Blue Choice HMO Benefits - Harford County Public Schools

2. A Member who has entered her second trimester of pregnancy may continue to
receive Covered Services from the terminated Contracting Provider through
postpartum care directly related to the delivery.
3. A Member that was terminally ill (as defined by § 1861(dd)(3)(A) of the Social
Security Act) at the time the Contracting Provider’s agreement terminated may
continue to receive Covered Services directly related to the treatment of the
terminal illness until the Member dies.
11.6 CareFirst BlueChoice Personnel Availability for Prior Authorization.
CareFirst BlueChoice requires prior authorization for certain medical treatment as stated in the
Contract. Check the specific description of the Covered Services for a notice regarding prior
authorization. CareFirst BlueChoice shall have personnel available to provide prior authorization
at all times when such prior authorization is required.
MD/GHMSI/CFMI BC (R. 10/10)
CareFirst BlueChoice
Harford County Public Schools 40 7/1/2011