110 Biomarker Testing The analysis of a patient’s tissue, blood, or other biospecimen for the presence of a biomarker, including not limited to single-analyte tests, multiplex panel tests and whole genome sequencing. Booklet This document (also called the Benefit Booklet), which describes the terms of your benefits. It is part of the Plan offered by your Employer. Centers of Medical Excellence (COE) Network A network of health care facilities, which have been selected to give specific services to Members based on their experience, outcomes, efficiency, and effectiveness. A Participating Provider under this Plan is not necessarily a COE. To be a COE, the Provider must have signed a Center of Medical Excellence Agreement with the Claims Administrator. Claims Administrator The company the Employer chose to administer its health benefits. Anthem Insurance Companies, Inc., dba Anthem Blue Cross and Blue Shield was chosen to administer this Plan. The Claims Administrator provides administrative claims payment services only and does not assume any financial risk or obligation with respect to claims. Coinsurance Your share of the cost for Covered Services, which is a percent of the Maximum Allowed Amount. You normally pay Coinsurance after you meet your Deductible. For example, if your Plan lists 20% Coinsurance on office visits, and the Maximum Allowed Amount is $100, your Coinsurance would be $20 after you meet the Deductible. The Plan would then cover the rest of the Maximum Allowed Amount. See the ‘Error! Reference source not found.” for details. Your Coinsurance will not be reduced by any refunds, rebates, or any other form of negotiated post-payment adjustments. Consolidated Appropriations Act of 2021 Please refer to the “Consolidated Appropriations Act of 2021 Notice” at the front of this Booklet for details. Copayment A fixed amount you pay toward a Covered Service. You normally have to pay the Copayment when you get health care. The amount can vary by the type of Covered Service you get. For example, you may have to pay a $15 Copayment for an office visit, but a $150 Copayment for Emergency Room Services. See the ‘Error! Reference source not found.” for details. Your Copayment will be the lesser of the amount shown in the Schedule of Benefits and the Maximum Allowed Amount. Covered Procedure Please see the “Human Organ and Tissue Transplant (Bone Marrow / Stem Cell), Cellular and Gene Therapy Services” benefit in the “What’s Covered” section. Covered Services