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Introduction     



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Getting Care

Access Standards for Care
Routine, Emergency and Urgent Care
Specialty Care
Prior Authorizations for Care (New list effective April 1, 2009)
Getting a Second Opinion and Point of Service Options  

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Covered Services, Limitations and Exclusions       

Outpatient Services
Inpatient Services
Clinical Preventive Services
Behavioral Health Care Services
Pharmacy Services
Maternity Services
Dental Options
Services or Procedures with Significant Limitations
Exclusions

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Claims

Health and Pharmacy   
Coordinating with Other Health Insurance
Third Party Liability, Explanation of Benefits & Debt Collection Assistance Officers

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Life Events

Getting Married or Divorced
Having a Baby or Adopting a Child   
Going to College
Traveling
Filling Prescriptions on the Road  
Moving
Separating from the Service
After Active Duty
Loss of Eligibility

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Information and Assistance

Appeals
Grievances
Fraud and Abuse
 
Last Reviewed: July 13, 2009