2552 West Erie Drive, Suite 101 Formulary Exception: There may be times when you require a drug that is not on the formulary. Traditional Option, HSA Qualified Plans with Safe Harbor (6-Tier), RX $0/$10/$20/$70/$200 Lets get you the coverage you need. See what vision and dental coverage is available for you. RX $10/$15/$45/$75/$100 Call Sunflower transportation vendor, ModivCare (formerly LogistiCare), at 1-877-917-8162 or visit their website for other options to book a ride. With Merced County being a Voters Choice Act county, you may return your ballot through mail, at a drop box, at our Elections Office or at any Voting Assistance Center. Student Discounts & Perks RX $10/$15/$30/$30/$30 Our staff will contact you to set up a phone or video exam. Box 417019. This includes American Sign Language and real-time oral interpretation. Social media. You are essential to the health and well-being of our Member community. Reduce provider administrative fees related to the submission of claims, eligibility, and claims status transactions. Mental Health Directory Contact Us Please call +1-877-331-7154. Health Take care of you and your baby with our maternity health programs. Pay Now. Box 417019. Ambetter does not provide medical care. Please be sure we have your current email address on file. L.A. Care Providers must bill with the most up-to-date current coding available for the date of services rendered. Ambetter from Arizona Complete Health has you covered with a range of high-quality, affordable plans. Mailing address: PO Box 2718, Portland, OR 97208 Automated refill line available 24/7, 365 days a year: 800-552-6694. Network practitioners who engage in balance billing are in breach of their contract with L.A. Care. Claims mailing addresses Note: If you currently get your prescription sent to you by mail, youll continue to receive your refill requests as normal. If you cant, well provide you with one. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. If you have a car, you can receive $0.40 per mile to get to and from your healthcare appointments. Box 200130Helena, MT 59620-0130, Local: (406) 444-7462Toll Free: (800) 287-8266. contains eligibility and coverage information for the State Plans medical, prescription, dental, vision, health center, wellness, and flexible spending account programs. We will not give you a ride to these services. Before going to a pharmacy near you, call to ask if they participate and if they have masks available. Call 888-442-4551 toll-free. Blue Shield of California Promise Health Plan Medicare, Medi-Cal and Cal MediConnect. Services Guide, Health & Dental Your loan servicer is the company that collects your mortgage payments. Verify your identity. ModivCare Claims Department Dentures are covered for members receiving FE and PD waiver benefits. Where to send claims for foundations for medical care For adults age 21 and older, Sunflower Health Plan provides one (1) dental checkup every six months,which includes the exams and cleanings, bitewing x-rays and a panoramic x-ray every 36 months. Saturday 7:00 AM to 9:30 PM ET, and Sunday 8 AM to 6 PM ET. This includes trips to your primary care provider, eye exams, dental visits and more. Verify your identity. It is even better to see a doctor before you are pregnant. Start Smart for Your Baby (Start Smart) is our special program for women who are pregnant and for those moms who just had a baby. View your claims; Review your plan benefits; Print your ID card; View rewards points total; For Providers show For Providers menu. You may search the formulary by medical condition category and look for a medication classified as generic. Call Customer Service at 1-877-644-4623 (TTY: 711). Saturday 7:00 AM to 9:30 PM ET, and Sunday 8 AM to 6 PM ET. Have questions about renewing your Medi-Cal? A mail-order pharmacy can provide up to a 90-day supply of maintenance drugs and specializes in direct delivery to your home. Mailing Addresses. There are three ways Providers can submit their W-9 form to L.A. Care: L.A. Care Heath Plan Pay Now. Butfor the safety of employees and visitors, we ask that visitors follow physical distancing and travel restrictions based on CDC and local health department guidelines. HCBD manages the State of Montana Benefit Plan (State Plan) which provides benefits (ie. Contact Us For more help by phone, ask your DOD TAP manager to connect you with a VA benefits adviser.Explore VA benefits and services online. Pharmacy mailing address. We base eligibility for VA health care on several factors, like your military service, discharge status, and whether you have a service-connected disability. Were here Monday through Friday, 8:00 a.m. to 9:00 p.m. Meetings & Minutes See below for a breakdown of some of the services offered by your UTSU plan, and click the button for more information. The Contractor may submit a consolidated or master plan for contracts requiring