Weve found that two categories of vaccines are often administered outside FDA and ACIP recommendations: those to prevent HPV and those to prevent shingles caused by the herpes zoster virus. Learn about preventive health care services covered at Anthem. You can now get more vaccines under Part D at no cost to you. BOSTON August 19, 2021 Blue Cross Blue Shield ofMassachusetts("Blue Cross") today confirmed it will cover, with no cost share to members, the administration of a third booster dose of COVID-19 mRNA vaccines, pending authorization from the U.S. Food and Drug Administration (FDA) for the general population and in accordance with all federal and state guidance. Everyone is different, though. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1000 Deductible with Copayment and HCCS If you are over 50 and had chickenpox, ask your doctor when you should get the shingles vaccine. 1-800-262-BLUE (2583). Medical necessity is determined by the members PCP. Third party brand names are the property of their respective owners. Members must refer to their Evidence of Coverage or Certificate of Insurance or Policy for plan/policy coverage of preventive health benefits. Log In to the Shopping Cart, Need to Make a Payment? It's recommended that everyone receive routine vaccinations depending on age and medical history. Zostavax may also be covered by Medicare prescription drug insurance (Part D), but again, you should check to be sure. Questions about coronavirus and Medicare? A new vaccine to keep shingles away from older Canadians costs about $400. Syphilis. This new site may be offered by a vendor or an independent third party. You can also refer the member to the pharmacy for the vaccine. These visits are a great way to check in with your health. Shingles vaccine will apply. For patients between 15 and 45 years old, ACIP recommends three doses. Medicare will cover vaccine administration for Medicare Advantage and Medex members when administered by any clinician who accepts Medicare. Some plans may place the vaccine in Tier 1 (meaning great coverage and lower copays) while others may put it under Tier 3 (typically lower coverage and higher copays). It was removed from the 2021 ACIP adult immunization schedule. Help Center. If you aren't clear about any of the underlined terms used in this form, see the Glossary. Advocates are calling for provincial health care plans to cover it. Click here to see the full list of recommended immunization for adults. with Dental Blue Pediatric Essential Benefits, HMO Blue Premium The shingles vaccination is a Medicare Part D pharmacy benefit, which requires the member to pay in advance of reimbursement. The site may also contain non-Medicare related information. 2015 Blue Cross and Blue Shield of Massachusetts, Inc. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1000 Deductible with Coinsurance Insulin users will pay no more than $35 for a month's supply and will not be subject to the deductible. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). One of the best ways to prevent shingles is with the two-dose vaccine given six months apart. Call your local CVS Pharmacy for the exact cost. Details drug coverage for Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO) in Minnesota. During your visit, your doctor will determine what tests or health screenings are right for you based on factors such as your age, gender, health status, and health and family history. So do Medicare Advantage plans that include a prescription drug benefit. Depression. 3 You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Medicare and geriatric care expert, Alex has one motivation behind every word he writes, and thats finding you the best medical coverage for your situation. BlueShield offers a full range of insured, self-insured, and government programs and services covering businesses, families, and individuals, as well as life and disability coverage, dental and vision plans and stop-loss coverage. Also refer to BCBSILs Clinical Payment and Coding Policies (CPCPs) for our Preventive Services Policy (CPCP006).**. Any variance will be noted in the Benefit Booklet. There are more than a dozen vaccines available to you, depending on your situation. To view your coverage policy document, select the size of your employer group, then the plan name listed at the top of your SBC. Outside of work, you can find him hiking with his wife and pup or (occasionally) going to the gym. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. An effective date may be listed beside some of the immunizations. Unlike other vaccines, it can only be covered by Medicare prescription drug plans (Part D). "Blue Cross Blue Shield pays your doctor a . state supplied. BCBSTX covers all medically necessary care that Medicaid covers. Some shots may remain effective your entire life, while others need to be administered multiple times throughout your lifetime. This is covered for females only. