Plan Brochure

Plan Brochure

NEW! 2019 PCABP Plan Brochure:

To our Members

Changes to this Plan

  • Your share of the premium will increase for Self Only, Self Plus One, and Self and Family. Please refer to the back cover of this brochure.
  • We have extended the age of skin cancer behavioral counseling to persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer. See page 31
  • We have eliminated FFS US enrollee cost sharing for maternity care services (prenatal care, delivery, and postnatal care); they are now covered at 100% under FFS US. Previously it was covered at 100% only for POS option. See page 33.

Clarifications

  • All opioids will require prior approval. See page 57
  • We have updated Section 5(a) Preventive Care, children to show the USPSTF recommendation to cover that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive intensive behavioral interventions to promote improvements in weight status. There is no cost sharing for POS members and for enrollees who reside in the United States under FFS US option. See page 31
  • We have updated Section 5(a) Preventive Care, adult to show USPSTF recommendation to cover exercise interventions to prevent falls in community dwelling adults 65 years or older who are at increased risk for falls. There is no cost sharing for POS members and for enrollees who reside in the United States under FFS US option. See page 29
  • We have updated Section 5(a) Preventive Care, adult to show the mammography screening benefit by age. See page 29
  • We have updated Section 5(a) Maternity care to show the complete maternity care benefit coverage. See page 33.

 

*This is a summary of the features of the Panama Canal Area Benefit Plan. Before making a final decision, please read the Plan’s Federal brochure (RI 72-004). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure..

2019

2019 Plan Brochure English

2018

2018 Plan Brochure English                                AJAC'S BYLAWS 2010

AJAC'S BYLAWS 1999

 
Member's Rights and Responsabilities