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Benefit Information for all eligible employees effective October 1, 2018:
Medical Plan Benefit Comparisons Benefit Eligible Employees/Retirees:
- Navitus Health Solutions Rx Program*
- *Costco Pharmacy provides most generic drugs with no copay. This does not apply to the Blue Shield PPO (HDHP-B) medical plan.
- Costco Pharmacy provides the mail order drug program.
- Value Based Site of Care Benefit Change Effective October 1, 2018
- PPO plans will limit the maximum benefit amount at an in-network outpatient hospital facility for the following procedures: Arthroscopy, Cataract surgery, Colonscopy, Upper GI Endoscopy with Biopsy, Upper GI Endoscopy without Biopsy
- If an in-network outpatient hospital facility is used, the member will be responsible for the regular deductible and coinsurance PLUS any amount by which the hospital exceeds the maximum benefit.
- If an in-network Ambulatory Surgery Center is used, then there is no benefit change. You will only be responsible for the regular deductible and coinsurance.
Medical and Dental Benefit Contact Information and Useful Web Links:
- Blue Shield of California PPO (Preferred Provider Organization)
- SISC Dedicated Customer Service Unit: (855) 256-9404
- P.O. Box 272540, Chico, CA 95927-2540
- Blue Shield of California HMO (Health Maintenance Organization)
- Advance Medical offers the following:
- Assists patients with medical conditoins by providing answers to their healthcare questions and ensuring they are receiving the best possible care.
- Patients' medical cases are reviewed by doctors identified as world-leading experts in the fields of specialty.
- Members who access this service are able to speak directly with a specialit once their case is established.
- Telephone Number: (855)201-9925
- Website: www.advancemedical.net/sisc
Medical Plan Benefit Information for Non-Benefit Eligible Employees:
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