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Authorization for Release of Information
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Small Group Dual Option
$5/$20/$60 Pharmacy Benefit
New High Deductible PPO Plans
HMO Plans
POS Plans
PPO Plans
Prescription Plans
Childhood Immunizations/Well Visit - 4 Year
At the age of 4 years, children should receive Diphtheria, Tetanus, Pertussis, Inactive Polio, Measles, Mumps and Rubella immunizations.
myCHAinfo
With myCHAinfo, accessing your information - safely
and securely - when you need it - 24 hours, 7 days a
week - is easy. From benefits to claims to
authorizations to ordering a new ID card, it's all
here at your fingertips.
Suffering from Heartburn?
Try Prilosec OTC™.

No prior authorization required
CHA Health will pay with a precription only
Members pay only first-tier copayments for up to 60 tablets per month

For more information, call (800) 457-5683.
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