This begins my second and last year with SAMBA Health Insurance Plan. Online Eligibility and Claim Status Health Care Professionals can check eligibility and view claim status online through our partnership with Change Healthcare. View Eligibility, Resources, & More with the OneShare Health Provider Portal! Click to enable/disable _gat_* - Google Analytics Cookie. Copyright 2021 OneShare Health, LLC, All rights reserved. 8:30AM - 5:00PM EST. This website is not intended for residents of New Mexico. https://www.childrensdmc.org/find-a-doctor/detail/samba-siva-bathula-1 https://www.experian.com/content/dam/marketing/na/healthcare/payer-lis https://www.healthsmart.com/Service-Centers/Provider-Center/EDI-Servic https://www.sec.gov/Archives/edgar/data/0001542022/000119312521330633/ LoginsLink is an online tool with a community forum that help to report website issues, get solutions and check latest status information of any website. Were so happy with the care Juelia took of us. Gain instant MVR access using our database, helping increase productivity and expedite the hiring process. Exceptional Service, Minimum Essential Coverage to meet ACA mandates, Worksite benefits you and your employees can both afford, Healthcare from the comfort of your own home. Where can I access the OneShare Health Provider Portal? Create and search issued referrals. Otherwise you will be prompted again when opening a new browser window or new a tab. Simplifying the benefits experience, so you can, SISCO| Po Box 389 | Dubuque, IA 52004-0389. 24/7 Interactive Voice Response Telephonic System. We standardize format and violations across all 50 states, offering the most intuitive MVR on the market. Select an option that best describe your problem. The information, tools, and resources you need to support the day-to-day needs of your office are all on the Cigna for Health Care Providers' website, CignaforHCP.com : Check patient eligibility and benefits. Step 3. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 'Therefore encourage one another and build one another up, just as you are doing. The SAMBA Health Benefit Plan requires precertification for a number of https://www.sambaplans.com/provider-services/ Category: Health Show Health Health Care Professionals SAMBA Health To access the old portal, please enter your Username and Password. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. https://www.uscis.gov/about-us/new-employee-information-and-forms/bene https://www.aetnafeds.com/fedvip-dental.php, https://www.aetna.com/health-insurance-plans/dental.html, https://docs.legis.wisconsin.gov/2021/legislators/assembly/2259, https://www.crunchbase.com/organization/samba-0447. (I was too busy and let the open season come and go without changing plans. Your plan may cover additional medications; please refer to your enrollment materials for details. Thats why we developed our continuous driver monitoring software, Qorta, to provide near real-time automated alerts on violations including speeding, suspensions and DUIs. Samba Provider Login C21 Blog - C21Media, samba health plan provider login - Taadom Digital, Healthcare Providers - Cigna Health Benefits, Health Plan/Payer List Availity Clearinghouse and Web Portal. SBMA benefit plans provide a complete solution for employers who want to provide affordable benefits to their workers. These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience. You can also post issue detail or ask any query to get answer from site admin or community. Everything we were worried about got resolved. Our dedicated support teams are ready to help! Trustmark is the brand name used to refer to certain subsidiaries of Trustmark Mutual Holding Company that provide insurance and other products and services. SBMA's success is largely due to its Chief Executive Officer's dedication, Frank Crivello, to providing the gold standard in customer service. Cigna does not take responsibility for any medication decisions made by the doctor or pharmacist. Verify our members' eligibility. For our full disclosures, see www.onesharehealth.com/legal-notices for the most up to date state availability listing. brandon miller real estate developer net worth red carpet inn corporate office phone number supermarkets manchester city centre shaker heights country club fireworks . If you use a pharmacy that does not participate in your plan's network, your prescription may not be covered, or reimbursement may be limited by your plan's copayment, coinsurance or . Consider sharing with the community by adding in the above list. Call 1-800-410-7778 (TTY: 711) 24 hours a day, 7 days a week, except major holidays. Invoice reconciliation. Our employers goal is to be ACA compliant and offer benefits they and their employees want and can