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How the Maroon Plan Works

When You Must Pre-certify Care

Information You Will Need When You Call

You will be asked to provide the following information:

The covered employee’s name and Social Security number.

Employer name (University of Chicago).

Group medical plan number (refer to your I.D. card).

The patient’s name, address, date of birth and Social Security number.

If surgery is recommended, the type of surgery and length of stay.

Hospital name, address and telephone number.

Date of planned admission or date you were admitted for an emergency.

Doctor’s name, address and phone number.

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While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.

 

 



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