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Section 2. How we change for 2009

Do not rely on these change descriptions; this Section is not an official statement of benefits. For that, go to Sections 5 Benefits. Also, we edited and clarified language throughout the brochure; any language change not shown here is a clarification that does not change benefits.

Program-wide changes

  • Illinois was added to the list for 2009 of medically underserved areas.

Changes to this Plan

Changes to our High Option only

  • Your share of the Postal premium will increase for Self Only or increase for Self and Family (see page 106).
  • Your share of the non-Postal premium will increase for Self Only or increase for Self and Family (see page 106).
  • The Plan now allows for one examination and testing for hearing aids every 2 years (see page 28).
  • The Plan now covers hearing aids every 3 years limited to a total allowance of $1,500 (see page 28).
  • For prescription drugs, the Plan has established a maximum coinsurance at a Network Retail Pharmacy of $200 per prescription (see page 47).
  • For prescription drugs, the Plan has established a maximum coinsurance at Network Mail Order of $600 per prescription (see page 47).
  • The Plan has changed its primary vendor for obtaining precertification and/or preauthorization of services in MN. See Section 3, pages 11 through 13 before obtaining hospital or medical services that require precertification and/or preauthorization to make sure you are contacting the appropriate source.

Changes to our Consumer Driven Health Plan

  • Your share of the Postal premium will increase for Self Only or increase for Self and Family (see page 106).
  • Your share of the non-Postal premium will stay the same for Self Only or stay the same for Self and Family (see page 106).
  • The Plan now allows for one examination and testing for hearing aids every 2 years (see page 62).
  • The Plan now covers hearing aids every 3 years limited to a total allowance of $1,500 (see page 62).
  • The Plan has added access to a second tier of non-PPO discount arrangements. Affected claims will receive a discount, but are considered out-of-network and therefore will be paid at the out-of-network benefit level (see page 6).
  • For prescription drugs, the Plan has established a maximum at a Network Retail Pharmacy of $200 per prescription (see page 76).
  • For prescription drugs, the Plan has established a maximum at Network Mail Order of $600 per prescription (see page 76).

 

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