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2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Complete (PPO) Chapter 4: Medical Benefits Chart (what is covered and what you pay) 103 Services that are covered for you What you must pay when you get these services in-network and out-of-network information, see Chapter 9, What to do if you have a problem or complaint (coverage decisions, appeals, complaints).) Please contact Customer Service for more information. Chapter 5 explains the Part D prescription drug benefit, including rules you must follow to have prescriptions covered. What you pay for your Part D prescription drugs through our plan is explained in Chapter 6. Naturopathic services $30 copayment for each visit* We cover unlimited routine naturopathic visits. Naturopathic medicine is a type of alternate medicine that focuses on self-healing, as well as treating and preventing diseases without the use of drugs. It uses techniques such as diet, exercise, massage, lifestyle changes and natural therapies to improve your body's ability to prevent and fight disease. You can find more information about this benefit later in this chapter (Section 4.5, Naturopathic services) 24/7 Nurse Support Receive access to nurse consultations and additional clinical resources at no additional cost. There is no coinsurance, Obesity screening and therapy to promote sustained weight loss copayment, or deductible for If you have a body mass index of 30 or more, we cover preventive obesity screening intensive counseling to help you lose weight. This and therapy. counseling is covered if you get it in a primary care setting, where it can be coordinated with your comprehensive prevention plan. Talk to your primary care doctor or practitioner to find out more.

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