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Page numbers referenced within this brochure apply only to the printed brochure

QualChoice

www.qualchoice.com
Customer Service 800-235-7111

2024



IMPORTANT:
  • Rates
  • Changes for 2024
  • Summary of Benefits
A Health Maintenance Organization (High and Standard Option) and Point of Service Product

This plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page 7 for details. This plan is accredited. See page 12.

Serving: Entire State of Arkansas.

Enrollment in this plan is limited. You must live or work in our geographic service area to enroll. See page 13 for requirements.

Enrollment codes for this Plan:

DH1 High Option-Self Only
DH3 High Option - Self Plus One
DH2 High Option - Self and Family

DH4 Standard Option - Self Only
DH6 Standard Option - Self Plus One
DH5 Standard Option - Self and Family

Federal Employees Health Benefits Program seal
OPM Logo