Coverage
extended healthcare
- Active
- Sequence
- 99
- RX Id
- MDF12345
- RX BIN
- 987654
- RX Group
- M35PT
- RX PCN
- 234516
- Period
- 23 May 2011 – 23 May 2012
- Policy holder
- Subscriber
- Patient on file
- Beneficiary
- Patient on file
Details
- Identifier
- 12345
- Dependent
- 0
- Relationship
- self
- Payor
- Organization on file
- Class
- Group:CB135
- Name
- Corporate Baker's Inc. Local #35
SubGroup:123- Name
- Trainee Part-time Benefits
Plan:B37FC- Name
- Full Coverage: Medical, Dental, Pharmacy, Vision, EHC
SubPlan:P7- Name
- Includes afterlife benefits
Class:SILVER- Name
- Silver: Family Plan spouse only
SubClass:Tier2- Name
- Low deductable, max $20 copay
Summary from source
A human-readable rendering of the coverage