The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

PBP 2008 Data Entry System Screens

Section D – Optional Supplemental – Out-of-Network - 7b – Chiropractic Services Screen

Section D – Optional Supplemental – Out-of-Network - 7f – Podiatry Services Screen

Section D – Optional Supplemental – Out-of-Network - 10b – Transportation Services Screen

Section D – Optional Supplemental – Out-of-Network - 16a – Preventive Dental Services Screen

Section D – Optional Supplemental – Out-of-Network - 16b – Comprehensive Dental Services Screen

Section D – Optional Supplemental – Out-of-Network - 17a – Eye Exams Screen

Section D – Optional Supplemental – Out-of-Network - 17b – Eye Wear Screen

Section D – Optional Supplemental – Out-of-Network - 18a – Hearing Exams Screen

Section D – Optional Supplemental – Out-of-Network - 18b – Hearing Aids Screen

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