Sunday, October 20, 2019

Blue Cross Blue Shield Requirements

Federal employees the Federal Employee Program covers roughly 56 million members making it the largest single health plan group in the world. Pharmacy and Prescription Plans.

Blue Cross Blue Shield Medicare Supplement Insurance Reviews

The Blue Cross Blue Shield Federal Employee Program is the top choice of US.

Blue cross blue shield requirements. Federal employees retirees and their families. Blue Cross Blue Shield of Massachusetts must receive a written request with all required documents 15 business days prior to the requested anniversary date. The changes upgrading ANSI v4010 to ANSI v5010 and ICD-9 to ICD-10 are required by a new directive from the US.

These guidelines are based on established evidence-based standards of care publicized by specialty societies and national clinical organizations. Must have a minimum of 25 individual policies within a 12 month period or have prior approval from Blue Cross and Blue Shield management to use our information or logo. You are age 65 or above.

Blue Cross and Blue Shield reserves the right to audit and revoke any usage. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield. Get a Free Quote.

Our STAR Kids plan provides Medicaid services for children and youth age 20 and younger with disabilities. Department of Health and Human Services HHS. Select Blue Cross Blue Shield Global or GeoBlue if you have international.

As part of our mission to improve and protect the healthcare system particularly under the threat of the CoronavirusCOVID-19 the Blue Cross Blue Shield Association is focused on protecting members from fraudsters who seek to take advantage of the fear and confusion many feel surrounding the coronavirusCOVID-19 during these uncertain times. Professional Credentialing and Recredentialing Guidelines for physicians and other professionally licensed practitioners. In the United States Puerto Rico and US.

Blue Cross commercial PPO only. One more step so we can get you to the right vaccine information. Blue Cross Blue Shield members can search for doctors hospitals and dentists.

Health Care Reform Requirements For groups purchasing or renewing coverage with effective dates after September 23 2010 all plan designs will meet applicable federal health care reform requirements. WASHINGTON Blue Cross Blue Shield Association President and CEO Scott Serota issued the following statement today regarding the administrations rules on health care cost transparency. Get a Free Quote.

Blue Cross and Blue Shield of Illinois BCBSIL is committed to providing you with the resources you need to collaborate with us in providing excellent service to your BCBSIL patients. This health plan is available to children age 18 and younger and pregnant women who do not qualify for Medicaid and live in the Travis Service Area. This page provides Blue Cross Blue Shield of Michigans authorization requirements including information that applies to.

Information on requesting authorization Blue Cross PPO commercial. Our credentialing requirements and guidelines. Which type of plan do you have.

O Individual Markets Producers. If you have prescription drug coverage through Blue Cross and Blue Shield of Illinois learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You are disabled and have received disability benefits from Social Security or Railroad Retirement Board RRB benefits.

Enrolling more than half of all US. Clinical Practice Guidelines CPGs and Preventive Care Guidelines are adopted by Blue Cross and Blue Shield of Texas BCBSTX and are the foundation for selected Condition Management Programs. 7 day initial supply limit applies.

Advertentie Compare 50 Global Health Insurance Plans for Expats living abroad. The means by which Blue Cross and Blue Shield of Texas BCBSTX exchanges member data with providers will change dramatically over the next several years. Outside the United States.

7 day initial supply limit applies. Unfortunately the rules the administration released today will not help consumers better understand what health services will cost them and may not advance the broader goal of. This section of the website is designed to provide you with manuals documents procedures policies and regulations so that you have the.

Medicare Plus Blue SM PPO. The limits are 3 tablets per day for 5mg and 10mg strengths and 40mg soluble tablet or 30 mLs of the 5mg5ml solution or 15mLs of the 10mg5ml solution or 3 mL of the 10 mgmL concentrated solution per day. For Blue Cross PPO commercial members.

The limits are 3 tablets per day. Advertentie Compare 50 Global Health Insurance Plans for Expats living abroad. You are generally entitled to Medicare if you meet any of the following criteria.

Saturday, October 19, 2019

What Is Bcbs Epo Plan

EPO managed health care plans provide for the payment of benefits only when the member utilizes providers in the BlueChoice Network. An Exclusive Provider Organization is designed for integration of a healthcare plan health providers and an insurance company.

