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Provider Page

Sikeston Board of Municipal Utilities

Tier 1

Provider Information

https://www.missouridelta.com

https://www.semohealthnetwork.org

Deductibles

$0

Employee

$0

Family

Max Out of Pocket

$500

Employee

$1,000

Family

Tier 2

Provider Information

https://www.sehealth.org

bjccenterofexcellence.org/providers

Deductibles

$250

Employee

$500

Family

Max Out of Pocket

$500

Employee

$1,000

Family

Tier 3

Provider Information

https://www.multiplan.us **

Deductibles

$700

Employee

$1,400

Family

Max Out of Pocket

$2,000

Employee

$4,000

Family

** MultiPlan PHCS includes providers in their listings that could be in Tier 1 or Tier 2 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

$4,000

Employee

$8,000

Family

Max Out of Pocket

$12,000

Employee

$24,000

Family

Other Services

Provider Information

Pre-certification
Vendor

https://www.urmedwatch.com

888-293-3340

Pharmacy
Networks

https://www.withmehealth.com

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

www.urmedwatch.com

888-293-3340

Pharmacy
Networks

empirxhealth.com

Specialty Drug
Provider

Focus Rx FAQs

888-902-5533

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