WebSummary of Benefits and Coverage (SBC) Plan features Plan benefits at-a-glance 2024 Plan Rates Resources Selecting a primary doctor To select or change your primary doctor simply call Member Services at (800) 880-8086 for help or download and complete a primary doctor/PCP selection form (PDF, 65 KB) instead and mail it to: WebThe Benefits covered under this rider must be received from an American Specialty Health Plans of California, Inc. (ASH Plans) Participating Provider. These acupuncture and chiropractic Benefits are separate from your health Plan, but the general provisions, limitations, and exclusions described in your Evidence of Coverage do apply.
Summary of Benefits and Coverage - Blue Shield of California
WebSummary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Family Plan Type: PPO ... document at www.blueshieldca.com or by calling 1-800-642-6155. For your Pharmacy benefits through Express Scripts (formerly Medco) go to www.express-scripts.com or call 1-800-711-0917. WebSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: Beginning On or After 7/1/2024 Blue Shield Access+ Gold 80 HMO® 250/35 + Child Dental Coverage for: Individual + Family Plan Type: HMO 1 of 8 Blue Shield of California is an independent member of the Blue Shield Association. standard size of kitchen towels
MEDICARE ADVANTAGE
WebHearing aid benefits We offer a hearing aid benefit from EPIC Hearing Healthcare. This benefit includes an annual routine hearing test and coverage for Silver (mid-level) and Gold (premium level) hearing aids, at a low copay. Please see the Summary of Benefits included in this kit for more information. WebSummary of Benefits and Coverage The Federal Employee Program offers you numerous health benefit plans and coverage options. To help you make an informed choice, Blue Shield of California makes available a Summary of Benefits and Coverage (SBC) explaining your coverage. WebThe Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. personalized email greeting cards