The list of services that require preauthorization is subject to change.
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Welcome to Medicare Visit or thennual ellness isit, along with the nnual outine hysical xam, on the same day from the same PCP, as long as all components of both services are provided and fully documented in the medical record.
In such an event, this Plan may deduct from any pending or subsequent claim made under this Plan any amounts the covered person owes this Plan until such time as cooperation is provided and the prejudice ceases.
Services are subject to all provisions of this Plan, including the limitations and exclusions.