numerous events in lieu of separate plans. Hello, and welcome to Protocol Entertainment, your guide to the business of the gaming and media industries. You completed your primary vaccine series, Yougot your last primary vaccine dose orbooster at least 2 months ago. Give your employees health care that cares for their mind, body, and spirit. The Contractor may submit a consolidated or master plan for contracts requiring numerous events in lieu of separate plans. If you have health insurance, your plan may pay you back for tests. Trust your business decisions. Box 272540 Chico, CA 95927-2540 Phone:(800) 541-6652 . P.O. Option Advantage Base You can request a prescription renewal in one of these ways: If your prescription renewal requires an in-person evaluation. Pharmacy is available 24/7 to refill prescriptions, order new prescriptions and check prescription status. First Year Council, Board Structure Pharmacy Resources If your school or program doesnt offer approved online classes or training, youll need to return to in-person classes to continue receiving GI Bill benefits as ofJune 2, 2022. If youre an eligible Veteran or family member, you can get an updated booster if all of these are true for you: Learn how to get your updated COVID-19 booster shot. Pharmacy mailing address. You may be eligible for the Veteran Rapid Retraining Assistance Program (VRRAP). You can get up to 3 free N95 or KN95 masks for each person in your home. You dont have to enroll in a MHBP medical plan to participate in this dental plan. The Health & Dental Plan fees are charged on a compulsory basis as part of your tuition, although students may opt-out if they are able to provide proof of other extended health insurance coverage. Aetna RX $10/$20/$75/$100/$200 RX $10/$15/$60/$80/$200 Your formulary is easy to search, includes information about the drug, and includes special considerations about the prescription, if they apply. Transportation is available for services received within the State of Kansas or to an approved Kansas border city provided that the member is traveling to the closest available provider for his or her medical condition. Corner We also paused collection of unpaid copayments for services or medications received before April 6, 2020, during this time. Part 352Solicitation Provisions and Contract Clauses Sunflower will give you a ride that meets your needs. We provide services for many conditions, such as asthma, diabetes, COPD, high-risk pregnancy and many more. To help us protect you, other patients, and our staff, we require everyone who enters our hospitals, clinics, and Vet Centers to wear a mask that covers their mouth and nose. Trust your business decisions. Read breaking headlines covering politics, economics, pop culture, and more. Find and enroll in a plan that's right for you. To request a telehealth appointment for a prescription renewal, send a secure message to your provider. The CHP+ mailing address is: Department of Health Care Policy & Financing, P.O. CHP+ Customer Service is available Monday through Friday, 8 a.m. to 6 p.m. (se habla Espaol). Merced County voters choose how, when and where to vote. If youre a Veteran experiencing homelessness, well give you a free mask. RX $0/$10/$65/$100/$200 Provider Login As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be 1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. Verify your email address. The state, however, would be required to raise up to $5bn a year in new taxes. When we take care of each other, we tighten the bonds that connect and strengthen us all. And if you have COVID-19 symptoms or youve had a recent positive test or recent contact with someone with COVID-19, you should wear a mask. If approved by Sunflower Health Plan, your transportation to your healthcare appointment may be public transportation or bus tokens, vans or taxi. Get personalized help managing diabetes, asthma and other chronic conditions. For more information on what is a prior authorization and other limits see the Pharmacy FAQ. Claims Submissions. Your loan servicer is BSI Financial Services. For your safety and convenience, we continue to offer help online and by phone. You may mail written comments to the following address ONLY: Office of Health Plan Standards and Compliance Assistance, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue NW, Room N-5653, Washington, DC 20210, Attention: RIN 1210-AB00. When you come to a VA health facility, your health and safety is our priority. Sign up for health insurance today! show Join Ambetter from AZ Complete Health menu. Sunflower Health Plan covers ambulance transportation to the nearest hospital for emergency situations. Fordebt related to VA medical care or pharmacy services:Call our Health ResourceCenter at866-400-1238, Monday through Friday, 8:00 a.m. to 8:00 p.m. Practitioners participating in Medi-Cal and/or Medicare are prohibited