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital . The following preventive services and immunizations do not apply to all health plans administered or insured by Blue Cross and Blue Shield of Alabama. Routine Annual Physical Incentive Program, Advisory Committee on Immunization Practices, U.S. Health Resources and Services Administration, American Academy of Pediatrics: Bright Futures, Tubal ligation or tubal occlusion/tubal blocking procedures only. The most convenient way to get care is by requesting a visit on the Teladoc app or online. All rights reserved. Browse our online directory of Preferred providers, urgent care centers, pharmacies and other facilities. Some vaccines, such as Zostavax (shingles vaccine), are only covered with a member cost share under the member's Part D prescription drug coverage (subject to benefit, deductible, and coverage gap). Make sure to get all the screenings and vaccines recommended for your age and gender. CDC.gov, Shingles Vaccine. with Dental Blue Pediatric Essential Benefits, Access Blue Basic Saver You can use your medical coverage and go to an immunizing pharmacy. $0 HDHP-HSA Preventive Drug List (This applies only for Blue Advantage Plus Bronze SM 501 plan) Please note that some drugs may be covered under your health plan's medical benefits instead of your pharmacy . Preventive Care Plans & Guidelines. Shingles vaccination is the only way to protect against shingles and postherpetic neuralgia (PHN), the most common complication from shingles. brand 1 vaccine of 0.5ml Savings Alert: Coupons for vaccines are for the medicine only and do not cover administration fees. This material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Blue Cross Blue Shield of Michigan and Blue Care Network members who want to get vaccinated. SOURCE Blue Cross Blue Shield of Massachusetts. On the other hand, Medicare Part Dor a Medicare Advantage plan that includes Part D coveragetypically does cover the vaccine. with Dental Blue Pediatric Essential Benefits, Access Blue Basic with Dental Blue Pediatric Essential Benefits, HMO Blue New England Premier Value with Coinsurance Blue Cross has already implemented billing codes for both vaccines. The protection of your privacy will be governed by the privacy policy of that site. Here's your 2023 drug list (for coverage that renews or starts on or after January 1, 2022): 6 Tier Drug List. For more information, view our privacy policy. Get the details on the changes and an insulin special enrollment period. Recover reimbursements as per the claim payment recovery process outlined in our participating provider contracts. Your PPO plan covers vaccinations in most cases. Yes. with Dental Blue Pediatric Essential Benefits, HMO Blue New England Options Deductible Shingrix is approved by the FDA. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $1000 Deductible with HCCS Learn about the recommended immunizations for children, adolesnce and adults child . , , TM, SM Registered, Service, and Trade Marks are the property of their respective owners. We can help . 1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Timely vaccinations can help protect your patients health. Available vaccines There are more than a dozen vaccines available to you, depending on your situation. Registered Marks of the Blue Cross and Blue Shield Association. For those who still get shingles after being immunized, the vaccine can reduce pain, including the type of pain that lasts after shingles. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $2000 Deductible with HCCS SOURCE Blue Cross Blue Shield of Massachusetts. Most adults age 50 and older should get vaccinated. Data-driven insights to improve the health of all Americans. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $3000 Deductible We will make updates to your preventive care benefits throughout the year based on the recommendations of the. Individuals attempting unauthorized access will be prosecuted. Pediatrix (a combination of DTaP, IPV, and HepB) Diphtheria, Tetanus, Pertussis (DTaP) vaccination . Sadly, the answer to this question is no, unless you have a prescription plan. Zostavax II has been shown to reduce the risk of getting shingles by 50%. Returning Shopper? Zostavax is covered for those age 60 and older, while Shingrix is covered for those age 50 and older. As a Service Benefit Plan member, everyone on your plan can access a wide range of preventive care servicesat no costwhen seeing a Preferred provider. Recommended adult vaccinations What's the difference between HMO and PPO plans? It requires two doses. Once: Diphtheria/Tetanus/Pertussis (DTaP) About 75% of these cases are in people who have never been immunized or those who are in old age. How do I know what I'm covered for? Youre given a series of vaccinations as a child, but your immunity can fade over time and new diseases can develop. Consistent with our promise to always put our members first, we are rated among the nations best health plans for member satisfaction and quality. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. with Dental Blue Pediatric Essential Benefits, HMO Blue $2000 Deductible Surprisingly, Original Medicare (Parts A and B) doesn't cover the shingles vaccine, even though it covers other vaccines like the flu vaccine and pneumonia shot. This includes: Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers Blue Cross Blue Shield of Massachusetts Covers COVID-19 Vaccines at No Cost to Members Coverage includes Pfizer/BioNTech vaccine and any other COVID-19 vaccines that receive emergency use authorization from the FDA (including Moderna's mRNA-1273) with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $500 Deductible Hepatitis B. Rubella immunity. Every Part D plan is different, so your copay for a shingles vaccine could vary from one insurance plan to another. For patients between 9 and 14 years old, ACIP recommends two or three doses. Medicare covers vaccine administration for Medicare Advantage and Medex members when administered by any clinician who accepts Medicare. What is a Medicare Supplement (Medigap) Plan? One option is Adobe Reader which has a built-in reader. Preventive Care Routine Annual Physical Incentive Program Coronavirus Update The member then submits the prescription drug claim form to their Medicare Part D plan for reimbursement. Vaccinations Working to close immunization gaps across all age groups in the U.S. Reports Stories Resources The Centers for Disease Control and Prevention recommends an annual influenza vaccination for everyone 6 months and older. