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3 Eagles Distributing

Tier 1

Provider Information

bjccenterofexcellence.org/providers

https://www.pemiscot.org

https://www.missouridelta.com/

https://www.sehealth.org

http://sftp.sharppho.com*
* Kennett Only

https://www.stbernards.info*
* Kennett Only

Deductibles

$4,000

Employee

$8,000

Family

Max Out of Pocket

$4,000

Employee

$8,000

Family

Tier 2

Provider Information

https://www.multiplan.us/ **

Deductibles

$7,000

Employee

$14,000

Family

Max Out of Pocket

$9,900

Employee

$19,000

Family

** St. Francis Medical Center is Excluded from Tier 2 even if it shows in search results within PHCS

** MultiPlan PHCS includes providers in their listings that could be in Tier 1 and may include out-of-network providers for your group or out of network for your plan. When selecting a provider from the multiplan search, please refer to your summary of benefits to verify the tier for the provider chosen to avoid out-of-network charges.

Non-Network *

Provider Information

Deductibles

$21,000

Employee

$42,000

Family

Max Out of Pocket

UNLIMITED

Employee

UNLIMITED

Family

* St. Francis Medical Center is considered a Non-Network provider, so they would fall into this tier.

Ancillary Benefits

Provider Information

https://myrenbenefitsmanager.com

https://www.coloniallife.com

Other Services

Provider Information

TPA (third-party
administrator)

consociate.veriben.net

Pre-certification
Vendor

Precedence

800-361-1492

Pharmacy
Networks

empirxhealth.com

Specialty Drug
Provider

Focus Rx FAQs

888-902-5533

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