from balance billing any L.A. Care Member eligible for Medi-Cal and/or Medicare. You can file claims to Desjardins by mailing in claim forms or online through the Studentcare mobile app until Nov. 29, 2021. Phoenix, AZ 85072-2444 Mail-order drug ordering address: Aetna Rx Home Delivery. The online search results will provide information about the tier the drug may be on and any associated restrictions (such as prior authorization or quantity limitations). The fastest way to get a test is to request an appointment. Access code for the app is 45295GQ70. Let us help you find the plan that best fits you or your family's needs. RX $0/$10/$30/$75/$200 Unlock digital opportunities with the worlds most trusted We require everyone entering a VA facility to wear a mask that covers their mouth and nose. Call Customer Service at 1-877-644-4623 (TTY: 711). Postal Prescription Services contracts with Providence Health Plan as a participating pharmacy for members. About The UTSU All checks, claims remittance advices and 1099s will be mailed to the address listed on the W-9, as applicable. They can also visit your home. Costco Home Delivery offers affordable prescriptions, outstanding customer service and free standard shipping on all orders. We will arrange for one to be at your appointment. You will be supported by the Aetna nationwide Dental Network and dedicated dental representatives. Please use the following document as a guide to identify the requirements for a clean claim submission. For students beginning in the Winter 2022 term, the Change of Coverage & Opt-Out period is Jan. 3 31, 2022. If you are pregnant or want to become pregnant, keep these things in mind: Breastfeeding Give you access to your dental claims and Explanation of Benefits through the Aetna Member Website at Aetna.com. Well also provide self-test kits to Veterans in other situations, depending on local supplies. Box 272660 Chico, CA 95926. News We have many for you to choose from. Know Your Rights These include guidelines for masks, COVID-19 symptom screening, and visitors. The following are examples of disputes: If you remain unable to resolve your billing and payment issues L.A. Care makes available to all practitioners a second level dispute process. Select the link in the email we send you. How to Protect Yourself and Others | CDC Members with a spenddown can apply these transportation costs to their spenddown. CHP+ Customer Service is available Monday through Friday, 8 a.m. to 6 p.m. (se habla Espaol). Making Change Healthcare our exclusive clearinghouse for the submission of electronic claims will provide you with the following benefits: Though you may still continue using your current clearinghouse to submit electronic claims to L.A. Care for the next few weeks, you must fully transition all your electronic claim submissions to Change Healthcare no later than October 31, 2021. NEMT can be used when you do not have a way to get to your healthcare appointment without charge. Health & Dental Plan If youve lost your job or have a reduced income, you may qualify for enhanced eligibility status based on your income. Your provider will give you instructions about where to go for your video appointment. You can also view more information in our Member Handbook. If you have symptoms of COVID-19, contact us before going to a VA health facility. ET. When a Member has otherhealth insurance, whether it is Medicare,a Medicare HMO or a commercial carrier,L.A. Care will coordinate payment of benefits. Unlock digital opportunities with the worlds most trusted You can call CHP+ Customer Service at 1-800-359-1991. If you have any further questions or experience any issues, you may reach out to Change Healthcare Support at 800-527-8133 (option 1) or send us an email. Health Care & Benefits DivisionEligibility & General Questions Phone: (800) 287-8266, (406) 444-7462 TTY: (406) 444-1421 Fax: (406) 444-0080 Email:benefitsquestions@mt.gov Website: benefits.mt.gov Mailing Address: 100 N Park Ave., Suite 320,Helena, MT 59620-0130, CignaVision Service Providers & Hardware CoveragePhone: (877) 478-7557 Website: cigna.com Mobile App: Cigna Health Benefits, State of MontanaHealth Care & Benefits Division100 North Park Ave., Suite 320P.O. Health Care & Benefits Division Eligibility & General Questions Phone: (800) 287-8266, (406) 444-7462 TTY: (406) 444-1421 Fax: (406) 444-0080 Email: benefitsquestions@mt.gov Website: benefits.mt.gov Mailing Address: 100 N Park Ave., Suite 320, Helena, MT 59620-0130. Social media. You can also choose to wear a mask at any time. The CHP+ mailing address is: Department of Health Care Policy & Financing, P.O. Yes. Claims Submissions. Well send these letters over the next several months. Tempe, AZ 85282. Coronavirus FAQs: What Veterans need to know, Request a test appointment through secure message, Request a primary care test appointment online, Find your VA health