Scribd Logo
Upload

Welcome to Scribd!

  • 15 views

    Alessandro G Cordova: Friday Member

    Uploaded by

    kev alex
    Alessandro Cordova has a Friday Bronze Copay health insurance plan through Friday Health Plans of Oklahoma. The plan has a $9,100 deductible and $0 copays for primary care, mental health visits, and in-patient hospital stays after the deductible is met. Specialist visits have a $150 copay and urgent care visits have a $175 copay.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Alessandro G Cordova: Friday Member

    Uploaded by

    kev alex
    15 views2 pages
    Alessandro Cordova has a Friday Bronze Copay health insurance plan through Friday Health Plans of Oklahoma. The plan has a $9,100 deductible and $0 copays for primary care, mental health visits, and in-patient hospital stays after the deductible is met. Specialist visits have a $150 copay and urgent care visits have a $175 copay.

    Original Description:

    Original Title

    3765404d8545422d5c052c30cc13d8ba

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Alessandro Cordova has a Friday Bronze Copay health insurance plan through Friday Health Plans of Oklahoma. The plan has a $9,100 deductible and $0 copays for primary care, mental health visits, and in-patient hospital stays after the deductible is met. Specialist visits have a $150 copay and urgent care visits have a $175 copay.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    15 views2 pages

    Alessandro G Cordova: Friday Member

    Uploaded by

    kev alex
    Alessandro Cordova has a Friday Bronze Copay health insurance plan through Friday Health Plans of Oklahoma. The plan has a $9,100 deductible and $0 copays for primary care, mental health visits, and in-patient hospital stays after the deductible is met. Specialist visits have a $150 copay and urgent care visits have a $175 copay.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    Friday Member:

    ALESSANDRO G CORDOVA
    Plan: Friday Bronze Copay + Primary Care Visit: $0 Copay
    Vision Exam X Specialist Visit: $150 Copay
    ID: 200467073-01 Mental Health Visit: $0 Copay
    Group: Individual OnEx FHP-OK Urgent Care Visit: $175 Copay
    Rx Bin: 610852 In-Patient Hospital: $0 Copay after Ded.
    Rx PCN: CHM Emergency Room: $0 Copay after Ded.
    Rx Group: JD27 VSP Vision: $0 Copay, 1 Exam Per Yr.
    Deductible: $9,100 Effective: 01/01/2023

    HMO OK OID
    Pre-auth is required for all hospital admissions and other additional
    services. Call 844-817-1600 for pre-auth and full list.
    fridayhealthplans.com Submit claims to:
    Friday Care Crew: 844-817-1600 Friday Health Plans PO Box
    questions@fridayhealthplans.com 21594 Eagan, MN 55121
    Pharmacy--Provider: 844-922-7799
    Pharmacy--Member: 844-922-7799
    Medical Fax: 888-453-1262

    Call for out-of-network approval. This card


    does not guarantee benefits or eligibility.
    Friday Health Plans of Oklahoma, Inc.

    You might also like