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2012 Summary of Benefits University of California Health Net Seniority Plus (Employer HMO) Benefits Effective January 1, 2012, Medical Plan 3KU, 3KV The Original Medicare summary is required by the

This summary is intended to provide information that is as accurate as possible when it comes to details about the Medical Plan 3KU, 3KV, as well as important policies that affect your Medical Plan membership. The benefits described on the Summary have been obtained from sources believed to be accurate, but no warranty is implied by the summary. The summary was compiled using information that is believed to be correct as of 01/01/12 from the following sources: UC Davis HMO Web Sites. health net.McDavis.edu 3KU, 3KV The Medical Plan 3KU, 3KV is owned and operated by the University of California, Davis (UC Davis) in partnership with Health Net Seniority Plus (Employer HMO) in San Antonio. The Medical Plan, which is underwritten through the UC Davis Health Net Affiliate, is provided as a benefit to UCD students, faculty, staff and their spouses. As a Medical Plan member you can benefit from the following benefits provided by the Medical Plan: • The Medical Plan provides the University of California Health Net's comprehensive primary care services — primary care, outpatient services, medical services, and dental services without cost sharing. • The Medical Plan also provides care for medically complex chronic medical conditions and diseases including conditions with extensive insurance coverage, such as hypertension, cardiovascular disease, diabetes, asthma, multiple sclerosis, heart attack, stroke and cancer. • The Medical Plan offers optional insurance coverage for all covered services, including services covered by UC Davis insurance, which are not included in this benefit. • The Medical Plan provides prescription drug coverage, and the Health Net Affiliate provides the University of California Health Net and Health Care Insurance Plan with coverage for all eligible UC Davis members. The Medical Plan provides the following benefits to its member and eligible spouses: • The Medical Plan offers a comprehensive prescription drug benefit: • Select brand and generics at a substantial savings, compared to non-member prescriptions. • Up to two prescriptions free per person annually. • Comprehensive benefit is covered without co-payments at a substantially lower rate than non-member rates. • The Medical Plan is committed to providing the maximum value for its members, which includes offering one of the best prescription drug plans available in the United States. • Benefits are not limited to your own UC Davis household. In certain cases some members may also receive benefit benefits for their spouse. • UC Davis Health Net will only pay for qualified prescription drugs.

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What is medical plan 3ku 3kv?

Medical plan 3ku 3kv refers to a specific healthcare coverage plan offered by a certain organization or insurer. The details and specifics of this plan may vary based on the provider.

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The individuals who are required to file medical plan 3ku 3kv are those who are enrolled in or covered by this specific healthcare plan. This could include employees, dependents, or other eligible members of the plan.

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To fill out medical plan 3ku 3kv, you will generally need to provide personal and healthcare information as required by the plan provider. This may include your name, contact details, medical history, and any additional documents or forms requested by the provider.

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The purpose of medical plan 3ku 3kv is to provide healthcare coverage and benefits to individuals who are enrolled in or covered by this specific plan. It aims to help manage and cover medical expenses, provide access to healthcare services, and promote overall well-being.

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The specific information that must be reported on medical plan 3ku 3kv may vary based on the plan provider. Generally, you will need to provide personal details such as name, address, contact information, as well as relevant healthcare information such as medical history, current conditions, and any dependent information if applicable.

When is the deadline to file medical plan 3ku 3kv in 2023?

The specific deadline to file medical plan 3ku 3kv in 2023 may depend on the plan provider or organization. It is recommended to refer to the plan documents or contact the provider directly to determine the exact deadline.

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