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Basic $2000 Learn More Early cancer detection helps prevent the need for extensive treatment. with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic $2000 with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic $2000 with HCCS with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic Saver with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic Saver II It's also one of the easiest ways you can stay healthy. You can also find information in the benefits booklet you received separately. Access Your Payment Options. We are committed to the relentless pursuit of quality, affordable and equitable health care with an unparalleled consumer experience. We cover a range of voluntary family planning services at no cost, limited to these services. The best way to know how much a shingles vaccine may cost you is to call your insurance provider and ask. Most Medicare drug plans cover at least 50 percent of a drug's retail price. The full price for two doses of the shingles vaccine is around $324. Two different kinds of shingles vaccines are covered: Zostavax (zoster vaccine live), which was first approved by the FDA in 2006 and Shingrix (recombinant zoster vaccine), approved by the FDA in 2017. Any questions regarding those organizations should be addressed to them directly. PRice ranges for the shingles vaccine Shingrix (given as two shots): Deductible copay: free to $164 for each shot. Involve your patients in the decision to vaccinate. The protection of your privacy will be governed by the privacy policy of that site. Immunizations are important for all ages. Your member ID card is your key to using your medical plan benefits. The second dose should be two to six months after the first. The shingles vaccination is a Medicare Part D pharmacy benefit, which requires the member to pay in advance of reimbursement. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $2000 Deductible To view this file, you may need to install a PDF reader program. 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 5 (401) 274-4848 WWW.BCBSRI.COM 90689 Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. "Since the COVID-19 vaccines first became available, weve been committed to supporting widespread vaccination in our communities," saidDr. Sandhya Rao, chief medical officer at Blue Cross. Watch this video to take a closer look at your preventive care benefits and see how they can help you stay on top of your health. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Basic Coinsurance 3 of 11 Highmark Blue Cross Blue Shield: Community Blue PPO Coverage Period: 01/01/2016 - 12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-866-594-1729 or visit us at www.highmarkbcbs.com. with Dental Blue Pediatric Essential Benefits, HMO Blue New England Saver $2000 It will protect you against most strains of the fluif you do get sick, your symptoms will be less severe and youll recover faster. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Does Medicare Cover Cover Vision, Cataract Surgery or Glasses? In June 2019, ACIP recommended catch-up vaccinations for women and men through age 26 years. *Applies to Blue Cross plan members with coverage through the Blue Cross Pharmacy Vaccine Network. with Dental Blue Pediatric Essential Benefits, Access Blue Select Saver $2000 Shingles vaccine: Shingles is painful condition that affects the nerves and causes blisters and a rash with a burning sensation. The company has taken significant stepsto expand access to care throughout the duration of theCOVID-19public health emergency andinvested more than $218 million to support its members, customers, clinical partners, and the community throughout the pandemic, including $101 million in premium refunds and anticipated rebates. It's more than 90% effective in preventing illness,. In addition, some sites may require you to agree to their terms of use and privacy policy. We provide health insurance in Michigan. Important Information About Medicare Plans. UseFind a Doctorto find one near you. The federal government has purchased vaccines to be distributed to the states. with Dental Blue Pediatric Essential Benefits, HMO Blue New England Premier Value with HCCS FDA approved in 2017, Shingrix is the leading preventive tool against shingles (herpes zoster virus). Service & Support; FAQs; Find an Event; Public Service Recognition; About Us; 1 results found for search term : shingles. . Annual physical exams and other preventive services are free when you use a Preferred provider. Select Your Gender. Since every insurance plan is different, each Part D plan provides varying degrees of coverage for the shingles vaccine. As of October 2018, the FDA approved Gardasil 