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Frequently Asked Questions » SAMBA

WebGender Reassignment Surgery to Treat Gender Dysphoria Supported by a Qualified Mental Health Professional: You, your representative, your doctor or facility must call …

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URL: https://www.sambaplans.com/health-benefit-plan/faqs/

Insurance Plans for Federal Employees & Retirees » SAMBA

WebEstablished in 1948, SAMBA provides peace of mind to active and retired federal employees by offering an array of insurance plans. Included are the SAMBA Health Plan (FEHB), …

Category:  Health Go Health

SAMBA and Medicare » SAMBA

WebIf you are age 65 or older, or otherwise entitled to Medicare, SAMBA offers additional protection from the high costs of health care. Whether you are still working or retired, …

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SAMBA Federal Employee Benefit Association

WebSAMBA is a not-for-profit federal employee benefit association with an array of insurance plans to meet your needs – including the comprehensive SAMBA Federal Employee …

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High Option – Summary of Benefits » SAMBA

WebPrescription Benefits. Telehealth Benefits. United Healthcare Medicare Advantage Plan. Express Scripts Medicare PDP. Summary of Rx Benefits. — High Option. — Standard …

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Medicare Advantage » SAMBA

WebCall our dedicated UnitedHealthcare SAMBA Medicare Advantage line at 1-866-794-6791, TTY 711, 8 a.m. to 8 p.m. local time, 7 days a week. SAMBA is a not-for-profit federal …

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A Fee-for-Service Plan (High and Standard Option) with a …

WebHealth Benefits law. Customer service may be reached at 800-638-6589 or 301-984-1440 (for TTY, use 301-984-4155) or through our website: www.SambaPlans.com. The …

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COVID 19 Benefit Information » SAMBA

WebThe Biden-Harris Administration has announced an end to the Public Health Emergency related to the coronavirus disease-2019 (COVID-19). Based on this announcement, …

Category:  Coronavirus Go Health

Medicare PDP » SAMBA

WebTo learn more about the Express Scripts Medicare PDPfor the SAMBA Health Benefit Plan. Call Express Scripts Medicare Customer Service at 1-800-473-0694, TTY 1-800-716 …

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Eligibility » SAMBA

WebEligibility. Who can enroll: All federal employees and annuitants, regardless of employing agency, can enroll in most of our plans, including the SAMBA Health Benefit Plan as well …

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SAMBA Health Benefit Plan 2020

Webof Personnel Management, as authorized by the Federal Employees Health Benefits law. Customer service may be reached at 800-638-6589 or 301-984-1440 (for TTY, use 301 …

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How to File a Medical Claim » SAMBA

WebHome » Health Benefit Plan » How to File a Medical Claim. In most cases, physicians and facilities will file claims for you. Physicians must file on the form CMS-1500; hospitals …

Category:  Medical Go Health

Telehealth » SAMBA

Web2022 Standard Option. PPO: You pay nothing for the first 2 visits per calendar year; $15 copayment per telehealth service beginning with the 3rd visit. (No deductible) Non-PPO: …

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About SAMBA » SAMBA

WebSAMBA is a not-for-profit federal employee benefit association with an array of insurance plans to meet your needs – including the comprehensive SAMBA Federal Employee …

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Precertification » SAMBA

WebContact SAMBA at 800-638-6589 or 301-984-1440 (for TTY, use 301-984-4155) for prior authorization and/or additional information regarding services for genetic testing. …

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Dental & Vision » SAMBA

WebSAMBA’s Dental & Vision Plan is available to active and retired federal employees and their families. Choice of two plan options – DMO or PPO, both include vision benefits. Switch …

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Health Care Professionals » SAMBA

WebSAMBA offers Health Care Providers a more efficient way to check eligibility, view claims status, and receive payment and remittance advices. Online Eligibility and Claim Status …

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SAMBA Standard Option Brochure

Web2022 Standard Option Benefits. # Family practice, general practice, internal medicine, pediatrics, obstetrics/gynecology, or geriatrics. This is a summary of the SAMBA Health …

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Disputed Claims Process » SAMBA

WebTo make your request, please contact our Customer Service Department by writing SAMBA, 11301 Old Georgetown Road, Rockville, MD 20852-2800 or calling 800-638-6589 or 301 …

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Identification Card » SAMBA

WebShow your SAMBA ID card whenever you receive services from a Plan provider or fill a prescription at a Plan pharmacy. If you did not receive your ID card (s) or if you need a …

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