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Summarized Summary of Benefits SelectHealth Advantage …

WEBPremium In-Network MOOP Benefit In-Network Out-of-Network Inpatient Services Inpatient Hospital Care No limit to the number of days covered by the plan …

Actived: 8 days ago

URL: https://m.intermountain.net/files/ssb/G02A0058_20210101_GGGGGGGG_GGGG_GGGG.PDF

Summarized Summary of Benefits SelectHealth Advantage

WEBPremium In-Network MOOP Benefit In-Network Out-of-Network Inpatient Services Inpatient Hospital Care No limit to the number of days covered by the plan …

Category:  Health Go Health

Summarized Summary of Benefits SelectHealth Advantage …

WEBPremium In-Network MOOP Benefit In-Network Out-of-Network Inpatient Services Inpatient Hospital Care No limit to the number of days covered by the plan …

Category:  Health Go Health

2020-2021 Medical Plan Summary

WEB13 2020-2021 Prescription Plan Summary HealthSave Prescription Plan Summary – Effective April 1, 2020 Prescription In-Network Out-of-Network Preventive Generic1 …

Category:  Health Go Health

Summarized Summary of Benefits Wasatch Essential (HMO)

WEBPremium In-Network MOOP Benefit In-Network Out-of-Network Inpatient Services Inpatient Hospital Care No limit to the number of days covered by the plan …

Category:  Health Go Health

SCHEDULE OF BENEFITS

WEBSELECTHEALTH NETWORK / HEALTHSAVE PRODUCT Administered by SelectHealth MISCELLANEOUS SERVICES IN-NETWORK OUT-OF-NETWORK …

Category:  Health Go Health

(except for emergencies) OUT-OF-POCKET MAXIMUM YOU PAY

WEBNonparticipating Providers: Covered by general Medicaid: 800-662-9651 Hearing Care

Category:  Health Go Health

MPS ST. LUKE'S HEALTH SYSTEM

WEBSELECTHEALTH NETWORK / PPO PRODUCT Administered by SelectHealth MISCELLANEOUS SERVICES IN-NETWORK OUT-OF-NETWORK …

Category:  Health Go Health

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