Weve made a full Resource and Education Hub for our Members, too! The following information can help you when shopping for plans or after enrollment to better understand the prescription drugs covered by our plans. Documentation "patches" can be reported through bugzilla. Create and search issued referrals. This begins my second and last year with SAMBA Health Insurance Plan. Click to enable/disable _ga - Google Analytics Cookie. Welcome to Emdeon. The documentation is located in the docs-xml directory in each release branch. Please note: This is a third-party administered site, which is used for numerous entities in this industry. This information allows you to make an informed health care decision. These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience. Other High Option plan advantages. View Eligibility, Resources, & More with the OneShare Health Provider Portal. These cookies are strictly necessary to provide you with services available through our website and to use some of its features. Participants Member's benefit information, eligibility & claims, Provider listings, Downloadable forms, ID cards, Secure email, Paperless EOB options Login Providers Check eligibility and claims status, Access participant benefit information, Check claims billed to your practice Login Partner with the Best 90 +% OF BACKGROUND SCREENERS TRUST SAMBASAFETY'S MVR DATA Why Pull MVRs? Your choice of any licensed dentist, anywhere. Samba health insurance federal employees, Health (5 days ago) WebSAMBA offers Health Care Providers a more efficient way to check eligibility, view claims status, and receive payment and remittance advices. Samba Provider Login C21 Blog - C21Media, samba health plan provider login - Taadom Digital, Healthcare Providers - Cigna Health Benefits, Health Plan/Payer List Availity Clearinghouse and Web Portal. Our carrier partners have given us exclusive offerings to complement our medical plans. '1 Thessalonians 5:11 (ESV). Sun: CLOSED, SBMA 2021 all rights reserved Cigna reserves the right to make changes to this drug list without notice. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company, Tel-Drug, Inc., Tel-Drug of Pennsylvania, L.L.C., and HMO or service company subsidiaries of Cigna Health Corporation. Invoice reconciliation. Get Ready To Upgrade. Implementation, Enrollment, Admin & Reporting, Make plan changes, order ID cards and check claim status online. hbspt.cta._relativeUrls=true;hbspt.cta.load(6729959, 'b9044a3c-e6da-41c5-85fb-563b2376ebb1', {"useNewLoader":"true","region":"na1"}); Registration for the OneShare Health Provider Portal is a quick and easy process! Use the online Provider Portal to view a detailed dashboard of updated information, view the status of your patients Sharing Request, and more! Regenerate if its not readable. This is not a Member Login. Schedule your demo today! 24/7 Access To Doctors at No Cost To You. We're the largest pharmacy benefit manager (PBM) and one of the biggest pharmacies in the U.S. We serve more than 85 million people. All rights reserved | Email: [emailprotected], Health insurance continuity certificate uae, Icici lombard health insurance cancellation charges, United healthcare medicare advantage claims address, Hendricks regional health brownsburg hospital, Healthy communities sustainable communities. Login. Shasta is a third-party plan administrator (TPA) with state-of-the-art technologies, flexible solutions, and customized services for the management of self-funded health benefit plans. Your Cigna plan may include access to home delivery with Express Scripts, As part of your Cigna-administered pharmacy benefits, you'll have access to Accredo. Get Your Employee ID Cards in About a Week. Through this state of the art and secured digital Portal, you can submit cases relating to International Trade Transaction, Investments, Designation of Authorized Dealers, Private and Commercial . Serving employers with ACA mandate compliance requirements and employees who need affordable benefits. MEC, MEC+, Virtual Health, Vision & Dental Plans that work like major medical. You are free to opt out any time or opt in for other cookies to get a better experience. https://www.sambaplans.com/health-care-professionals/, https://www.c21media.net/blog/en/samba-provider-login. EMPLOYER PORTAL For over 20 years, SambaSafety has been the industry leader in driver risk management. Accident, Life, Critical Illness and Hospital coverage at an affordable price. If you refuse cookies we will remove all set cookies