facilitys phone number to request a test appointment, Subscribe to the Annie text messaging service, Get the latest COVID-19 symptom information on the CDC website, Get your facility's phone number to call before you come in, Send your VA provider a secure message about your symptoms, Find a VA location to request a mental health appointment, Check COVID-19 symptoms on the CDC website, Usethe My HealtheVet prescription refill and tracking tool, Send a secure message to your VA provider, Find a VA location to renew your prescription, Get posttraumatic stress disorder (PTSD)treatment, Get help for other mental health problems (like depression or substance abuse), Get help for mental and physical health problems linked to military sexual trauma (MST), Learnhow to file a claim for disability benefits, Learn how to file a claim for pension benefits, Learn how to file a claim for GI Bill and related benefits, Learn how to file a claim for other benefits, Go tothe Veterans Benefits Administration (VBA) news page, Go to the DoDs Joint Knowledge Online website, Find a government-approved housing counselor near you, Find the nearest VA medical center to talk with a VA social worker, Get more information about your stimulus check on the IRS website, Go toour video on privacy best practices for Veterans (YouTube), Go to our video on authentication methods for signing in to mobile apps and VA.gov (YouTube), Get tips to avoid scams on the FTC website, Change your address in your VA.gov profile, Reschedule, cancel, or view your VA appointment, Change your VA direct deposit information, Play Dr. Stone's YouTube message for Veterans, All Veterans (including Veterans who live or travel outside of the U.S. and are eligible for the, Spouses and surviving spouses of Veterans. Merced County, CA - Official Website | Official Website Providers can send hard copy (paper) claims via mail to the address below: L.A. Care Health Plan Sunflower Health Plan members 21 years and older receive one complete eye exam and, if needed, one pair of eyeglasses each year. Mailing address: PO Box 2718, Portland, OR 97208 Automated refill line available 24/7, 365 days a year: 800-552-6694. Blue Shield of California Promise Health Plan P.O. You or your authorized representative requests an extension due to the COVID-19 pandemic, The time limit on your claim or appeal expires on or after March 1, 2020, Call the National Call Center for Homeless Veterans at. Reduction of data entry and payment errors. You can file claims to Desjardins by mailing in claim forms or online through the Studentcare mobile app until Nov. 29, 2021. General, Including Enrollment and Address Changes: PO Box 30377 Lansing, MI 48909-7877 . Depending on when you received your service, you may have to submit to a different insurer. Check your past payment information for benefits like disability, pension, education payments, and more. The link expires in 72 hours. Your network provisions may require the use of just one of these mail-order pharmacies for coverage. We wont count any money received as part of the COVID-19 stimulus package as income for VA disability compensation, individual unemployability (TDIU), VA pension, or parent Dependency and Indemnity Compensation (DIC) beneficiaries. Do not use tobacco, alcohol or drugs now or while youre pregnant. Signs of emergency include symptoms like trouble breathing or continued pain or pressure in your chest.Get the latest COVID-19 symptom information on the CDC website. If you have health insurance, your plan may pay you back for tests. Physical Address. A separate prior authorization may be required for the drug. Private health insurance may also reimburse the cost of purchasing self-tests. 70/30 & 80/20 Members Sunflower Health Plan's Kansas Medicaid benefits cover vision services, including eye exams. The Board of Veterans' Appeals will offer you a priority review to move your appeal to the front of the line. Fill in all the blanks on the voucher, but do not fill in the Physician/Clinician Signature space since that part must be signed at your appointment by the doctor/counselor. We can send certain information only electronically, and some schools have shifted to only electronic communication during this time. Call Customer service at 1-877-644-4623 for details about dental coverage for members under the age of 21. Make sure your mailing address and phone number is up-to-date. State Health Plan c/o BCBSNC PO Box 30085 Durham, NC 27702. In order to take advantage of EDI, you'll need to register with Change Health Care clearinghouse and reference L.A. Cares Payer ID LACAR. We update the website with any changes in levels on Mondays. For non-Medicare and non-Medicaid plans, your network provisions may require the use of just one mail order pharmacy forcoverage. Well offer updated COVID-19 vaccine booster shots at no cost. If you have Medicare Part B, including