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WHAT DOES THE IRON ROAD DEPENDENT SUPPLEMENTAL …

WebThe Dependent Supplemental Plan (DSP) is available to current Challenger Plan Members for their eligible dependents. 2022 Dependent Supplemental Plan

Actived: 2 days ago

URL: https://my.ironroad.com/wp-content/uploads/2023/03/2022-DSP-Brochure.pdf

Iron Road Healthcare: Challenger Plan

WebIron Road Healthcare: Challenger Plan Coverage Period: 01/01/2022-12/31/2022 Summary of Benefits and Coverage: What this Plan Covers & What You Pay or fCovered Services …

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IRON ROAD HEALTHCARE leave plan information plan year …

WebIron Road Healthcare Leave Plans | 2024 Page 2 Qualifying Event | Approved Medical Leave of Absence In most cases, the first 12 weeks (three months) of your medical leave …

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Annual Notice of Change

WebRead your 2023 Evidence of Coverage (it has details about next year's benefits and costs) This Annual Notice of Changes gives you a summary of changes in your benefits and …

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Summary of Benefits

Web2023 Summary of Benefits. The following is a summary of your Iron Road Healthcare (sponsored by UPREHS) HCPP Part B Medicare Health Cost Plan & Medicare Part A & …

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IRON ROAD HEALTHCARE

WebThis booklet is the plan document for the IRON ROAD Challenger Health Plan for Active Employees (“Plan”). It also serves as the Summary Plan Description (“SPD”) of the Plan …

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Iron Road Healthcare Medicare Part D Prescription Drug Plan …

WebS8841_22_MC-DS01_C_UNP . Iron Road Healthcare Medicare Part D Prescription Drug Plan (PDP), Medicare Prescription Drug Plan Your 2022 Evidence of Coverage . …

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Active Challenger Plan Summary Plan Description

WebPO Box 161020 Salt Lake City, UT 84116-1020 Phone: 1-800-547-0421 Fax: 801-595-4399 IRON ROAD HEALTHCARE 60/30 Plus Plan Summary Plan Description and Plan …

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2022 Summary of Benefits

WebIron Road Healthcare Plan Summary of Benefits 2022 . 2022 Summary of Benefits . The following is a summary of your benefits for 2022. For more detailed information, please see

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ERMMB Plan At-A-Glance 2020

WebSkilled nursing 20% Durable medical equipment 20% Hospice care 20% Speech therapy 20% Chiropractic 20% Physical therapy 20%

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2019 UPREHS 60/30 Plus SPD

Web2022 60/30 Plus Members Plan (SPD) 10/7/2021 . IRON ROAD HEALTHCARE . PLAN TELEPHONE NUMBERS & ADDRESSES . Care Coordinators . P.O. Box 161020 . Salt …

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Iron Road Healthcare Medicare Part D Prescription Drug Plan …

WebThis formulary was updated on February 1, 2023 and is a partial listing of drugs covered by our plan. For a complete listing or if you have questions, please …

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Summary Annual Report

WebThis is the summary annual report for the UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS, EIN 94-6001323, Plan number 501 for the period January 1, 2021 …

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ERMMB Plan At-A-Glance 2020

WebSkilled nursing* 20% Durable medical equipment (limited) 20% Hospice care* 20% Speech therapy 20% Chiropractic 20% up to $600 Physical therapy 20% up to $1500

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Iron Road Healthcare Medicare Part D Prescription Drug Plan …

WebLast Updated: August 2023 1 Iron Road Healthcare Medicare Part D Prescription Drug Plan (PDP) Your 2024 Comprehensive Formulary (list of covered drugs)

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2023 IRHC PRE-CERTIFICATION LIST INPATIENT AND …

Webiron road healthcare | p.o. box 161020 salt lake cit, utah 84116-1020 | p: 801-595-4300 irhe.com irhc pre-certification list inpatient and outpatient services

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Prescription Reimbursement Request Form

WebPrint page 2 of this form on the back of page 1. Send completed form with pharmacy receipt(s) to: OptumRx Claims Department, PO Box 650334, Dallas, TX 75265-0334. …

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