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Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services SM: Blue Advantage Silver HMO 205 Two $5 PCP VisitsCoverage Period: 01/01/201812/31/2018 Coverage for: Individual/Family
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Blue Advantage Silver HMO is a health maintenance organization (HMO) plan offered by Blue Cross Blue Shield.
Employers offering Blue Advantage Silver HMO to their employees are required to file the plan.
To fill out Blue Advantage Silver HMO, employers need to provide information about the plan's coverage, premiums, and participating healthcare providers.
The purpose of Blue Advantage Silver HMO is to provide affordable healthcare coverage to individuals and families.
Information such as the number of employees enrolled, premiums paid, and healthcare services utilized must be reported on Blue Advantage Silver HMO.
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