Benefit summary

GENERAL POST 65

Status: Active
Status: Active

Medical Record Number

0012345678

Coverage dates

01/01/2026to12/31/2026 01/01/2026 to 12/31/2026

Region

Colorado

Browse all services by category

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Primary care
  • Virtual care - Phone visit
  • Virtual care - Video visit
  • Primary care visit
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Specialty care
  • Virtual care - Video visit
  • Virtual care - Phone visit
  • Specialty care visit
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Hospital care
  • Non-surgical stay
  • Childbirth (obstetrics)
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Labs & imaging
  • Diagnostic mammogram
  • X-ray
  • Advanced imaging
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Mental health
  • Individual therapy
  • Group therapy
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Surgeries
  • Overnight (inpatient) surgery
  • Same-day (outpatient) surgery
  • Same-day surgery
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Therapy & rehabilitation services
  • Chiropractic consultation & treatments
  • Chiropractic consultation & treatments (referral required)
  • Acupuncture consultation & treatments (no referral required)
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Urgent care & emergency services
  • Ambulance services
  • Emergency room services
  • Urgent care
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Medical equipment
  • Equipment purchases
  • Equipment rentals
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Prescriptions
  • Cost estimates for pharmacy benefits

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Preventive care

  • Routine physical exams
  • Vaccines and immunizations
  • Colon cancer screenings or mammograms

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Vision
  • Pediatric vision exam
  • Pediatric contact lenses
  • Lenses for pediatric eyeglasses
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If there's a discrepancy between what's displayed on this page and your Evidence of Coverage (EOC), the EOC will govern. Please refer to your EOC for a complete description of your coverage and cost share.