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Ste. Genevieve County Memorial Hospital

Tier 1

Provider Information

& All Employed and Affiliated Physicians

stegenevievehospital.org/FindADoc/

Deductibles

$0

Employee

$0

Family

Max Out of Pocket

$1,250

Employee

$2,500

Family

Tier 2

Provider Information

Download Tier 2 Provider Spreadsheet

bjccenterofexcellence.org/providers

sehealth.org

Deductibles

$1,000

Employee

$2,000

Family

Max Out of Pocket

$3,000

Employee

$6,000

Family

Tier 3

Provider Information

https://www.healthlink.com/ipf **

Deductibles

$3,000

Employee

$9,000

Family

Max Out of Pocket

$7,950

Employee

$15,900

Family

** HealthLink OAIII may include 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 multi-plan 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

$6,000

Employee

$18,000

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)

consociate.veriben.net

Pre-certification
Vendor

Precedence

800-361-1492

Pharmacy
Networks

empirxhealth.com

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