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Auto Tire & Parts – Kentucky

Tier 1

Provider Information

https://www.multiplan.us

https://www.kentuckycare.net

https://www.baptisthealth.com

https://www.murrayhospital.org

https://www.jacksonpurchase.com

Base

Deductibles

$5,200

Employee

$10,400

Family

Max Out of Pocket

$7,150

Employee

$14,300

Family

Buy Up

Deductibles

$2,200

Employee

$4,400

Family

Max Out of Pocket

$7,500

Employee

$15,000

Family

High Deductible

Deductibles

$8,700

Employee

$17,400

Family

Max Out of Pocket

$8,700

Employee

$17,400

Family

Non-Network

Provider Information

Base & High Deductible

Deductibles

$12,000

Employee

$24,000

Family

Max Out of Pocket

UNLIMITED

Employee

UNLIMITED

Family

Buy Up

Deductibles

$7,500

Employee

$15,000

Family

Max Out of Pocket

UNLIMITED

Employee

UNLIMITED

Family

Ancillary Benefits

Provider Information

https://myrenbenefitsmanager.com

https://www.coloniallife.com

Other Services

Provider Information

TPA (third-party
administrator)

https://consociate.veriben.net

Pre-Authorization Services

https://www.urmedwatch.com

800-432-8421

Telehealth
Services

https://wmthealth.com/
consociate

Pharmacy
Networks

empirxhealth.com

Specialty Drug
Provider

Focus Rx FAQs

888-902-5533

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