INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY LEHIGH VALLEY FLEX BLUE PPOIndividual Comprehensive Major Medical Preferred Provider Subscription Agreement • October 28th, 2016
Contract Type FiledOctober 28th, 2016DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY PREMIER BLUE FLEX PPOIndividual Comprehensive Major Medical Preferred Provider Subscription Agreement • October 28th, 2016
Contract Type FiledOctober 28th, 2016DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY COMMUNITY BLUE FLEX PPOIndividual Comprehensive Major Medical Preferred Provider Subscription Agreement • October 28th, 2016
Contract Type FiledOctober 28th, 2016DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS ALLIANCE FLEX BLUE PPOIndividual Comprehensive Major Medical Preferred Provider Subscription Agreement • October 28th, 2016
Contract Type FiledOctober 28th, 2016DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie