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  2. Claims/Benefits

Claims/Benefits

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  • When will I receive my ID card?
  • Is my doctor in-network?
  • What are the benefits for medical services, prescriptions, etc. that are covered by the plan?
  • What is the status of my claim?
  • What is an Extension of Benefits?
  • What are Network Providers?
  • What are Non-Network Providers?
  • What is an Out-of-pocket Expense Limit?
  • What is PPO Allowance (term for “in-network”)?
  • What does Preventive Services mean?
  • What is a Deductible (per policy year)?
  • What is a Covered Medical Expense?
  • What is a Copayment (per treatment)?
  • What is Coordination of Benefits?
  • What is Continuation of Coverage?
  • What is Continuous Coverage?
  • What is Coinsurance?

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