File: Excel Sheet Download 6485 | Attachment G 2 2021 Qhp Non Standard Product - Standar Format
sheet 1 2020 ns descriptions attachment g 2 qhp 2020 nonstandard descriptions use this chart to list out all nonstandard products to be offered in 2020 page 1 of 3 ...
Filetype Excel XLS | Posted on 23 Jun 2022 | 4 years ago
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...Sheet ns descriptions attachment g qhp nonstandard use this chart to list out all products be offered in page of issuer name fill these two cells only if the deductible differs from standard product cost sharing amounts amount different same write quot hios id digit level metal market individual yn hsa eligible premium higher or lower than benefitservice addition s description benefit substitution alteration as for proposed moop network not offering entire available eg tiered pcp visit specialist prescription drug tier inpatient svcs er urgent care dme covered therapies ptotst diagnostic amp routine lab imaging outpatient surgery physiciansurgical services home health op behavioral pediatric basic dental vision eye exam children wellness service area no please provide details additional field narrative describe how plan already captured by previous columns sample ny bronze n y accupuncture was added none yes a and rx copays differentiate our offerings...