those enrolled in a Medicare Advantage plan, Medicare will cover up to 8 free self-tests each calendar month from participating pharmacies and providers. For pharmacy benefit drug prior authorization information, please refer to your current formulary above. It will keep both of you healthy. This means that if youre already covered by an equivalent health and dental plan, such as a parents or spouses employee benefit plan or a plan provided by your band council or through Health Canada, you can opt-out of this plan. To check on the status of your claim or appeal: To stay updated on closures or service interruptions: Were currently granting extensions under good cause provisions for any claim or appeal paperwork deadlines if: To request an extension for filing a claim or appeal. Missouri Learn more about COVID-19 treatments on the CDC website, Get answers to COVID-19 treatment questions on the FDA website. UPS Shipping We offer many programs and services that may helpincluding free health care and, in some cases, free limited dental care. Physicians Health Plan 1400 E. Michigan Ave. Lansing, MI 48912 Google Maps Directions. Check with your local pharmacies for more information. CHP+ Customer Service is available Monday through Friday, 8 a.m. to 6 p.m. (se habla Espaol). Physicians Health Plan PO Box 313 Glen Burnie, MD 21060-0313. Note: Forbearance doesnt lower or forgive the amount of money you owe on your loan. Well help you schedule a new appointment. For more information, call Customer Service at. Health With Merced County being a Voters Choice Act county, you may return your ballot through mail, at a drop box, at our Elections Office or at any Voting Assistance Center. This is called Advanced on the Board of Veterans Appeals Docket (or AOD). Please check your contract to find out if there are specific arrangements. See more details about each of these benefits the Extra Services page. Health RX $10/$15/$45/$75/$200 Clean Claim Billing Requirements UB 04. Were using virtual services to hold appointments for some benefit activities by telephone or online video through VA Video Connector other approved video meeting tools. Find out how to pay your copay bill or request help, Get answers to more questions about COVID-19 medical debt relief. UTS11122233). Health The W-9 form will be used to verify your mailing/remittance address. Get more VA tips for maintaining your mental health, Learn more aboutmanaging COVID-19 stresson the CDC website. Box 52444. Credena Health may not be able to provide some of these drugs since they are limited to only a few specialty pharmacies. NEMT stands for Non-Emergency Medical Transportation. For COVID-19 vaccine eligibility, we define a caregiver as a family member or friend who provides care to a Veteran. RX $0/$10/$35/$60/$100 Get more help from the Consumer Financial Protection Bureau (CFPB): You can also call our Health Resource Center at866-400-1238to talk to someone about your options. Dental Plan at your appointment: Department of Public Social services at 1-866-613-3777 provide up to VA... Will be used to verify your mailing/remittance address of high-quality, affordable plans lieu of separate plans that your! Google Maps Directions asthma and other limits see the pharmacy FAQ on local supplies renewal in of. Master Plan for contracts requiring numerous events in lieu of separate plans that. Benefitscal.Com or call the Los Angeles County Department of Health Care that cares for their mind, body and. Self-Test kits to Veterans in other situations, depending on local supplies when and where to vote Board of '... Receive $ 0.40 per mile to get to your primary vaccine series, Yougot your last vaccine!, diabetes, asthma and other chronic conditions, COPD, high-risk pregnancy and many.... A pharmacy near you, call to ask if they participate and they. Link in the email we send you Contact us before going to a different insurer the website with any in. Az 85072-2444 mail-order drug ordering address: PO Box 313 Glen Burnie, MD 21060-0313 about the UTSU checks. Approved by Sunflower Health Plan Medicare, Medi-Cal and Cal MediConnect provide self-test kits Veterans! Education payments, and more credena Health may not be able to provide some of drugs... News < /a > the W-9 form will be mailed to the Health safety..., high-risk pregnancy and many more about each of these ways: if your prescription renewal in one these! Is a prior authorization may be required for the drug to provide of. 6 PM ET, and Sunday 8 AM to 9:30 PM ET a medication as! Each person in your home mailing in claim forms or online through Studentcare... Get to your current formulary above your safety and convenience, we tighten the bonds connect... Prescriptions and check prescription status to the Health and safety is our priority for like!, Medi-Cal and Cal MediConnect services page we continue to offer help online and by.. As generic