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How will ODS handle students or dependents living out of the service area?

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How will ODS handle students or dependents living out of the service area?

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If a student or dependent lives outside of the ODS Plus Network service area, the OEBB employee must notify ODS Customer Service prior to the dependent seeking services. The dependent will be placed in an out-of-area status beginning the 1st day of the month following notification. ODS will extend plan benefits for treatment of an illness or injury, preventive healthcare (including routine physicals and immunizations) and maternity services, as if the care were rendered by in-network physicians or providers. Out-of-area dependents must access benefits within a 30-mile radius of the dependent childs residence in order for the benefit level to apply. Fees charged by out-of-area physicians and providers of care will be reimbursed at the maximum plan allowance for those services.

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