Questions with the Keyword NETWORK

Questions	Possible Answers
My mother is enrolled in your plan and wants to know if services provided by a non-network doctor would be covered.	Services from a non-network doctor will be covered if they are related to an emergency, are for out-of-area, urgently needed care, or if the services were prior authorized. Optional: For Medicare-covered services, if you require specialized services that are not available from a provider in our network, your PCP should contact us for a referral request. Your PCP will then notify you once the referral is authorized.
If my mother is enrolled in the CORE plan, will she be covered if she receives out-of-network services?	Your mom must pay in-network cost-sharing for the out-of-network care we cover. If the care is not covered by our plan, your mom will need to pay 100%
What is the in-network maximum out-of-pocket cost for your plan?	Answer variable by health plan.
For Acme Medicare Rx, what is the maximum cost share for a one-month supply of a Tier 1: Preferred generic drug at an in-network pharmacy?	For a Tier 1: Preferred generic drug, the copay is $10 at our network pharmacy and $0 at our preferred pharmacy on all three plans.
Do you have a nationwide pharmacy network?	Yes.

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