afford. Provider. We use cookies to let us know when you visit our websites, how you interact with us, to enrich your user experience, and to customize your relationship with our website. Samba Federal Health Plan Provider Login Official Site Login (Nov Samba Health Plan - Fill Out and Sign Printable PDF Template, SAMBA Health Benefit Plan - Third Party Recovery Services, Aetna Dental PPO plan for Federal employees - AetnaFeds.com, Group dental benefits and insurance plans - Aetna, SAMBA - Crunchbase Company Profile & Funding, Samba Siva Bathula, MD - Otolaryngology in Detroit MI, CLAIMS & ERA PAYER LIST January 07, 2022 - Experian, To become a member: Employees and annuitants enrolling in the SAMBA Health Benefit Plan will automatically become members of the, If you are age 65 or older, or otherwise entitled to Medicare, SAMBA, Do not use VPN as some sites restrict VPN, The internet connection is active and login form is loading cache, If the site requires captcha, it must be valid. This site uses cookies. , https://ighcp.com/ebs/providers/gateway-provider-portal/, Health (Just Now) WebWelcome Providers. This information allows you to make an informed health care decision. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. 2022 Standard Option 2022 Standard Option with Medicare Part B Primary 2022 High Option After you have entered all infomation, click on the "Continue . During this time, we've pulled over 635 million records, averaging 60 million per year, for insurance companies, fleet companies and corporations across North America. 93044, A & I Benefit Plan Administrators, Participating Payor, Professional Institutional. Warning: We will reduce our Plan allowance by 20% (except of noted above) if no one contacts us for prior authorization for the listed "Other services." https://www.availity.com/documents/availity_edi_clearinghouse_health_p https://providerlogin.co/samba-federal-health-plan-provider-login, https://www.govexec.com/pay-benefits/2008/08/opening-samba/27522/. We were amazed at how quickly SBMA was able to turn around our employees enrollment. Welcome Providers. You are free to opt out any time or opt in for other cookies to get a better experience. Click below to register with our third-party administrator to enjoy faster service using the online self-service portal. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their . Verify member eligibility. Patient eligibility. Use the Prescription Drug List Search Tool to view medications commonly covered by individual and family plans. Sat: CLOSED Check to enable permanent hiding of message bar and refuse all cookies if you do not opt in. Fax: 1 (860) 730-6460. We fully respect if you want to refuse cookies but to avoid asking you again and again kindly allow us to store a cookie for that. Due to security reasons we are not able to show or modify cookies from other domains. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. Click to enable/disable essential site cookies. But this will always prompt you to accept/refuse cookies when revisiting our site. Update your Cigna provider directory . No status report submitted in last 7 days. Please note: This is a third-party administered site, which is used for numerous entities in this industry. Shasta is a third-party plan administrator (TPA) with state-of-the-art technologies, flexible solutions, and customized services for the management of self-funded health benefit plans. Minimum Value Plans give affordable coverage for workers. Click to enable/disable _gid - Google Analytics Cookie. Shastas Golden Rule motto of treating others as you wish to be treated is the backbone of our customer service and we focus on the best systems and partner-ships in the industry, matching each clients specific needs. Sat: CLOSED Medical ACA Compliant Medical Plans Ancillary , Health (7 days ago) WebThe migration for Special Agents Mutual Benefits Association has been completed. Welcome to Emdeon. Accident, Life, Critical Illness and Hospital coverage at an affordable price. Bundling benefits makes offering affordable options easy for the employer group. EyeMed Members & Providers Contact Us We work hard to make things easier for you. Click Here to Create a Account Forgot Username? . 1-866-794-6791 Home Find a provider Find a Provider The UnitedHealthcare Group , https://retiree.uhc.com/samba/find-a-provider, Health (3 days ago) WebProvider Log in What can you find on our provider portal? We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. Features Reporting Access customized reports tailored to your needs Storage Securely store documents and access them anywhere CME Monitor progress by adding credits and supporting documents Workflow Tracking Term Life Insurance. 