September 6, 2010
Effective December 1, 2006 - Human Papilloma Virus vaccinations
November 1, 2006 Summary Plan Description.
Section 4.3.4 - Covered Charges with Special Limitations - HPV Vaccine
Effective December 1, 2006, vaccines for Human Papilloma Virus (HPV) will be covered when administered in accordance with generally acceptable medical guidelines by an in-network HMO or PPO provider. The deductible and co-payment will be the same as for other covered services. There is no benefit if the vaccine is administered by a non-network provider.
Back to Plan Updates
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