Appendix 2 Bluecard Program

A Blue Dental EPO plan only covers services from in-network PPO dentists.

What is bcbs epo plan. The SBC shows you how you and the plan would share the cost for covered health care services. Like a PPO you do not need a referral to get care from a specialist. Lets understand the difference between the PPO and EPO before shopping the Covered California plans.

EPO stands for exclusive provider organization and doesnt cover any out-of-network care. Overall the combination of its low premiums and low cost-sharing make EPOs a good choice for many people. You will pay a copayment for some covered services like doctor visits prescription drugs urgent care visits and emergency care just to name a few.

This network includes doctors hospitals labs and other providers that either have a contract with the health plan or in some cases are employed by the health plan. The more a plan pays for out-of-network care the higher your monthly payments will be. Plans differ as to whether youll have coverage for healthcare services from providers who arent in their network.

BlueNet EPO members also have access to BlueCard PPO providers when outside New Mexico. HMOs PPOs EPOs and POS plans all have provider networks. EPOs generally offer a little more flexibility than an HMO and are generally a bit less pricey than a PPO.

The plan offers a local network of doctors and specialists in your area in which you can choose from. Similar to a PPO a member can make an appointment with any doctor in the network. They will use the Blue Cross and Blue Shield of New Mexico PPO provider network to access contracted doctors hospitals and other health care professionals within New Mexico.

Information about the cost of this. If you have any enrollment questions call us at 1-888-288-2738. Empire epo Empires EPO an Exclusive Provider Organization provides all active and non-Medicare retirees access to the Blue Cross and Blue Shield Association.

What is an Exclusive Provider Organization EPO. Many people have an understanding of what a PPO is but much fewer could answer what is an EPO plan. Exclusive Provider Networks are a hybrid between the PPO and HMO model.

An Exclusive Provider Organization or EPO is a type of health insurance plan in which members must utilize doctors and providers within the EPO network except in case of a medical emergency. This reduces costs so your monthly payments will be lower. An EPO plan manages cost by improving quality and health of members by using select providers networks.

The Blue Shield EPO plan covers medical care including preventive visits lab work and specialist services only when rendered by a provider in the Blue Shield PPO network. The Summary of Benefits and Coverage SBC document will help you choose a health plan. The member doesnt need a primary care physician for most visits to a specialist.

You dont have to choose a primary care provider or get referrals for specialists but its recommended that you have a doctor who can help guide your care. EPO Advantage Blue Deductible With an EPO plan you receive benefits only when you use preferred providers except for covered emergency care. One of the most significant advantages to an EPO is participants dont need a referral from a primary care physician to see a specialist.

Having an EPO also requires you to actively get involved in planning expensive services or procedures and leaves you primarily responsible for completing any prior authorizations required. An EPO or exclusive provider organization is a bit like a hybrid of an HMO and a PPO. Blue Cross and Blue Shield of Texas BCBSTX offers self-funded clients with more than 500 employees EPO plans.

Which provider network do members use with the BlueNet EPO Plan. Empire Blue Cross and Blue Shield. The EPO shares the HMO design of not recognizing any medical health care expense outside of the.

An EPO plan promotes quality through transparency initiatives and. After you enroll youll get an HSA Welcome Kit. These network providers including physicians specialty care providers hospitals and other health care.

It has information to help you activate and manage your account. EPO Exclusive Provider Organization The EPO Exclusive Provider Organization plan delivers in-network-only benefits through the national BlueCard PPO network. Individual Family Plan Type.

Our BlueCard PPO network links participating doctors and hospitals to Blue Cross and Blue Shield Plans throughout the United States providing a nationwide network of doctors hospitals. City of New York EPO no Rx. Use our Blue Cross Blue Shield of Michigan PPO and EPO HSA Enrollment Form PDF to enroll.

One of the biggest perks of an EPO plan is that you do not always need a referral to see a specialist. Blue Cross Premier Silver Saver. The EPO is now an important term since roughly half the State for certain carriers will have only have EPOs available to them depending on the carrier.

EPO health plans are often more affordable than PPO plans if you choose a doctor or specialist in your local network.

