Teamsters HMO Plan Documents

 

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Here you’ll find the HI Teamsters HMO Documents and forms you need in Adobe PDF format. Don’t have Adobe Reader? Get it here

HI Teamsters HMO Health Plan Documents

Summary of Benefits & Coverage (SBC)

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SBC Glossary

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Benefits Booklet

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HMO Provider Directory

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Prior Authorization List

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Helpful Documents and Forms

HIPAA Authorized Representative Form

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Urgent Care Listings

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Coordination of Benefits (COB) Questionnaire

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Connection Line Flier

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Frequently Asked Questions (FAQ’s)

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