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Alan Wire

Tier 1

Provider Information

https://www.missouridelta.com

https://www.semohealthnetwork.org

Deductibles

$0

Employee

$0

Family

Max Out of Pocket

$1,000

Employee

$2,000

Family

Tier 2

Provider Information

https://www.sehealth.org

bjccenterofexcellence.org/providers

Deductibles

$500

Employee

$1,000

Family

Max Out of Pocket

$2,000

Employee

$4,000

Family

Tier 3

Provider Information

All Other Providers

This includes St. Francis Medical Center and Poplar Bluff Regional Medical Center.

Deductibles

$3,000

Employee

$6,000

Family

Max Out of Pocket

$6,000

Employee

$12,000

Family

Non-Network

Provider Information

Deductibles

$10,000

Employee

$20,000

Family

Max Out of Pocket

UNLIMITED

Employee

UNLIMITED

Family

Ancillary Benefits

Provider Information

https://myrenbenefitsmanager.com

https://www.coloniallife.com

Ancillary Benefits

Provider Information

https://myrenbenefitsmanager.com

https://www.coloniallife.com

Other Services

Provider Information

TPA (third-party
administrator)

https://consociate.veriben.net

Pre-Certification
Vendor

Precedence

800-361-1492

Telehealth
Services

https://wmthealth.com/
consociate

Pharmacy
Networks

empirxhealth.com

Specialty Drug
Provider

Focus Rx FAQs

888-902-5533

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