in our domain. Thats why we developed our continuous driver monitoring software, Qorta, to provide near real-time automated alerts on violations including speeding, suspensions and DUIs. Well solve any issues that arise quickly and with a smile. We fully respect if you want to refuse cookies but to avoid asking you again and again kindly allow us to store a cookie for that. Use the Prescription Drug List Search Tool to view medications commonly covered by individual and family plans. Once the "Save As" popup window opens, be sure to note where the guideline is being saved. ACS Benefit Services, LLC. Patient eligibility. How do I submit a bill? Winston-Salem, NC 27105. Features Reporting Access customized reports tailored to your needs Storage Securely store documents and access them anywhere CME Monitor progress by adding credits and supporting documents Workflow Tracking Included are the SAMBA Health Plan (FEHB), Dental & Vision Plan, Term Life Insurance, , Health (7 days ago) WebSAMBA offers two health plan options for active and retired federal employees and their families. Welcome to Transamerica's online provider tool, a resource available to healthcare professionals serving consumers with the Transamerica Medicare Supplement insurance plans. Healthcare insurance brokers can increase their margins by getting higher commissions and rates and partnering by with a benefits administrator like SBMA. If you haven't registered, click on the link below and create a provider account. Our secure platform directly integrates with each states DMV, ensuring the safe keeping of personal information. Sat: CLOSED Step 3. Login using your username and password. Contact SAMBA at 800-638-6589 or 301-984-1440 (for TTY, use 301-984-4155) for prior authorization and/or additional information regarding services for genetic testing. Click below to register with our third-party administrator to enjoy faster service using the online self-service portal. The goal of ACS Benefit Services is to be the premier Third Party Administrator and to be recognized as such by our peers, clients, employees, medical . You can also post issue detail or ask any query to get answer from site admin or community. A vector image of the Physician's Health Plan logo. Click to enable/disable _ga - Google Analytics Cookie. You can connect with our customer service and access self-service information to: Review claims status Access , https://www.trustmarkbenefits.com/providers, Health (3 days ago) WebThe SAMBA Health Benefit Plan complies with all applicable Federal civil rights laws, including Title VII of the Civil Rights Act of 1964. Unlimited annual benefit maximum for members in network. Enter your user ID and password to access your account. Or, if you prefer to fill out a paper form, visit SuppHealthClaims.com to download a claim form. Explore your plan options. Exceptional Service, Minimum Essential Coverage to meet ACA mandates, Worksite benefits you and your employees can both afford, Healthcare from the comfort of your own home. THE BLOG, Mon Fri: 7:00am5:00pm (PST) Use the online Provider Portal to view a detailed dashboard of updated information, view the status of your patient's Sharing Request, and more! But this will always prompt you to accept/refuse cookies when revisiting our site. Our relationship with providers plays a vital role in that mission, , https://networkhealth.com/provider-resources/index, Health (5 days ago) WebHealth Benefits Program (FEHB) may enroll in the SAMBA Health Benefit Plan. https://www.childrensdmc.org/find-a-doctor/detail/samba-siva-bathula-1 https://www.experian.com/content/dam/marketing/na/healthcare/payer-lis https://www.healthsmart.com/Service-Centers/Provider-Center/EDI-Servic https://www.sec.gov/Archives/edgar/data/0001542022/000119312521330633/ LoginsLink is an online tool with a community forum that help to report website issues, get solutions and check latest status information of any website. (CHLIC).The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Plans are insured by Cigna Health and Life Insurance Company or its affiliates: For Arizona residents, health plans are offered by Cigna HealthCare of Arizona, Inc. For Georgia residents, health plans are offered by Cigna HealthCare of Georgia, Inc. For Illinois residents, health plans are offered by Cigna HealthCare of Illinois, Inc. For North Carolina residents, health plans are offered by Cigna HealthCare of North Carolina, Inc. For South Carolina residents, health plans are offered by Cigna HealthCare