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Additional visits to other network physicians

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Additional visits to other network physicians

Additional visits to designated PCP or nurse practitioner

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Additional visits to designated PCP or nurse practitioner

Network physician or network nurse practitioner for age-based schedule

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Network physician or network nurse practitioner for age-based schedule

Vision exams on and after January 1, 2004 (PPO vision network; any vision provider out-of-network)

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Vision exams on and after January 1, 2004 (PPO vision network; any vision provider out-of-network)

Vision exams prior to January 1, 2004 (Davis Vision)

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Vision exams prior to January 1, 2004 (Davis Vision)

Dental accident treatment

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Dental accident treatment

Inpatient services in a general hospital

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Inpatient services in a general hospital

Inpatient services in a substance use treatment facility

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Inpatient services in a substance use treatment facility

Inpatient services in a mental hospital

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Inpatient services in a mental hospital

Approved private duty nursing

Member for

5 years 11 months
Submitted by ssimhadhri on Thu, 07/15/2021 - 00:53
  • Read more about Approved private duty nursing

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