9 for women and men ages 9 to 45 years old. To make sure you're covered: Once you know whether you're covered, you can get vaccinated by: If you don't have prescription coverage through us, your vaccine may still be covered. References to third party sources or organizations are not a representation, warranty or endorsement of such organizations. See if your insurance plan coversflu shots. They will then make a coverage determination within 24 hours of receipt of sufficient medical records. Read our guidelines to help avoid common illnesses & diseases year round. (Eloy Alonso/Reuters) It's a painful viral infection . Learn more here. Whether in or outside of our service area, members should be able to receive a flu shot from in-network . Peak months for the flu season in Michigan . How to Enroll in a Medicare Supplement (Medigap) Plan, Medicare Supplement Plan F Changes for 2020. COVID-19 vaccine. 4 Tier Drug List. Premera Blue Cross Medicare Advantage members generally pay less for Part D vaccines when they are administered at an in-network preferred pharmacy. Many travel vaccines are not covered including: Typhoid; Malaria; Rabies; Breast cancer mammography screenings for . Most Medicare Advantage (Part C) plans offer prescription drug coverage, including many commercially available vaccines that Original Medicare (Part A and Part B) doesn't cover. with Dental Blue Pediatric Essential Benefits, HMO Blue New England Options Deductible II Compare vaccinations. If you haven't met your deductible, you will be responsible for the full cost of your vaccine. Thats why its important for you to get the latest flu vaccine annually. Stanford Health Care and its physicians are in-network with out of state Blue Cross/Blue Shield plans, as long as the plan uses the nationwide network of providers. Diabetes. with Dental Blue Pediatric Essential Benefits, Access Blue New England Saver $3000 ", HMO Blue $1000 Deductible It causes a painful blistering skin rash. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $3000 Deductible with HCCS with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1000 Deductible with Coinsurance and HCCS Members should consult the Commonwealth of Massachusetts' COVID-19 Vaccine Resource Centerand talk to their primary care provider about how, when, and where to get vaccinated. About Blue Cross Blue Shield of Massachusetts Vaccines are remarkably effective, inexpensive and easy to get. Protect Your Health with Vaccinations - Blue Cross and Blue Shield's Federal Employee Program Back to BlueNews Protect Your Health with Vaccinations Vaccines can prevent or reduce your risk of developing deadly diseases. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1000 Deductible with HCCS There are two ways to add Part D prescription drug coverage to your Medicare health insurance: Sources: 1. Vaccines We reimburse contracted providers for covered immunization services, including necessary supplies. If you're using Medavie Mobile, just hit the Coverage button and you'll be . Not Registered? Blue Cross & Blue Shield of Rhode Island (BCBSRI) does not provide reimbursement to the provider for biologicals for immunizations that are supplied by the DOH or any other state or federal agency. Start by scheduling regular check ups with your primary doctor. The flu is not just a single virus, its multiple strains that change every year. Here's what everyone should know about shingles vaccines. with Dental Blue Pediatric Essential Benefits, HMO Blue Select Saver $2000 Zoster vaccine live (ZVL, Zostavax) has been used since 2006, and recombinant zoster vaccine (RZV, Shingrix) has been used since 2017, and is recommended as the preferred shingles vaccine. with Dental Blue Pediatric Essential Benefits, HMO Blue Select $2000 Deductible However, the amount you need to pay usually depends on your insurance. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1500 Deductible with HCCS ACIPs recommendations include immunization schedules for children and adolescents as well as adults, which can be found on the CDC website. For this reason, its always good to check your plans formulary (or call your insurance company directly) to see which vaccines they cover and which tier those medications fall under. Staying up to date on your immunizations can reduce your risk of contracting serious illnesses. Flu Shot Finder Infographic February 25, 2021 Eligibility.com LLC. Registered Marks of the Blue Cross and Blue Shield Association. The Advisory Committee on Immunization Practices released a recommended adult immunization schedule that can give you a good idea of what vaccinations you may need. It was removed from the 2021 ACIP adult immunization schedule. "Our goal is to remove any doubt about insurance coverage. CDC recommends that adults 50 years and older get two doses of the shingles vaccine called Shingrix (recombinant zoster vaccine) to prevent shingles and the complications from the disease. