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There is normally no need for a member to submit claims. If a member needs to submit a medical claim, written proof of services must be furnished to Vantage within ninety (90) days after the charge is incurred.
Vantage plans use a network of doctors, hospitals, pharmacies, and other providers. Because our plan is an HMO-POS plan, you can use Point-of-Service (POS) providers that are outside our network for an additional cost. The maximum benefit for services rendered by POS providers is $5,000.
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