FOR BCBSMT CUSTOMER SERVICE AND PRIOR AUTHORIZATION FOR CUSTOMER SERVICEHealth Benefit Plan • September 18th, 2023
*The per visit or occurrence Deductible is in addition to The Plan Deductible and any Copayment and/or Coinsurance. Once the Out of Pocket Amount is satisfied, Plan Deductible, per visit or occurrence Deductible(s), Copayment and/or Coinsurance do not apply.
