Transcription of 2018 preMier ppO - TN.gov
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2018 preMier PPO. Member Handbook State of Tennessee Group Insurance Program Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates. 839769 j 10/17. 2018 preMier PPO. Important Notices Table of Contents This member handbook explains Welcome to many features of the preMier PPO Network 1. plan Administration and Claims 1. health care option. It describes Adding 1. your benefits in general terms Important Contact Information .. 1. and is not intended to give all the Benefits at a 2. details of every benefit, limitation, Engaging in Your 4. or exclusion. The information Covered Medical 5. contained in this handbook is Excluded Services and 8. How the plan 9. accurate at the time of printing;. Choice of 9. however, the Insurance Committees 9. may change the benefits at their Yearly 9. discretion, in which case you will be Maternity 9. given written notice of the change. plan 9. Out-of-Pocket Maximums .. 10. The Benefits Administration Benefits: In-Network or Out-of-Network.
| 2 | 2018 TABLe 1: Services in this table ARE NOT subject to a deductible. Costs DO APPLY to the annual out-of-pocket maximums on TABLE 3. For further benefit details and plan limits, see sections on Covered Expenses and
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