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This summary of benefits is intended to highlight the coverage available for participants of the Texas Employees Group Benefits Program (GBP). For a detailed description of benefits, please refer to the Evidence of Coverage. If you should have any questions or need assistance, please contact our Customer Service Representatives at 1-800-829-6440, Monday through Friday, from 8 a.m. to 6 p.m. (Central Time).
The following is a summary of the Copayment amounts, which you and
any dependents must pay when receiving the services listed below.
These services must be performed, prescribed or directed by your Primary
Care Physician or designated OB/GYN Physician.
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