Wednesday, October 16, 2019

Home Shield Logo

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Monday, October 14, 2019

Kaiser Hmo Oregon

Kaiser Permanente health plans around the country. And when you come in for care youll pay just a copay for most services covered by your plan.

Hospitals In Oregon And Washington Kaiser Permanente

Kaiser Permanente health plans around the country.

Kaiser hmo oregon. Kaiser Foundation Health Plan Inc in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia Inc Nine Piedmont Center 3495 Piedmont Road NE Atlanta GA 30305 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc in Maryland. You receive preventive care services at little or no cost to you and online features let you manage most of your care around the clock. Use our online health and drug encyclopedias and locate Kaiser Permanente hospital and medical offices and phone numbers.

You can find the latest information about the COVID-19. Simple copays for most covered. Use our online health and drug encyclopedias and locate Kaiser Permanente hospital and medical offices and phone numbers.

Kaiser Permanente 8 Page HMO Provider Manual 122018 that appropriate corrections can be made to KPs files. While information so far indicates that most cases are mild symptoms appear to be more severe in. This plan received a high rating of 45 out of 5 stars for 2020 Kaiser Permanente Senior Advantage HMO Individual plans.

We apologize if you are unable to reach a representative at this time. Contact us 1503-813-2000 TTY 711 Summary of benefits and coverage for plans offered to individuals families. HDHP HSA-Qualified HMO With your Kaiser Permanente HDHP you receive a wide range of care and support to help you get healthy and stay healthy.

2021 offered by the Oregon Health Insurance Marketplace. Medicare Part D prescription drugs. If you think you are having a medical or psychiatric emergency hang up and dial 911 or go to the nearest hospital.

Find the Kaiser Permanente Washington - Oregon hospital medical center or facility location that you need with our helpful maps and directory. Select a Summary of Benefits and Coverage from the plan listings below. An HMO plan might be right for you if lower costs are important and you dont mind choosing your doctors from within the HMOs network.

Your Agreement requires that you give. Oregon Public Employees Benefit Board PEBB Group Number. We apologize if you are unable to reach a representative at this time.

Kaiser Permanente Oregon Individual Family Plan Documents Contact us 503-813-2000 Portland or 1-800-813-2000. Please notify us in advance and as early as possible of any planned changes to your legal structure including pending merger or acquisition in writing. With your Traditional Plan you get a wide range of care and support to help you stay healthy and get the most out of life.

Mergers and Other Changes in Legal Structure. 18273 Full-Time Employees This Evidence of Coverage is effective January 1 2019 through December 31 2019 Printed. Your Kaiser Permanente Deductible HMO Plan is not just health coverage its a partnership in health.

Theyve also experienced chills or shaking with chills muscle pain headache sore throat and loss of sense of smell or taste. Kaiser Permanente is experiencing very high call volume related to the COVID-19 vaccine. Think lower cost with less flexibility to choose health care providers.

Kaiser Foundation Health Plan of the Northwest A nonprofit corporation Portland Oregon Oregon Public Employees Benefit Board PEBB Traditional Plan Evidence of Coverage Group Name. Latest updates about the vaccine testing how to protect yourself and get care. An HMO gives you access to certain doctors and hospitals within its network.

Kaiser Permanente is experiencing very high call volume related to the COVID-19 vaccine. Areas covered by this plan are noted beneath the tables. There are no deductibles to keep track of and no paperwork to worry about for the services you receive.

You can find the latest information about. January 1 2019 Member. If you think you are having a medical or psychiatric emergency hang up and dial 911 or go to the nearest hospital.

Kaiser Permanente Oregon Medicare health plans rates for 2020. Kaiser Permanente Oregon Small. If you use the Legacy network or any other network of providers and subscribe to Kaiser health insurance you will not be covered by Kaiser Permanente Health Insurance.

Skip to page main content Skip to page footer COVID-19. A PPO plan might be right for you if you already have a doctor or team of specialists you want to continue seeing but might not be in your employers HMO plan network. Find Doctors Locations.

Kaiser health plans of Oregon Kaiser Permanente Health Plans of Oregon is solely an HMO network. Contractor Initiated Termination Voluntary. Kaiser Foundation Health Plan Inc in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia Inc Nine Piedmont Center 3495 Piedmont Road NE Atlanta GA 30305 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc in Maryland.