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices RH (D) blood type and antibody testing. You typically must work directly with the government to qualify for your program or benefits. If you need to find a Preferred provider near you, be sure to use our National Doctor and Hospital Finder tool. We are committed to the relentless pursuit of quality, affordable health care withan unparalleled consumer experience. This website and its contents are for informational purposes only. Use their interactive map to find a flu shot near you. Insurance Basics with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1000 Deductible with Copayment Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. At a designated retail pharmacy Medicare does not provide coverage After a $35 calendar-quarter deductible: . A prescription may be required to cover Here's why: Misleading claims that Blue Cross Blue Shield is paying doctors to meet child vaccination quotas have been spreading across social media. At Blue Cross Blue Shield of Massachusetts we offer you Healthy Blue, a group of programs, discounts and savings, resources, and tools to help you get the most you can from your health care plan. Please contact the pharmacy to make sure these services are available or if you have questions. If you need the shingles vaccine and prescription drug coverage, see our guide on how to find the best Part D plan for you, or learn more about Part D first. Medicare Part B does cover preventive vaccinations that include getting flu shots, pneumonia shots, COVID-19 vaccinations and Hepatitis B shots. This new site may be offered by a vendor or an independent third party. The focus right now should be solely on a widespread public health vaccination campaign so we can rein in this global pandemic.". with Dental Blue Pediatric Essential Benefits, HMO Blue New England $2000 Deductible Eligibility.com is a DBA of Clear Link Technologies, LLC and is not affiliated with any Medicare System Providers. The second dose should be two to six months after the first. Here are the most common diseases you can get vaccinated against: Looking for information about flu vaccinations? Shingrix and Zostavax help prevent shingles and its complications: The summary of the ACIP changes to the adult immunization schedule are in the Feb. 12, 2021, Morbidity and Mortality Weekly Report. Blue Cross Blue Shield of Massachusetts provides a Summary of Benefits and Coverage (SBC) with online access to the corresponding coverage policy to all of our fully insured members and accounts. "Vaccines are the best tools we have to protect us against COVID-19, and we want to make it easy for our members to get vaccinated, so we can all do our part to get back to the people and places we love, and help end this global pandemic., Vaccine Requirement for Entering Blue Cross Buildings. Hematocrit/hemoglobin (Blood count) HIV. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Basic Copayment Thus, you have to enroll in a Medicare Advantage plan or a stand-alone Part D drug plan to cover the costs. Most employer sponsored group plans will include this network, especially if they have employees located in multiple states. Log in for our Immunizations payment policy and the fee schedule for drugs and vaccines. Most Independence Blue Cross members with prescription drug coverage will pay $0 for a flu shot at an in-network pharmacy or provider. Members will not need a referral, precertification, or preapproval to get their seasonal flu vaccine. You can also refer the member to the pharmacy for the vaccine. We use cookies on this website to give you the best experience and measure website usage. Since 99% of people in the US have chicken pox by age 40, and since the risk of shingles increases with age, the Centers for Disease Control recommends that every healthy adult over 50 get Shingrix.1 Shingrix is over 90% effective at preventing shingles and postherpetic neuralgia, making it the preferred shingles shot.2 But for those who may be allergic to Shingrix, another shingles vaccine, Zostavax, can be used. The flu Coverage is subject to age and frequency of immunization recommendations issued by the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP). Individual costs and coverage vary from plan to plan. Blue Cross Blue Shield of Massachusetts (bluecrossma.org) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. Medicare ensures at-risk people can receive vaccinations at a minimal cost. Shingles is caused by a once dormant chickenpox virus rearing its ugly head to give you a painful rash that can last for up to four weeks. Since vaccines are preventive care, they come at no cost to you when visiting providers in FEP's vaccine network. If you have any questions, call Member Service at the number on the front of your ID card. Preventive Care. Check out the changes and updates to our plan in 2023. Vaccines can prevent or reduce your risk of developing deadly diseases. For as many as one. * Effective date of service 12/01/2006 FluMist is included as a covered influenza virus vaccine (Coverage is limited based on the specific FDA labeling), Measles, Mumps, Rubella, and Varicella Vaccine, Adult Tetanus and Diphtheria Toxoids (Absorbed), Diphtheria, Tetanus, Acellular Pertussis and Hemophilus Influenza B Vaccine, Diphtheria, Tetanus Toxoids, Acellular Pertussis Vaccine, Hepatitis B, and Poliovirus Vaccine, Inactivated, Diphtheria, Tetanus Toxoids, Acellular Pertussis Vaccine, Hemophilus Influenza Type B, and Poliovirus Vaccine, Inactivated, Diptheria, Tetanus Toxoids, Acellular Pertussis Vaccine and Poliovirus Vaccine, Inactivated, Hepatitis B Vaccine (Active Immunizations), Hepatitis B and Hemophilus Influenza B Vaccine (Active Immunization), Human Papilloma Virus (types 6, 11, 16 and 18); Gardasil, Effective date of service 09/01/2006.
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