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Benefit and Coverage Information

Basic Health Member Handbook

• Covered Services – Pg 9
• Prior Authorizations and Referrals – Pg 33
• Grievance and Appeals – Pg 83

Healthy Options Member Handbook Supplement (Includes HO, CHIP, BH+, SMED)

• Covered Services – Pg 3
• Appeals and Complaints – Pg 31

Medical Care Services (GA-U / Disability Lifeline)

Washington Health Program Member Handbook

• Covered Services – Pg 14
• Prior Authorizations and Referrals – Pg 32
• Grievance and Appeals – Pg 88

Medicare Advantage

• Formulary
• Medicare Local Coverage Determinations (LCDs)
• Medicare National Coverage Determinations (NCDs)