Patients with COVID-19 have had mild to severe symptoms of fever cough or shortness of breath similar to the flu. A PPO plan is. Use our online health and drug encyclopedias and locate Kaiser Permanente hospital and medical offices and phone numbers.

Most preventive services are covered at little or no cost and there are no referrals required for many specialties.

Sunday, October 13, 2019

Edi Hipaa Compliance

HIPAA EDI Document Standard. Secure EDI Healthcare Solutions.

Securing Hipaa Edi Transactions With As2 Jscape

The Health Insurance Portability and Accountability Act was enacted by the US congress in 1996.

Edi hipaa compliance. The HIPAA EDI Rule defines 3 groups referred to as Covered Entities that must comply with the HIPAA EDI Rule. Instead EDI translationcommunication software is marketed as HIPAA EDI Ready if it has the capabilities. The Covered Entities are Health Plans Health Care Clearinghouses and Health Care Providers.

Simplify your business processes and EDI healthcare transactions with enhanced visibility flexibility and data management with full compliance. EDI 837 transaction set is used by a health care provider to submit an insurance payer healthcare medical claims billing information. The Covered Entities are Health Plans Health Care Clearinghouses and Health Care Providers.

While Highmark EDI Operations accepts HIPAA-compliant transactions from any covered entity HIPAA security requirements dictate that proper procedure is established to. Tier 1 which refers to unknowing violations. When a medical document is converted to a HIPAA EDI transaction set it acquires a standard code and name.

EDI Solutions for Healthcare Industries HQX is the worlds leading enterprise EDI software solution. Under the HIPAA electronic data interchange EDI rule electronic communication exchanges are exchanges of data between two entities to carry out financial or administrative activities related to healthcare. If an intermediary such as a clearinghouse is used to help reformat claims to conform to the HIPAA standard much of the compliance with HIPAAs EDI rules will be met by that entity.

X12 270 and 271 Healthcare Eligibility. X12 837 Healthcare Medical Claims. Common examples of health plans include.

There are four tiers of non-compliance. We are a Health Plan when conducting business activities for certain of its products called covered products. The most commonly used EDI HIPAA transaction in medical practice are.

The Covered Entities are Health Plans Health Care Clearinghouses and Health Care Providers. HIPAA IT infrastructure must meet evolving standards. HIPAA and EDI The Health Insurance Portability and Accountability Act HIPAA was enacted in 1996 to create a variety of regulations in the healthcare industry many of which are related to insurance eligibility and protection for Americans when switching insurance carriers after changing jobs.

With healthcare IT growing the need for federally compliant infrastructure to process and store the electronic protected health information ePHI that is protected by the Health insurance Portability and Accountability Act HIPAA is on the rise as well. HIPAA introduced the X12 270271 pair of EDI transaction sets to automate this important exchange of information so now more and more providers and payers are starting to use it especially since the Affordable Care Act ACA. We are a Health Plan when conducting business activities for certain of its products called covered products.

The HIPAA EDI rule is discussed in greater detail below. To add more complexity this law mandates payers to implement a real-time response solution for common provider request. A key component of HIPAA is the establishment of national standards for electronic health care transactions and national identifiers for providers health insurance plans and employers.

The rule defines the types of EDI transactions subject to HIPAA and specifies the exact format for each transaction record. A common example of such an exchange is a providers sending a claim to say a health plan to request payment for medical services. Any entities covered by the HIPAA EDI Rule should be aware that penalties for non-compliance are high.

It reduces the exposure of private patient records to unauthorized entities while increasing the speed accuracy and efficiency of record-keeping. The HIPAA EDI rule is a set of data transmission specifications. Although organizations rely on HIPAA EDI compatible software to comply with HIPAA EDI standards actual endorsed HIPAA EDI Compliant software does not exist.

Ready to get started with EDI. These specifications govern how data is electronically transferred from one computer to another. I A Health Plan is an individual or group plan that provides or pays the cost of medical care.

The Department of Health and Human Services Office of Civil Rights HHS is responsible for ensuring compliance with the HIPAA EDI Rule. EDI Transaction Standards EDI transaction standards. Text in Blue shows the receiver of the transaction.