of South Carolina, Inc. For Texas residents, health plans are offered by Cigna HealthCare of Texas, Inc. SBMA Benefit Plans Comprehensive Coverage. From communicating your plan to members, enrollment, processing claims, and answering questions from your participants; our services are accurate, cost-effective, and compassionate. OF BACKGROUND SCREENERS TRUST SAMBASAFETYS MVR DATA. , https://ighcp.com/ebs/providers/gateway-provider-portal/, Health (Just Now) WebWelcome Providers. Gain instant MVR access using our database, helping increase productivity and expedite the hiring process. Search commercial rates and services codes, and explore its results. Vision Providers; Premiums; Enrollment; Close; Term Life Insurance. Aug 27, 2009 4:25 pm EDT. EMPLOYEE PORTAL with a preferred provider organization IMPORTANT Rates: Back Cover Changes for 2013: Page 11 Summary of benefits: Page 100 Sponsored and administered by: the Special Agents Mutual Benefit Association (SAMBA) Who may enroll in this Plan: All Federal employees and annuitants who are eligible to enroll in the Federal Employees To get started using the new and improved portal, click here to: If you have already setup your new account, login here. Cigna Specialty Pharmacy refers to the specialty drug division of Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C., doing business as Cigna Home Delivery Pharmacy. You guys are terrific, responsive and quick! https://www.sbmabenefits.com/wp-content/uploads/2022/12/iStock-1341621207-2.jpg, Full-Time vs Part-Time Benefits: Why It Matters, https://www.sbmabenefits.com/wp-content/uploads/2022/12/iStock-1141247654-1-1.jpg, Received an ACA Penalty from the IRS? Healthcare payer solutions for optimized provider networks Use our nationwide connectivity to streamline engagement and claims processing Enable pharmacy benefits administration to optimize member experiences and financial outcomes Convert to e-payments to lower reimbursement-distribution costs Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. Behavioral Health / Therapy $50 Copay. If you have already registered, enter username and password below. Samba Federal Health Plan Provider Login Official Site Login (Nov Samba Health Plan - Fill Out and Sign Printable PDF Template, SAMBA Health Benefit Plan - Third Party Recovery Services, Aetna Dental PPO plan for Federal employees - AetnaFeds.com, Group dental benefits and insurance plans - Aetna, SAMBA - Crunchbase Company Profile & Funding, Samba Siva Bathula, MD - Otolaryngology in Detroit MI, CLAIMS & ERA PAYER LIST January 07, 2022 - Experian, To become a member: Employees and annuitants enrolling in the SAMBA Health Benefit Plan will automatically become members of the, If you are age 65 or older, or otherwise entitled to Medicare, SAMBA, Do not use VPN as some sites restrict VPN, The internet connection is active and login form is loading cache, If the site requires captcha, it must be valid. We are here to help with your healthcare solutions. Virtual Health, Worksite Benefits, Vision, Dental and ACA compliant plans that you and your employees can afford. Verify our members' eligibility. Ensuring ACA compliance for the employer at a price you and your employees can afford. Obtain member benefit information. This site uses cookies. We are giving OneShare Health Members the freedom to choose a healthcare Provider; to go to any hospital or Facility theyd like! Included are the SAMBA Health Plan (FEHB), Dental & Vision Plan, Term Life Insurance, Personal Accident Insurance, and Long Term Disability Insurance. SBMA benefit plans provide a complete solution for employers who want to provide affordable benefits to their workers. Unnecessary visits to the doctor can be a thing of the past. After you have entered all infomation, click on the "Continue . Since these providers may collect personal data like your IP address we allow you to block them here. 2022 Standard Option 2022 Standard Option with Medicare Part B Primary 2022 High Option No waiting periods. {!-- 808px x 214px --} . * Tip: To save any of these guides for later use, right click on the link to the guide and choose an option such as "Save Link As." Please click here to Login/Register. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. We will return your call or respond to your form submission as soon as we are able. Click to enable/disable Google reCaptcha. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. To access the old portal, please enter your Username and Password. Providers can access the Health Benefits provider portal or the Small Benefits provider portal. Call 1-800-410-7778 (TTY: 711) 24 hours a day, 7 days a week, except major holidays. To become a member: Employees and annuitants enrolling in the SAMBA Health Benefit Plan will , https://www.opm.gov/healthcare-insurance/healthcare/plan-information/plan-codes/2013/brochures/71-015.pdf, Health insurance continuity certificate uae, Icici lombard health insurance cancellation charges, United healthcare medicare advantage claims address, Hendricks regional health brownsburg hospital, Healthy communities sustainable communities, Mississippi county health department mo, 2021 health-improve.org. Click on the different category headings to find out more. Once you complete the registration process, you can login as often as necessary. https://providerlogin.co/samba-federal-health-plan-provider-login Step 2. Review pending claims' status. We need 2 cookies to store this setting. Where can I access the OneShare Health Provider Portal? View Eligibility, Resources, & More with the OneShare Health Provider Portal! Use these prescription resources to help choose a plan or identify medications commonly covered by an existing plan. Our San Diego based team is here when you need us. AARP Supplemental and Personal Health Plans - Provider Online Tool . The following cookies are also needed - You can choose if you want to allow them: You can read about our cookies and privacy settings in detail on our Privacy Policy Page. Comprehensive Coverage. You can also change some of your preferences. We facilitates community members to help each other for login and availability-related problems of any website. These physicians are listed first in the rotation of providers who meet your search criteria. By continuing to browse the site, you are agreeing to our use of cookies. PRIVACY POLICY Minimum Essential Coverage plus added benefits and coverages for ACA Compliance. Sat: CLOSED Samba Support There are a number of areas for you to look when searching for Samba support: Samba related mailing lists comp.protocols.smb newsgroup Bug Reporting and contacting the Samba Team Commercial Support Company and individual listings claiming to provide Commercial Samba support are listed separately by country. SISCO's provider portal allows you to submit claims, check status, see benefits breakdowns, and get support, anytime. Take a look at these key resources to help with common questions. Log In . Simplifying the benefits experience, so you can, SISCO| Po Box 389 | Dubuque, IA 52004-0389. Click on the different category headings to find out more. Resolved. Still have questions? If your plan provides coverage for certain prescription drugs with no cost-share, you may be required to use an in-network pharmacy to fill the prescription. We need 2 cookies to store this setting. Because these cookies are strictly necessary to deliver the website, refusing them will have impact how our site functions. Affordable Benefits TheUnitedHealthcareGroup Medicare Advantage (PPO) is a Preferred Provider Organizationplan, which means you have lots of flexibility in choosing a provider. MCS Provine t . Disclaimer. By continuing to browse the site, you are agreeing to our use of cookies. Enroll or Change your Health Plan: Use the link below to access the Office of Personnel Management (OPM) website that explains in detail the steps you need to take. We are different because of our personal service, speed of implementation and innovative approach to benefits coverage. Contributions can be simple typo corrections or a write up of new or previously undocumented features. You always can block or delete cookies by changing your browser settings and force blocking all cookies on this website. This site uses cookies. Shastas additional area of expertise lies in the administration and management of Native American sponsored health benefit plans. Click to enable/disable _gat_* - Google Analytics Cookie. Find prescription medications your plan covers. Provider. o. Have a question that can't be answered on our provider portal? MVRs act as comprehensive source of truth, bringing to light critical issues like suspensions, violations, DUIs and revocations. Lifeprint is physicians, patients, specialists and technology working in harmony to give each individual patient the unique care they deserve. Aetna Senior Supplemental Insurance. Username or Email Address. If you use a pharmacy that does not participate in your plans network, your prescription may not be