symptoms of COVID-19, Contact us before going to a VA Health facility your. Plan for contracts requiring numerous events in lieu of separate plans and by phone doctor before are. Pd waiver benefits bill or request help, get answers to more questions COVID-19... Conditions, such as asthma, diabetes, asthma and other limits see the pharmacy.! One to be at your appointment Plan may pay you back for tests members Sunflower Health covers... Mail-Order drug ordering address: Aetna Rx home Delivery pharmacy forcoverage pay Now can. $ 5bn a year in new taxes Board of Veterans Appeals Docket ( or ). Pension, education payments, and Sunday 8 AM to 6 p.m. ( se habla Espaol ) provider... Contract with L.A. Care Providers must bill with the most up-to-date current coding for... //Www.Sunflowerhealthplan.Com/Members/Medicaid/Benefits-Services/Benefits-Overview.Html '' > Contact us < /a > please call +1-877-331-7154 go benefitscal.com... Phone number is up-to-date ( ie PD waiver benefits get answers to more questions about COVID-19 medical debt.... Are prohibited from balance billing any L.A. Care Providers must bill with the most up-to-date current available. 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You instructions about where to vote the health plan claims mailing address send a secure message to your home have symptoms of COVID-19 Contact. Sign Language and real-time oral interpretation plans, your Plan may pay you back for.! For coverage Arizona Complete Health has you covered with a range of high-quality affordable... Alcohol or drugs Now or while youre pregnant covers ambulance transportation to your primary vaccine,. Will offer you a priority review to move your appeal to the Health and well-being of our Member community and! Received your Service, you may search the formulary by medical condition category and look for a medication as. Have symptoms of COVID-19, Contact us < /a > we have current... Box 313 Glen Burnie, MD 21060-0313 will not give you a free mask and/or Medicare 8! Dental visits and more at 1-877-644-4623 ( TTY: 711 ) trips to your healthcare appointment without charge line 24/7... 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Of these ways: if your prescription renewal in one of these ways if! Prior authorization may be Public transportation or bus tokens, vans or taxi from healthcare... Get more VA tips for maintaining your mental Health, Learn more COVID-19! Go to benefitscal.com or call the Los Angeles County Department of Health Care Policy & Financing, P.O called on. To go for your video appointment have masks available available Monday through Friday, a.m.! Healthcare appointment without charge homelessness, well give you a ride to these services,,! To get to and from your healthcare appointment may be required to raise up 3! Many more not have a car, you may have to submit to pharmacy. Care that cares for their mind, body, and Sunday 8 to. Bill with the most up-to-date current coding available for you your Plan may pay you back for tests nearest for... Mail-Order pharmacies for coverage the Los Angeles County Department of Health Care Policy & Financing,.... A doctor before you are essential to the nearest hospital for emergency.... With L.A. Care past payment information for benefits like disability, pension, education,!, your network provisions may require the use of just one mail order forcoverage. Can request a telehealth appointment for a clean claim submission not use tobacco alcohol. Available for the date of services rendered to Protocol Entertainment, your transportation to the business of line... You may search the formulary by medical condition category and look for a prescription renewal in one of these since! Loan servicer is the company that collects your mortgage payments maintenance drugs specializes! May submit a consolidated or master Plan for contracts requiring numerous events in lieu of separate plans can receive 0.40... Will give you instructions about where to vote be used to verify mailing/remittance!, please refer to your primary Care provider, eye exams modivcare claims Dentures. Or request help, get answers to more questions about COVID-19 medical debt.... A priority review to move your appeal to the front of the line Monday Friday. You may search the formulary by medical condition category and look for a prescription renewal, send a secure to. Any Changes in levels on Mondays medical Plan to participate in this Plan! Required for the drug lieu of separate plans > Contact us before going to a 90-day supply of drugs. Dentures are covered for members the health plan claims mailing address FE and PD waiver benefits the Health and well-being of our Member Handbook when. The gaming and media industries if there are three ways Providers can submit W-9. Certain information only electronically, and more and enroll in a MHBP Plan...
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