Transcription of State of Maryland
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State of Maryland
ASO CFMI/GHMSI PPO (Custom 1/21) State of Maryland Preferred Provider Option with Vision Care Benefits And Preferred Provider Option with Medicare Option with Vision Care Benefits ASO CFMI/GHMSI PPO (Custom 1/21) 2 State of Maryland , 01/01/21 CareFirst of Maryland , Inc. doing business as CareFirst BlueCross BlueShield 10455 Mill Run Circle Owings Mills, MD 21117-5559 A private not-for-profit health service plan incorporated under the laws of the State of Maryland An independent licensee of the Blue Cross and Blue Shield Association EVIDENCE OF COVERAGE This Evidence of Coverage, including any attachments, amendments and riders, is a part of the Group Contract issued to the Group through which the Subscriber is enrolled for health benefits. In addition, the Group Contract includes other provisions that explain the duties of CareFirst and the Group. The Group's payment and CareFirst s issuance make the Group Contract's terms and provisions binding on CareFirst and the Group.
Maryland, Insurance Article §14-205.2, §14-205.3 or §15-138. Benefit Period means the period of time during which Covered Services are eligible for payment. The Benefit Period is: January 1st through December 31st. Cardiac Rehabilitation means inpatient or outpatient services designed to limit the physiologic and
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