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en
MA
Medical & Rx Copay Match-Up
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$20:Using a BHN provider, with the BH Network Plan, the copay at the doctor's office is
$30:Using a BHN provider, with the BH Extended Plan, the copay at the specialist's office is
$35:Using a UHC Options PPO provider, with the BH Extended Plan, the copay at the doctor's office is
$45:Using a UHC Options PPO Provider, with the BH Extended Plan, the copay at the specialist's office is
$55:Using a UHC Options PPO Provider, with the BH Network Plan, the copay at the Urgent Care is
$135: Using an out-of-network provider, with the BH Network Plan, the copay at the Emergency Room is
15% after ded:Using a BHN provider, with the BH Savings Account Plan, the member owes
$4:For a 30-day supply low-cost generic Rx at Beaumont Pharmacy, with BH Network Plan, the copay is
$45:For a 30-day supply Preferred Rx at Beaumont Pharmacy, with BH Extended Plan, the copay is
$6:For a 90-day supply low-cost generic with BH Mail, with the BH Network Plan, the copay is
Medical & Rx Copay Match-Up
| 1. | $6 | A. | For a 30-day supply low-cost generic Rx at Beaumont Pharmacy, with BH Network Plan, the copay is |
| 2. | $45 | B. | Using an out-of-network provider, with the BH Network Plan, the copay at the Emergency Room is |
| 3. | $30 | C. | Using a BHN provider, with the BH Network Plan, the copay at the doctor's office is |
| 4. | 15% after ded | D. | Using a BHN provider, with the BH Savings Account Plan, the member owes |
| 5. | $55 | E. | Using a UHC Options PPO Provider, with the BH Extended Plan, the copay at the specialist's office is |
| 6. | $135 | F. | For a 30-day supply Preferred Rx at Beaumont Pharmacy, with BH Extended Plan, the copay is |
| 7. | $4 | G. | For a 90-day supply low-cost generic with BH Mail, with the BH Network Plan, the copay is |
| 8. | $45 | H. | Using a BHN provider, with the BH Extended Plan, the copay at the specialist's office is |
| 9. | $35 | I. | Using a UHC Options PPO Provider, with the BH Network Plan, the copay at the Urgent Care is |
| 10. | $20 | J. | Using a UHC Options PPO provider, with the BH Extended Plan, the copay at the doctor's office is |
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PuzzleFast.com, Noncommercial Use Only
Medical & Rx Copay Match-Up
| 1. | $6 → G |
| 2. | $45 → F |
| 3. | $30 → H |
| 4. | 15% after ded → D |
| 5. | $55 → I |
| 6. | $135 → B |
| 7. | $4 → A |
| 8. | $45 → F |
| 9. | $35 → J |
| 10. | $20 → C |
© 2016
PuzzleFast.com, Noncommercial Use Only
