Yourdekalbbenefits.com

Your 2023/2024 DeKalb County Benefits Guide

WEB2 | 2023/2024 Benefits Guide Resources for Medical Plan Members To help you make the most of your medical plan, both Anthem and Kaiser offer multiple health management resources to members.

Actived: 9 days ago

URL: https://yourdekalbbenefits.com/wp-content/uploads/2023/04/DeKalb_Active_BenefitsGuide_2023-2024.pdf

Health Savings Account Plan (HSA) High Deductible Health Plan

WEB1 Health Savings Account Plan (HSA) High Deductible Health Plan MEDICAL BENEFIT BOOKLET FOR DeKalb County, Ga Administered By Anthem Blue Cross and Blue Shield is the trade name of

Category: Medical Go Health

: DEKALB COUNTY Coverage Period: 07/01/2023-06/30/2024

WEBSummary of Benefits and Coverage: What this plan covers and What You Pay For Covered Services.Coverage for: Individual / FamilyPlan type: HMOKaiser Permanente: DEKALB COUNTYCoverage Period: 07/01/2023-06/30/2024

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Summary of Benefits and Coverage

WEBGA/LG/DeKalb County, Ga: Blue Open Access POS/Q4KK/07-23 Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 07/01/2023 - 06/30/2024 Coverage for: Individual + Family | Plan Type: POS DeKalb County, Ga: Blue Open Access POS

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Georgia HMO DeKalb County $25/$40 OV

WEBMember Services: (Eligibility, Coverage Verification & General Questions) Health Line: Appointment Scheduling or Prescription Help: Nurse Advice: Lifetime Benefit Maximum. Coinsurance. Annual Deductible: Individual/Family www.kp.org\georgia. (404) 261-2590 locally; (888) 865-5813 toll-free Monday-Friday 7:00 a.m. to 7:00 p.m.

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Georgia HDHP with HSA Dekalb County

WEBPage 1 of 2 Georgia HDHP with HSA $1,800 Deductible / 30% Coinsurance Dekalb County Effective Dates: July 1, 2022 – June 30, 2023 General Information

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DeKalb County Government EyeMed Select Plan A, Fixed Fee

WEBVersion 7 Vision Care Services Out-of-Network Reimbursement* Exam with Dilation as Necessary $35 Retinal Imaging Benefit N/A Contact Lens Fit and Follow-Up:

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[Certificate] [Evidence] of Coverage

WEBASO.HMO-07.01.22 MEDICAL BENEFIT BOOKLET FOR DeKalb County, Ga Administered By Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue

Category: Medical Go Health

Fitness Center Reimbursement Request Form

WEBFitness Center Information. Facility Name: Facility Location: Membership Type: Family Individual. Facility Phone #: Health Ins Provider: Submit reimbursement documentation within 45 days of 12 month membership completion. Email documents to [email protected] or fax to 404.371.4992.

Category: Fitness Go Health

Prescription Drug Coverage

WEB2023/2024 Benefits Guide | 9 Prescription Drug Coverage Prescription drug coverage is provided automatically when you enroll in one of DeKalb County’s medical

Category: Medical Go Health

DEKALB COUNTY BOARD OF COMMISSIONERS

WEBVersion: August 2021 Eligibility Determination:How will We determine Your or Your Dependent’s eligibility for benefits? We, and not Your Employer or plan administrator, have the responsibility to fairly, thoroughly, objectively and

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[Certificate] [Evidence] of Coverage

WEB1 ASO.POS-07.01.22 MEDICAL BENEFIT BOOKLET FOR DeKalb County, Ga Administered By Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.

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DeKalb County Section 125 Cafeteria Plan

WEB2 1.05 “Code” means the Internal Revenue Code of 1986, as amended from time to time. 1.06 “Compensation” means a Participant's compensation, as determined by the Employer.

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