Transcription of State Employees’ HMO Plan
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State Employees'. HMO Plan Group Health Insurance Plan Booklet and Benefits Document Effective January 1, 2019. State of Florida My Health Department of Management Services Division of State Group Insurance My Decisions Box 5450. Tallahassee, FL 32314-5450. I. INTRODUCTION .. 2. II. DEFINITIONS .. 6. III. ELIGIBILITY, ENROLLMENT AND EFFECTIVE DATE .. 13. IV. SCHEDULE OF 26. V. MEDICAL BENEFITS .. 38. VI. LIMITATIONS AND EXCLUSIONS .. 58. VII. SPECIAL HMO PLAN FEATURES .. 63. VIII. PRESCRIPTION DRUG PROGRAM .. 68. IX. HOW TO FILE A CLAIM .. 78. X. COORDINATION OF 80. XI. SUBROGATION AND RIGHT OF RECOVERY, RECOUP, AND SUE FOR LOSSES.
I.INTRODUCTION. The descriptions contained in this document are intended to provide a summary explanation of your benefits. Easy-to-read language has been used as much as possible to help you understand the terms of the Plan.
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