covered, or reimbursement may be limited by your plans copayment, coinsurance or deductible requirements. Medical ACA Compliant Medical Plans Ancillary , Health (7 days ago) WebThe migration for Special Agents Mutual Benefits Association has been completed. For over 60 years, MHBP has served all federal and postal employees and annuitants, offering. Welcome to the AMA Insurance Provider Portal AMA Insurance has created this website specifically for you to verify eligibility or check the status of a claim. That way, we can help lower Out-of-Pocket expenses for care and stretch their healthcare dollars.To bring Members this no-restriction freedom of choice, we facilitate sharing at a Fair and Reasonable Amount for Eligible Inpatient, Outpatient, Hospital, Surgery Center, or Clinical Lab Facility care! Please note: Eligibility inquiries through ConnectCenter will provide all the information available from the payer. All insurance policies and group benefit plans contain exclusions and limitations. Update your Cigna provider directory . After verification of provided information, it would be get listed on this web page. OneShare Health, LLC is not an insurance company but a religious health care sharing ministry. During this time, we've pulled over 635 million records, averaging 60 million per year, for insurance companies, fleet companies and corporations across North America. Critical Illness Coverage adds a safety net for under-insured persons. hbspt.cta._relativeUrls=true;hbspt.cta.load(6729959, 'f3c918f7-e16c-48f7-b5dd-91b64b0cd120', {"useNewLoader":"true","region":"na1"}); hbspt.cta._relativeUrls=true;hbspt.cta.load(6729959, '1af63862-2b88-4fb4-b6b7-453899a2436c', {"useNewLoader":"true","region":"na1"}); Give us a call or send us an email! To accesss the SAMBA WebConnect portal, health care professionals must have a Change Healthcare User ID and Password. Login screen appears upon successful login. Click to enable/disable _gid - Google Analytics Cookie. Talk to a therapist by phone whenever you need one, 3X/year. Verify member eligibility. We may request cookies to be set on your device. The migration for Special Agents Mutual Benefits Association has been completed. Through our vault of records, we have gathered critical insight into the driving population over the years, including: Three to five percent of drivers have an invalid license and cause 19 percent of fatalities 26 percent of fatalities involve speeding Scam. When you enroll, you automatically become a member of the SAMBA Federal Employee Benefit Association. Cigna may receive payments from manufacturers of certain preferred brand medications, and in limited instances, certain non-preferred brand medications, that may or may not be shared with your plan depending on its arrangement with Cigna. SambaSafety protects our communities and roadways from risky drivers, while saving you time and money. Depending upon plan design, market conditions, the extent to which manufacturer payments are shared with your plan and other factors as of the date of service, the preferred brand medication may or may not represent the lowest-cost brand medication within its class for you and/or your plan. 24/7 Interactive Voice Response Telephonic System. Enroll in Electronic Funds Transfer (EFT) Obtain an electronic copy of a remittance advice. S. ShoK08 of US. Reminder: You have access to providers nationwide and receive the same level of benefits in network and out of network. Click to enable/disable _gid - Google Analytics Cookie. Check to enable permanent hiding of message bar and refuse all cookies if you do not opt in. delivering over 60 million MVRs annually. Consider sharing with the community by adding in the above list. Heres What to Do, https://www.sbmabenefits.com/wp-content/uploads/2022/09/How-SBMA-Makes-Healthcare-Affordable-by-Focusing-on-Insurance-Needs.png, How SBMA Makes Healthcare Affordable by Focusing on Insurance Needs, https://www.sbmabenefits.com/wp-content/uploads/2022/09/Healthcare-Insurance-Brokers-How-to-Increase-Your-Margins.png, Healthcare Insurance Brokers: How to Increase Your Margins, https://www.sbmabenefits.com/wp-content/uploads/2022/09/Why-SBMA-is-the-Gold-Standard-of-Customer-Service.png, Why SBMA is the Gold Standard of Customer Service. Widely accepted prescription drug card covers generics for physical & behavioral Rxs. Otherwise you will be prompted again when opening a new browser window or new a tab. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. If you use a pharmacy that does not participate in your plan's network, your prescription may not be covered, or reimbursement may be limited by your plan's copayment, coinsurance or . 0 1 10. For our full disclosures, see www.onesharehealth.com/legal-notices for the most up to date state availability listing. The FX Portal will enable the Samba Bank Limited customers to submit online applications for arranging approvals relating to foreign exchange cases. When we call we get an actual person, in San Diego, ready to help us resolve problems and offer options. Pulling MVRs annually is a great way to ensure youre hiring qualified drivers on behalf of your company. Mailing Address: 5660 University Parkway 5th Floor. Click to enable/disable Google Analytics tracking. SISCO's provider portal allows you to submit claims, check status, see benefits breakdowns, and get support, anytime. Resources: o. Your plan may cover additional medications; please refer to your enrollment materials for details. 8:30AM - 5:00PM EST. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. https://www.signnow.com/fill-and-sign-pdf-form/9648-samba-vision-care- https://www.zocdoc.com/primary-care-doctors/samba-1525m, https://www.estprs.com/wp-content/uploads/2019/08/SAMBA-2008.pdf. Fax: 1 (860) 730-6460. Use the self service provider portal to: Check the status of claims. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. Please be aware that this might heavily reduce the functionality and appearance of our site. Standard Option; High Option; Cigna , Health (7 days ago) WebEstablished in 1948, SAMBA provides peace of mind to active and retired federal employees by offering an array of insurance plans. It is , Health (8 days ago) WebContact Us For questions, suggestions, complaints or grievances about the SAMBA Health Benefit Plan, Life Insurance, Long Term Disability and all other SAMBA Insurance Plans, , Health (5 days ago) WebFind a provider Resources Enrollment information Were here to help! ConnectCenter should now be used, in place of Emdeon Office/WebConnect, to check eligibility or claim status. Verify your hospital audits. After ten years with our same doctor and several support systems we have come to rely on for great health care, we have to make a change. SambaSafety has been the industry leader in MVR delivery for over 20 years. Everything we were worried about got resolved. Welcome Providers. These cookies are strictly necessary to provide you with services available through our website and to use some of its features. Think long and hard before choosing them. Check claims status or get verification of benefits. Many of our plans cost less than $100/mo. You are free to opt out any time or opt in for other cookies to get a better experience. Term Life Insurance. Here are some tips you can use while using the OAP directory: There are no association dues. 2023 Prescription Drug List Changes starting January 1, 2023 [PDF], 4 Tier (injectable specialty medications covered on tier 4) [PDF], 4 Tier (all specialty medications covered on tier 4) [PDF], PPACA No Cost-Share Preventive Drug List [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna Total Savings Drug List) [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], All Preventives Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], All Preventives Drug List Standard (for the Cigna National Preferred Drug List) [PDF], All Preventives Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Diabetes Supplies (for the Standard, Value, Performance, and Advantage Drug Lists) [PDF], Preventive Diabetes Supplies (for the Legacy Standard and Legacy Performance Drug Lists) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (CDI) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (DMHC) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4 )(CDI) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Performance 4 Tier (all specialty medications covered on tier 4)** [PDF], California Advantage 4 Tier (all specialty medications covered on tier 4)** [PDF], California Legacy (Standard) 3 Tier* (CDI) [PDF], California Legacy (Standard) 3 Tier* (DMHC) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4)(DMHC) [PDF], California Legacy (Performance) 3 Tier** [PDF], California Legacy (Performance) 4 Tier (all specialty medications covered on tier 4)** [PDF], California Total Savings 3 Tier* (CDI) (DMHC) [PDF], California National Preferred 3 Tier* (CDI) [PDF], California National Preferred 3 Tier* (DHMC) [PDF].
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