1-866-794-6791 Home Find a provider Find a Provider The UnitedHealthcare Group Medicare Advantage (PPO) is a Preferred Provider Organization plan, which means you have lots of flexibility in choosing a provider. Details, 2023 Drug Lists for Individual and Family Plans. If you use a pharmacy that does not participate in your plans network, your prescription may not be covered, or reimbursement may be limited by your plans copayment, coinsurance or deductible requirements. Enter your user ID and password to access your account. Here are some tips you can use while using the OAP directory: Our coverage is accepted by most major pharmacies. Will it be in person, by phone, mail, , https://www.opm.gov/healthcare-insurance/healthcare/plan-information/plans/BrochureJson?brochureNumber=71-015&year=2022, Health (8 days ago) WebSBMA benefit plans provide a complete solution for employers who want to provide affordable benefits to their workers. EMPLOYEE PORTAL Included are the SAMBA Health Plan (FEHB), Dental & Vision Plan, Term Life Insurance, , Health (7 days ago) WebSAMBA offers two health plan options for active and retired federal employees and their families. PRIVACY POLICY https://www.sbmabenefits.com/wp-content/uploads/2022/12/iStock-1341621207-2.jpg, Full-Time vs Part-Time Benefits: Why It Matters, https://www.sbmabenefits.com/wp-content/uploads/2022/12/iStock-1141247654-1-1.jpg, Received an ACA Penalty from the IRS? You can also change some of your preferences. S. ShoK08 of US. Find prescription medications your plan covers. Sun: CLOSED, SBMA 2021 all rights reserved These physicians are listed first in the rotation of providers who meet your search criteria. So if you are facing an issue related to Samba Plans Provider Login or have any query regarding sambaplans.com, please explain below: What problem are you having with sambaplans.com? Visit this page to login to your SambaSafety DRM, Qorta, WebMVR or Volta account. Participants Member's benefit information, eligibility & claims, Provider listings, Downloadable forms, ID cards, Secure email, Paperless EOB options Login Providers Check eligibility and claims status, Access participant benefit information, Check claims billed to your practice Login You can connect with our customer service and access self-service information to: Review claims status Access , https://www.trustmarkbenefits.com/providers, Health (3 days ago) WebThe SAMBA Health Benefit Plan complies with all applicable Federal civil rights laws, including Title VII of the Civil Rights Act of 1964. Please note that we do not sell MVRs to individuals. Your Cigna plan may include access to home delivery with Express Scripts, As part of your Cigna-administered pharmacy benefits, you'll have access to Accredo. Virtual Health, Worksite Benefits, Vision, Dental and ACA compliant plans that you and your employees can afford. To accesss the SAMBA WebConnect portal, health care professionals must have a Change Healthcare User ID and Password. EMPLOYER PORTAL General outpatient benefit information (Formerly Authorizations) Simple Setup Set up, add and invite providers, and start managing your team in minutes. Our carrier partners have given us exclusive offerings to complement our medical plans. Winston-Salem, NC 27105. From communicating your plan to members, enrollment, processing claims, and answering questions from your participants; our services are accurate, cost-effective, and compassionate. Weve made a full Resource and Education Hub for our Members, too! Minimum Essential Coverage for ACA Compliance. Widely accepted prescription drug card covers generics for physical & behavioral Rxs. Use these prescription resources to help choose a plan or identify medications commonly covered by an existing plan. Coronavirus Information for Our Provider Partners. Providers will find a list of all EOB codes used with the corresponding description on the last page of the Remittance Advice. This is not a Member Login. Cigna Specialty Pharmacy refers to the specialty drug division of Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C., doing business as Cigna Home Delivery Pharmacy. We're the largest pharmacy benefit manager (PBM) and one of the biggest pharmacies in the U.S. We serve more than 85 million people. Our portfolio offers other major medical and preventive-only designs, as well . Think long and hard before choosing them. Braces covered for children and adults. ConnectCenter should now be used, in place of Emdeon Office/WebConnect, to check eligibility or claim status. By continuing to browse the site, you are agreeing to our use of cookies. EMPLOYER PORTAL Contact SAMBA at 800-638-6589 or 301-984-1440 (for TTY, use 301-984-4155) for prior authorization and/or additional information regarding services for genetic testing. Click to