Healthcare Electronic Data Interchange enhances compliance with HIPAA guidelines by streamlining the handling of medical records and other sensitive documents. Although the process of initially submitting the claim to the intermediary and the analysis of payments remain under the control of the provider the mechanical process of reformatting the. The regulation defines three groups referred to as Covered Entities that must comply with the HIPAA EDI Rule.

The HIPAA EDI Rule defines 3 groups referred to as Covered Entities that must comply with the HIPAA EDI Rule. The standards are meant to improve the efficiency and effectiveness of the North American health care system by encouraging the widespread use of EDI. Text in Orange shows the sender of the transaction.

Some transactions do not define a specific sender andor receiver.

Anthem Blue Cross Advice Nurse

Call the 247 NurseLine and follow the voice prompts. Anthem Blue Cross And Blue Shield - Nurse Advice Complaints Nov 13 2020 Pissed Consumer.

Provider Communications

TTY users can call.

Anthem blue cross advice nurse. Talk to the member about their health and how theyre handling different parts of their life. Rocky Mountain Hospital and Medical Service Inc. Employees about working as a Utilization Review Nurse at Anthem Inc.

Get a different medical carrier YOULL WASTE YOUR TIME WITH ANTHEM. Nurse Advice Lines In case you are experiencing symptoms that are not life-threatening and are unable to reach your doctor you may call your Health Plans Nurse advice line. Blue Shield of California Promise Health Plan.

This 247 service connects you with registered nurses supported by board-certified physicians that can. The nurse will ask a few questions and give you information to help you decide what to do next. HMO products underwritten by.

GeoBlue Medical Insurance for Travel Short-term and long-term international health plans are available for your urgent travel needs. Always identify themselves with their name title and position with Anthem Blue Cross and Blue Shield Healthcare Solutions. 1-800-224-0336 or TTY 1-800-368-4424.

Read more about how Blue Cross of Idaho is dedicated to being the best choice for healthcare coverage at competitive prices. Culture salaries benefits work. Instead of waiting and worrying call the Nurse Advice Line staffed by experienced nurses 24 hours a day 7 days a week 365 days a year.

Anthem Blue Cross And Blue Shield review rated 1050. Search new and exciting RN jobscareer opportunities at Anthem Inc. If you are a Medi-Cal member with one of our Plan Partners you can call the Nurse Advice Line at.

You can access hundreds of taped health topics in English and Spanish. Apply to Nurse Registered Nurse II Senior Case Manager and more. 1-800-609-4166 TTY 711 Kaiser Permanente.

Get accurate confidential answers to your health. Discuss at-home treatments for minor illnesses and injuries. And if you want a nurse will call you later to see how youre doing.

59 reviews from Anthem Inc. Answer questions about upcoming surgeries and medical tests. Nurse about your health concern.

Use the 247 NurseLine audio library. 711 and Press 2 to speak to a registered nurse for. When we call a nurse or social worker will.

Call 800-535-9700 anytime day or night. Thats why many Blue Cross and Blue Shield companies offer a 24-hour nurse line. Call toll free at 1-800-700-9184 for English or.

Advice Nurse Line. PERSCareChoiceSelect Anthem Blue Cross PPO Customer Service. Our nurses can help you choose the right place.

With a 24 hour nurse line you can call 7 days a week 365 days a year to ask basic health questions and address concerns such as. Tell the member about the services we offer. All advice lines are open 24 hours 7 days a week.

Learn about Anthem Inc. I called 3 times to still NOT GET ANY HELP. Medications and side effects.

Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. The 247 NurseLine nurses can help you in a language you understand. Anthem Blue Cross and Blue Shield is a DSNP plan with a Medicare contract and a contract with the state Medicaid program.

Anthem Blue Cross and Blue Shield is the trade name of. 877 737-7776 Advice Nurse Line. Isnt it nice to know you can.

Dumu psychiatry Psychiatric Nurse Practitioner Nampa ID 83651 208 205-9894 As a psychiatric and mental health nurse practitioner the most significant part of my work is to provide a. Whether its a question about allergies fever types of preventive care or any other topic nurses are always there to provide support and peace of mind. Assistance about a health situation or just to hear.

