PDF-Effective January 1, 2020

05527OHEENABS 819 Ohio SOCA Benefit Plan medical and specialty products PPO plans PPO Plan type Blue Access SOCA MEWA PPO 3000206500 Blue Access SOCA MEWA PPO 250005000

coinsurance deductible plan 000 deductible coinsurance 000 plan family blue 350 maximum tier mewa access individual script benefits benefit

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