| |
Products |
IDX
FSC |
Exclusions |
 |
HMO |
7004 |
see below |
 |
PPO |
7062 |
see
below |
| |
|
|
|
- PPO Additional Exclusions:
Audiology, Providers with a Temporary License.
-
- HMO Additional Exclusions: Audiology, Psychiatry,
Psychology, Pain Management, Psychology Therapists,
Social Work, License Professional Counsel, Providers
with a Temporary License.
|
|
|