Share tips for healthy lifestyles. The topic codes can be found in your Member Handbook. Youll need to know the four-digit code to access an audio topic.

Hoosier Care Connect HCC 844-284-1797 TTY 711 Avoid non-emergency care copays at the emergency room ER When HIP and HCC members call the Anthem 247 NurseLine for an emergency and are advised to go to the ER they wont be charged a copay. 855 2518825 Advice Nurse Line.

Thursday, October 10, 2019

Aaa Membership Types

Claims Members I am not receiving printed copies of journals. You are also eligible for service at all Club offices of the Canadian Automobile Association and at affiliated auto club offices in numerous other foreign countries.

Aaa Membership Discover Member Benefits Aaa

Associate Associate memberships are available for 1the Primary Members spouse or one adult age 18 and older living in the Primary Member.

Aaa membership types. An annual membership can cost as little as 53 and as much as 169. Basic or Classic Membership Plan From the name itself this is the cheapest AAA membership that you can get. A discount is available if your spousepartner is already an AA Member and living at the same address as you.

The primary member is the first member in a household. Roadside Assistance becomes active after 7 days. All plans include towing and lockout services plus all other AAA membership benefits.

1 AAA ACG Roadside Assistance Satisfaction Survey Past 12 Months as of May 2019 2 Upon activation and with proper identification AAA will provide regular AAA services and full privileges for the new member. Extended towing miles and enchanced coverage for commuting and more. Membership options Back to top.

16 Zeilen This is a general description of Classic Plus and Premier Membership benefits. AAA has three levels of membership. AAA services here at home are also available to you at every AAA Club and AAA office throughout the United States.

Scroll down to find. 3A Design Architecture. The ultimate in coverage with extended services.

Experience the safety security and peace of mind of AAA - plus great insurance travel savings benefits. We have three Membership options to choose from when you first join. Well get into each tier in more detail a bit later.

Benefits are active immediately after payment is processed with the exception of Roadside. What are the different AAA memberships. Full name is not required.

AAAs most valued membership is the plan for individuals frequently driving more than 5 miles a day. We offer three levels of membership Basic Plus and Premier. Membership dues are billed annually.

AAA offers different membership plans so you can choose the one thats best for you. There are at least three memberships available in this club namely. AAAs pricing depends on where you live and the membership level you select.

Compare AAA Membership Plans. AAA members receive free TripTiks TourBooks maps along with hundreds of discounts and our renown roadside assistance Join Now. AAA Premier Membership home lockout benefit does not cover the cost of any hardware or labor associated with changing removing or replacing locks or making keys.

Obviously this is also the plan with the least benefits. Roadside benefits begin three days after payment of dues. 17 Zeilen AAA services here at home are also available to you at every AAA Club and AAA office throughout the United States.

This is the standard option. When you join you will receive your AAA card indicating your. Member Directory Search by first name or last name or firm name.

Members are responsible for the payment of additional costs and expenses of tows that exceed 5 miles. Who should I contact. Calculate The Best Membership For You.

Up to 50 reimbursement for car locksmith services. AAA membership covers you in any vehicle. We offer four levels of membership Basic Plus Premier and Plus.

Learn about AAA member types here. For the AAA classic membership plan you get. For membership renewal and upgrade pricing see My Account.

The best AAA has to offer with extended towing identity theft insurance and more. 15 Zeilen AAA services here at home are also available to you at every AAA Club and AAA. The Primary Member must be aged 18 or older.

You can call AAA for a referral to a locksmith in your area or you may use a locksmith of your choice. With AAA Plus your towing benefit is extended to 100 miles per tow. It also does not cover lockouts on any doors other than the primary entrance to a residence.

All of the benefits of a Classic Membership plus so much more. There are three membership tiers Classic Plus and Premier and they all are priced differently. Provides 5 miles of towing per breakdown incident.

You are also eligible for service at all Club offices of the Canadian Automobile Association and at affiliated auto club offices in numerous other foreign countries.

Buy Supplemental Dental Insurance

An individual or family that needs coverage for a particular procedure not covered by their dental plan may choose to purchase supplemental...