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IMPORTANT: If you are denied AHCCCS coverage for being over income, please apply for health care coverage at, HEAplus website: Requests for reconstructive surgery may be denied, if the proposed procedure offers only a minimal improvement in the appearance of the enrollee, in accordance with the standard of care as practiced by physicians specializing in reconstructive surgery. While Health Net believes you may find value in reading the contents of this site, Health Net does not endorse, control or take responsibility for this organization, its views or the accuracy of the information contained on the destination server. Note: your new plan starts in . The design and menus are easier to navigate. If there is a discrepancy between the policy effective date and legal mandates and regulatory requirements, the requirements of law and regulation shall govern. information about your plan, your network and all the extras that come with your coverage. Policies specifically developed to assist Health Net in administering Medicare or Medicaid plan benefits and determining coverage for a particular procedure, drug, service, or supply for Medicare or Medicaid Members shall not be construed to apply to any other Health Net plans and Members.

The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. Reconstructive Surgery after Mastectomy DES will continue to work with FEMA to provide retroactive LWA payments for eligible weeks between the week ending August 1 and the week ending September 5, as funding allows. In addition, we will generally accept enrollments for newly eligible members within 30 days after the following events (with proper documentation submitted to us): Your medical coverage expired on . Those who have not yet filed weekly claims or whose claims have yet to be processed may still be eligible for LWA. Need to create a new account?Register now, Information about IFP or individual Medicare Advantage members.
authorizations for service are no longer valid. Starting next week, for the benefit week ending September 12, eligible claimants will receive their weekly benefit amount without LWA. No Authorization or Guarantee of Coverage.

for any services rendered unless premiums are paid in full by the end of a 3 month You can make your online payment using your bank account, check, debit card or credit card. This enrollee's premiums are past due. The Member's contract defines which procedure, drug, service, or supply is covered, excluded, limited, or subject to dollar caps. You may manually enter your ZIP code below: This Schedule of Benefits is a brief list of benefits, with

Health Net's National Medical Policies (the "Policies") are developed to assist Health Net in administering plan benefits and determining whether a particular procedure, drug, service, or supply is medically necessary.

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