Health Plans Documents
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Clinical Coverage Criteria References
EasyCare
EasyCare Plus
Total
Click on the link and please refer to the PDF under “Other Documents” titled: “Healthplex Dental Claim Review Guidelines (Comprehensive & Limited Plans)”
Total
EasyCare
EasyCare Plus
Medical Necessity and Other Clinical Coverage Criteria (Coming Soon)
EasyCare Plus
Total
EasyCare
Outpatient Physical, Occupational, and Speech Therapy Coverage Guideline
Download PDF:
Annual Notice of Change
Summary of Benefits