enable/disable essential site cookies. Through our vault of records, we have gathered critical insight into the driving population over the years, including: Three to five percent of drivers have an invalid license and cause 19 percent of fatalities 26 percent of fatalities involve speeding Comprehensive Coverage. The following information can help you when shopping for plans or after enrollment to better understand the prescription drugs covered by our plans. Click to enable/disable _ga - Google Analytics Cookie. They have a practice of frequently denying legitimate claims. Check to enable permanent hiding of message bar and refuse all cookies if you do not opt in. Remember Me. However, MVRs are not a great solution when wanting to continuously monitor drivers, as much can happen during the other 364 days of the year. All group health insurance policies and health benefit plans contain exclusions and limitations. Click on the different category headings to find out more. We ensure compliance with the Affordable Care Act. At Network Health, our mission is to create healthy and strong Wisconsin communities. Access to doctors wherever, whenever you need them. Schedule your demo today! But this will always prompt you to accept/refuse cookies when revisiting our site. We are here to help with your healthcare solutions. https://www.opm.gov/healthcare-insurance/healthcare/plan-information/p https://www.taadom.com/dmtjdi1q/samba-health-plan-provider-login, https://www.instamed.com/providers/payer-list/, https://www.cignahealthbenefits.com/en/healthcare-providers/. Accident insurance helps you pay for the medical and out-of-pocket costs that you may incur after an accidental injury. Patient Assurance Program Flyer (2023) [PDF], IFP Diabetes Care Solutions Customer Flyer (2023) [PDF], IFP Enhanced Asthma/COPD Customer Flyer (2023) [PDF], PPACA No Cost-Share Preventive Medications (2023) [PDF], Prescription Drug List Changes (2023) [PDF], Learn about home delivery from Express Scripts Pharmacy (2023) [PDF], Step Therapy Flyer - Plus/Premiere Drug Lists (2023) [PDF], Step Therapy Flyer - Essential Drug List (2023) [PDF], CPM Customer Placemat - Cigna 90 Now version (2023) [PDF], CPM Customer Placemat - Express Scripts Pharmacy version (2023) [PDF], Voluntary Cigna 90 Now Flyer (2023) [PDF], 5 Things to Remember - Cigna 90 Now (2023) [PDF], 5 Things to Remember - Express Scripts Pharmacy version (2023) [PDF], CPM Customer Placemat - Walgreens Advantage Version (2023) [PDF], Rx Benefits Overview Flyer Walgreens Advantage Markets (2023) [PDF], Rx Benefits Overview Flyer Cigna 90 Now (2023) [PDF], Cigna Premiere 5 Tier Prescription Drug List AZ [PDF], Cigna Essential 5 Tier Prescription Drug List CO [PDF], Cigna Plus 5 Tier Prescription Drug List FL [PDF], Cigna Plus 5 Tier Prescription Drug List GA [PDF], Cigna Plus 5 Tier Prescription Drug List IL [PDF], Cigna Premiere 5 Tier Prescription Drug List IN [PDF], Cigna Plus 5 Tier Prescription Drug List KS [PDF], Cigna Plus 5 Tier Prescription Drug List MO [PDF], Cigna Plus 5 Tier Prescription Drug List MS [PDF], Cigna Plus 5 Tier Prescription Drug List NC [PDF], Cigna Plus 5 Tier Prescription Drug List PA [PDF], Cigna Premiere 5 Tier Prescription Drug List SC [PDF], Cigna Plus 5 Tier Prescription Drug List TN [PDF], Cigna Plus 5 Tier Prescription Drug List TX [PDF], Cigna Essential 5 Tier Prescription Drug List UT [PDF], Cigna Premiere 5 Tier Prescription Drug List VA [PDF], Cigna Premiere 4 Tier Prescription Drug List AZ [PDF], Cigna Plus 4 Tier Prescription Drug List FL [PDF], Cigna Plus 4 Tier Prescription Drug List GA [PDF], Cigna Plus 4 Tier Prescription Drug List IL [PDF], Cigna Premiere 4 Tier Prescription Drug List IN [PDF], Cigna Plus 4 Tier Prescription Drug List KS [PDF], Cigna Plus 4 Tier Prescription Drug List MO [PDF], Cigna Plus 4 Tier Prescription Drug List MS [PDF], Cigna Plus 4 Tier Prescription Drug List NC [PDF], Cigna Premiere 4 Tier Prescription Drug List SC [PDF], Cigna Plus 4 Tier Prescription Drug List TN [PDF], Cigna Plus 4 Tier Prescription Drug List TX [PDF], Cigna Essential 4 Tier Prescription Drug List UT [PDF], Cigna Premiere 4 Tier Prescription Drug List VA [PDF]. We will return your call or respond to your form submission as soon as we are able. Great rates and no deductible. Depending upon plan design, market conditions, the extent to which manufacturer payments are shared with your plan and other factors as of the date of service, the preferred brand medication may or may not represent the lowest-cost brand medication within its class for you and/or your plan. Standard Option; High Option; Cigna , Health (7 days ago) WebEstablished in 1948, SAMBA provides peace of mind to active and retired federal employees by offering an array of insurance