in the network. If the pharmacy is not listed, you will likely have to select anew pharmacy for your 
prescriptions. 
Review the formulary to make sure your drugs are covered.  
Understanding Important Rules 
Benefits, premiums and/or copayments/co-insurance may change on January 1, 2024. 
Except in emergency or urgent situations, we do not cover services by out-of-network providers 
(doctors who are not listed in the provider directory).