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• <br />L J <br />Section 3 - Proposed Benefits <br />City of Sunny Isles <br />Pharmacy <br />" lans <br />With HMO, QPOS`�, USAccess`' and Golden Medicare p <br />Yes; mail -order drub benefits also available <br />Network <br />Yes <br />Copayment <br />Deductibles No <br />Claim Forms <br />No <br />Self - funded, full -risk prospectively rated <br />Funding OPt ons <br />L A full service program that encompasses ons stadard account <br />Featur es management and member service <br />A Drug <br />utilization review to promote safe and appropriate drug use before, <br />during, and after drugs are dispensed. <br />A Formulary programs that encourage physicians to prescribe <br />therapeutically appropriate cost - effective medications. <br />A, One pharmacy claim system for retail and mail order claims, which lowers <br />administrative costs while helping promote safe drug dispensing. <br />A Plan designs that promote quality dispensing and cost savings, along <br />with member choice. <br />convenience and cost- <br />A Simplified plan administration that <br />for c account and member <br />efficiencies of one -stop shopping <br />services. <br />Agreement or <br />does not constitute a contract. Consult your GroupeAa ee to your plan• <br />material is for informational purposes only and is � ither an offer of coverage nor medical advice. it contains only <br />This m ram benefits and <br />partial, general description of plan or program tute a exclusions and limitations <br />go your contractual provisions, inc procedures, <br />Group Policy to determine g ram are subject to applicable laws, regulations and policies. The availability o a <br />All the terms and conditions of your plan or program <br />plan or program may vary by geographic service health care service and therefore°canno�guaranteebany results or outcomes. <br />p agents o Aetna <br />Aetna U.S. Healthcare does not proved private practice and are neither employees nor ag network <br />Participating providers are independent contractors in p P guaranteed, and provider <br />articular provider cannot be g <br />U.S. Healthcare or its affiliates. The availability of any P without notice. lit case of conflict <br />composition is subject to change without notice. Pint date, it is subject to change <br />While this material is believed to be accurate as of the p <br />between your plan documents and this information, the plan documents will govern. <br />a mmaushc.com <br />l 1 / 1712, <br />