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Members Knowledge Center

Our Knowledge Center features helpful articles with simple and reliable information for all your insurance questions, from how to submit a claim to how to find the right doctor.

Explore by topic Frequently asked questions Insurance basics Health insurance deductibles In-network vs out-of-network How to read your explanation of benefits Back to top
How to read your health insurance card

Your health insurance card is also your member ID card. It proves you're covered for services at a doctor's office, urgent care, or hospital.

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Coinsurance vs copay

Knowing the difference between coinsurance and a copay can help you manage your health care costs.

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Common health insurance terms

Get more familiar with the key terms and that can help you make sense of your coverage and what it includes.

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Navigating insurance What are special enrollment periods? Understanding the appeals process Back to top
What is step therapy?

Sometimes, before your insurance plan will pay for an expensive medicine or therapy, you need to try similar but less expensive treatments first. This is step therapy.

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How to submit a claim

Need to submit a claim for medical services you received? Learn about when and how to file a claim.

 

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Requesting prior review and authorization

Your health insurance provider may require your health care provider to submit a prior review and authorization before your plan will cover costs.

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Prescriptions What is a mail-order pharmacy and what are the benefits? Understanding prescription drug benefits How to request non-formulary drugs Understanding prescription drug costs Back to top
Durable medical equipment and insurance coverage

Durable medical equipment (DME) includes prescribed devices for managing long-term or chronic conditions that help you live safely and independently at home.

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How to switch pharmacies

As the patient, you're responsible for transferring prescriptions when changing pharmacies. Learn how to make the switch and key factors to consider.

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Understanding specialty pharmacies

Learn how specialty pharmacies are different than traditional ones and how insurance can help you get the specialty medicine you need.

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Health care Does insurance cover colonoscopies? Choosing a primary care physician Does insurance cover therapy? Back to top
Where to go for care

Knowing where to go when you have a health issue is vital to getting the care you need, when you need it. It can also save you time and money.

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Diagnostic testing explained

Managing your health includes understanding the purpose of diagnostic testing, the different types of tests, and factors that influence insurance coverage.

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Mammograms and coverage: What to know before going

Mammograms are a vital tool in the early detection of breast cancer. Your coverage can help you plan for this test and could make a life-saving difference.

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Dental care Does insurance cover dentures? How insurance works in a dental emergency Back to top
How does dental insurance work?

Dental insurance is purchased separately from your regular health coverage. Learn how dental insurance can benefit your long-term dental health.

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A quick guide to preventive dentistry

It's crucial to focus on preventive dental care so you can avoid painful and costly problems that could impact your health.

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Does insurance cover braces?

When exploring dental insurance options, it's important to know if braces are covered and how to manage the costs when orthodontic treatment is not included.

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Vision care Back to top
Understanding how vision insurance works

Explore how vision insurance can help you effectively manage your eye health and prevent issues.

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Does insurance cover LASIK eye surgery?

Before you consider the procedure, it's important to understand your insurance coverage.

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Does insurance cover contacts?

If you wear contact lenses, you may wonder whether your insurance plan offers full or partial coverage.

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