31-90 Day Supply Included for Mail Order Delivery. All medical and hospital services not specifically covered in, or which are limited or excluded by, your plan documents Summary This material is for informational purposes only and is neither an offer of coverage or medical advice. It contains only a partial, general description of plan or program benefits and does not constitute a contract. All the terms and conditions of your plan or program are subject to applicable laws, regulations and policies. The availability of a plan or program may vary by geographic service area.
All benefits are subject to coordination of benefits.