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Full EPO Plans Summary of Benefits Optional Benefits  Disclosures
Full EPO Zero Admit 20 English (PDF, 989KB)
Spanish (PDF, 169KB)

Hearing aid (PDF, 990KB)
Base infertility 50% (PDF, 994KB)
Additional infertility 50% (PDF, 994KB)
Additional infertility 80% (PDF, 994KB)
Additional infertility 95% (PDF, 994KB)

Spanish
Hearing aid (PDF, 753KB)
Base infertility 50% (PDF, 109KB)
Additional infertility 50% (PDF, 109KB)
Additional infertility 80% (PDF, 109KB)
Additional infertility 95% (PDF, 109KB)

English (PDF, 25KB)
Full EPO Zero Admit 30 English (PDF, 1MB)
Spanish (PDF, 169KB)

Hearing aid (PDF, 990KB)
Base infertility 50% (PDF, 994KB)
Additional infertility 50% (PDF, 994KB)
Additional infertility 80% (PDF, 994KB)
Additional infertility 95% (PDF, 994KB)

Spanish
Hearing aid (PDF, 753KB)
Base infertility 50% (PDF, 109KB)
Additional infertility 50% (PDF, 109KB)
Additional infertility 80% (PDF, 109KB)
Additional infertility 95% (PDF, 109KB)

English (PDF, 25KB)
Full EPO Per Admit 10-250 English (PDF, 1MB)
Spanish (PDF, 169KB)

Hearing aid (PDF, 990KB)
Base infertility 50% (PDF, 994KB)
Additional infertility 50% (PDF, 994KB)
Additional infertility 80% (PDF, 994KB)
Additional infertility 95% (PDF, 994KB)

Spanish
Hearing aid (PDF, 753KB)
Base infertility 50% (PDF, 109KB)
Additional infertility 50% (PDF, 109KB)
Additional infertility 80% (PDF, 109KB)
Additional infertility 95% (PDF, 109KB)

English (PDF, 25KB)
Full EPO Facility Coinsurance 20-20% English (PDF, 1MB)
Spanish (PDF, 170KB)

Hearing aid (PDF, 990KB)
Base infertility 50% (PDF, 994KB)
Additional infertility 50% (PDF, 994KB)
Additional infertility 80% (PDF, 994KB)
Additional infertility 95% (PDF, 994KB)

Spanish
Hearing aid (PDF, 753KB)
Base infertility 50% (PDF, 109KB)
Additional infertility 50% (PDF, 109KB)
Additional infertility 80% (PDF, 109KB)
Additional infertility 95% (PDF, 109KB)

English (PDF, 25KB)
Tandem EPO Plans Summary of Benefits Optional Benefits  Disclosures
Tandem EPO Zero Admit 20 English (PDF, 977KB)
Spanish (PDF, 169KB)
 

Hearing aid (PDF, 990KB)
Base infertility 50% (PDF, 994KB)
Additional infertility 50% (PDF, 994KB)
Additional infertility 80% (PDF, 994KB)
Additional infertility 95% (PDF, 994KB)

Spanish
Hearing aid (PDF, 753KB)
Base infertility 50% (PDF, 109KB)
Additional infertility 50% (PDF, 109KB)
Additional infertility 80% (PDF, 109KB)
Additional infertility 95% (PDF, 109KB)

English (PDF, 25KB)
Tandem EPO Zero Admit 30 English (PDF, 977KB)
Spanish (PDF, 169KB)
 

Hearing aid (PDF, 990KB)
Base infertility 50% (PDF, 994KB)
Additional infertility 50% (PDF, 994KB)
Additional infertility 80% (PDF, 994KB)