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WHAT IS COVERED

Case Management for Catastrophic Conditions

If you require extensive medical treatment for a catastrophic illness or injury, the Claims Administrator may offer case management services to assist you and your physician in developing a treatment plan for your condition and in arranging the services necessary to effectively implement that treatment plan. If you and your physician agree to accept this assistance, all services rendered under the treatment plan will be treated as In-Network services, even if some of the services would ordinarily have been Out-of-Network.

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