plans. A vector image of the Physician's Health Plan logo. Today, SBMA is the industry leader in providing MEC coverage. Use the online Provider Portal to view a detailed dashboard of updated information, view the status of your patients Sharing Request, and more! Please see the Samba Wiki for information about the release branches and a short introduction into git. Dental coverage and international benefits to ensure your dental care is covered wherever you are. If your plan provides coverage for certain prescription drugs with no cost-share, you may be required to use an in-network pharmacy to fill the prescription. To get started using the new and improved portal, click here to: If you have already setup your new account, login here. Request Claim Status Update Heres What to Do, https://www.sbmabenefits.com/wp-content/uploads/2022/09/How-SBMA-Makes-Healthcare-Affordable-by-Focusing-on-Insurance-Needs.png, How SBMA Makes Healthcare Affordable by Focusing on Insurance Needs, https://www.sbmabenefits.com/wp-content/uploads/2022/09/Healthcare-Insurance-Brokers-How-to-Increase-Your-Margins.png, Healthcare Insurance Brokers: How to Increase Your Margins, https://www.sbmabenefits.com/wp-content/uploads/2022/09/Why-SBMA-is-the-Gold-Standard-of-Customer-Service.png, Why SBMA is the Gold Standard of Customer Service. Unnecessary visits to the doctor can be a thing of the past. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see Get Ready To Upgrade. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. Refer to your plan documents for costs and complete details of your plans prescription drug coverage. Their cards were shipped and information was in the system before we could blink, it seemed! For over 20 years, weve been the industry leader in pulling MVRs. o. These resources can help you to be more informed about plan choice, as well as help identify medications that your plan commonly covers. You have 24/7 access to all of the tools needed to answer your questions, whenever it's convenient for you. Cigna reserves the right to make changes to this drug list without notice. {!-- 808px x 214px --} . There are no association dues. It is , Health (8 days ago) WebContact Us For questions, suggestions, complaints or grievances about the SAMBA Health Benefit Plan, Life Insurance, Long Term Disability and all other SAMBA Insurance Plans, , Health (5 days ago) WebFind a provider Resources Enrollment information Were here to help! comprehensive benefits at affordable rates. Review pending claims' status. https://www.signnow.com/fill-and-sign-pdf-form/9648-samba-vision-care- https://www.zocdoc.com/primary-care-doctors/samba-1525m, https://www.estprs.com/wp-content/uploads/2019/08/SAMBA-2008.pdf. Find a Doctor, Dentist, or Facility in Additional Resources Medical Amplifon Hearing Health Care Locations Express Scripts - Pharmacy Benefit Manager Find out more about the doctors and services listed in the Cigna directory and read important state and federal notices and disclosures. Hospital indemnity benefits can offset high deductibles and out-of-pocket expenses so that a hospital stay does not become a financial crisis. 2023 Prescription Drug List Changes starting January 1, 2023 [PDF], 4 Tier (injectable specialty medications covered on tier 4) [PDF], 4 Tier (all specialty medications covered on tier 4) [PDF], PPACA No Cost-Share Preventive Drug List [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna Total Savings Drug List) [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], All Preventives Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], All Preventives Drug List Standard (for the Cigna National Preferred Drug List) [PDF], All Preventives Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Diabetes Supplies (for the Standard, Value, Performance, and Advantage Drug Lists) [PDF], Preventive Diabetes Supplies (for the Legacy Standard and Legacy Performance Drug Lists) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (CDI) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (DMHC) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4 )(CDI) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Performance 4 Tier (all specialty medications covered on tier 4)** [PDF], California Advantage 4 Tier (all specialty medications covered on tier 4)** [PDF], California Legacy (Standard) 3 Tier* (CDI) [PDF], California Legacy (Standard) 3 Tier* (DMHC) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4)(DMHC) [PDF], California Legacy (Performance) 3 Tier** [PDF], California Legacy (Performance) 4 Tier (all specialty medications covered on tier 4)** [PDF], California Total Savings 3 Tier* (CDI) (DMHC) [PDF], California National Preferred 3 Tier* (CDI) [PDF], California National Preferred 3 Tier* (DHMC) [PDF].