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Plan Documents & Amendments
Summary of Material Modifications
June 2020 SMM – Medical Benefit Improvements
May 2020 Eligibility for Active Employees & Treatment for COVID-19 for Anthem PPO Members
COVID-19 Testing Benefits Changes – Effective March 18, 2020
Dec 2019 SMM – Clarifications to Maximum Allowable Charges for Certain
Changes to WellDyneRX Formulary & New Opioid Management Program – Effective January 1, 2019
WellDyneRX 2019 Clinical Focus Formulary (English)
WellDyneRX 2019 Clinical Focus Formulary (Spanish)
Assignment Rules – Effective September 25, 2018
Changes to DC16 Health Plans & Healthy Rewards – Effective January 1, 2018