Network
- Copayments: $25 office visit, $45 specialist...

Technical Information

  • File Format: PDF
  • File Size: 2.02 MB
  • Pages: 124
  • Language: EN
  • Author: Binu Joseph
  • Total Downloads: 78
  • Last Updated: 3 days ago

Document Overview

This PDF document about P8K1PFR Blue Preferred Platinum PPO 421 provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into P8K1PFR Blue Preferred Platinum PPO 421.

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