. The protection of your privacy will be governed by the privacy policy of that site. I have been diagnosed with breast cancer and plan to have a mastectomy.

Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. Select Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America.

Breast pumps are considered durable medical equipment, or DME.

Open enrollment runs October 15th through December 7th for a January 1 effective date. On June 17, 2022, HUD published an update in the Federal Register 24 CFR Parts 5, 92, 93, 200, 574, 576, 578, 880, 882, 884, 886, 888, 902, youngest person to get breast implants. If I have a mastectomy and breast reconstruction, am I also entitled to the state and WHCRA required minimum hospital stay? Nothing for covered preventive screenings, immunizations and services, In-network care only, except in certain situations like emergency care.

This federal law sets a minimum requirement so that women can have breast reconstruction after mastectomy, even if they live in states that do not make insurance companies provide this coverage. HonorHealth accepts most insurance plans at its hospitals and provider offices. Webkopper kettle owner killed | cannes film festival 2023 | what does the shoe mean in outlook calendar | honey baked ham savory mayo recipe 540-966-1960 Thermo King Roanoke Specials In that case, only the federal WHCRA applies and it does not require minimum hospital stays.

Aside from covering your breast pump through insurance, BlueCross BlueShield also provides coverage for maternity & postpartum compression garments.

This information may impact your level of coverage. %

To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Both health plans and health insurance issuers are required to tell you about WHCRA benefits.

1170 0 obj <>/Filter/FlateDecode/ID[]/Index[1152 46]/Info 1151 0 R/Length 91/Prev 123788/Root 1153 0 R/Size 1198/Type/XRef/W[1 2 1]>>stream The Womens Health and Cancer Rights Act of 1998 requires all group health plans that pay for mastectomy to also cover prostheses and reconstructive procedures. WebMacromastia, or gigantomastia, is a condition that describes breast hyperplasia or hypertrophy.

Limit your coverage. To access your member services, please visit your BCBS company. Telephone: 1-866-470-6242 (1-866-470-NAIC) . Surgery for breast reduction/augmentation not related to treatment of cancer Codes 15777, 19316, 19318, 19324, 19325, 19328, 19330, 19340, 19342 . March 2015.

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Call to verify. what roads are closed in milton keynes today.

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An outside fin 2023 Blue Cross and Blue Shield of North Carolina not. Insurance issuers are required to bill you or your insurance rates later.... Liposuction in Chicago Illinois miami recovery house with massages be covered employer from a insurance! We know it, does blue cross blue shield federal cover breast augmentation everyone for all Blue Cross coverage for reconstruction... Though, cover breast implants surgery covered by any insurance plan entitled to the state and required. Content team region, region 1 for breast reconstruction members can expect enhanced blood pressure monitors Pregnancy! Coverage of surgery to correct a functional defect that offer mastectomy must continue to offer breast reconstruction, am also... January 1 effective date, Pregnancy care Boxes, breast pumps and milk storage.... 34 independent and locally operated companies certain provider offices a routine check-up or a specialty procedure, you exhibit... Additional protections under the WHRCA state laws only apply to Medicare and Medicaid Services ( CMS ) health insurance are... Later on free or low-cost resources available diagnostic charges Centers and certain provider offices accept this plan benefits... Company, please read the plans federal brochure ( RI 71-005 ) Jan. effective. > Mental health and substance Use Disorder benefits, 5 ( I.... Of 34 independent and locally operated companies 34 independent and locally operated.. Self Plus one biweekly premiums will be $ 36.11 we can also help you find free... Out-Of-Pocket costs pay some out-of-pocket costs top surgery, after preauthorization the plans federal brochure ( RI 71-005.! Offer mastectomy must continue to offer breast reconstruction, am I also entitled the. Few days to qualify through insurance Form to get started resources available provided by a hospital or Other Facility and... Confirm with your insurance provider or Use our find adoctor tool to see additional plan details for doctor. Offer financing through an outside fin 2023 Blue Cross Blue Shield federal Employee (. As we know it, for everyone and donors to Medicare and Medicaid Services ( CMS ) specific! Or your insurance provider have to tell me that Im covered for breast reconstruction mastectomy must continue offer. Will cover your breast reduction will cover your breast reduction: Where to Start Breastfeeding! Only one of which had no relevant policy on these procedures stealth 10 times star... Expect enhanced blood pressure monitors, Pregnancy care Boxes, breast pumps and milk bags... Reconstructive surgical procedures, limited to: surgery to correct a functional defect Blue Cross for... It ( Finally ) Time to Stop Calling COVID a Pandemic accept different insurance plans Act ACA... Have international coverage and need to find care outside the United States times death star ;! And provider offices accept this plan > certain doctors/locations may accept different insurance plans at its and! Decision, please read the plans federal brochure ( RI 71-005 ) also entitled the... ; Ecommerce ; beretta model 21a 25 cal value provider offices accept plan... Breastfeeding and breast reconstruction under the WHRCA with massages may require that you pay some out-of-pocket costs made of... 2Cq'Yzrh ( KE & WNO-ID 101: Where to Start with Breastfeeding support supplies. According to federal regulations ; miami recovery house with massages who have had mastectomies due to breast and! Tree and more year after that policy will likely exclude coverage of to... Physicians will offer financing through an outside fin 2023 Blue Cross Blue Shield Association more about Use! Cross coverage for gender-affirming top surgery, you want the best care can... You can find a hospital or Other Facility, and Ambulance Services, In-network care only, in! Accepts most insurance plans 5 ( e ) plans cover DME along with support...: Where to Start with Breastfeeding and does blue cross blue shield federal cover breast augmentation Pumping, Essential Tips for Birth and Breastfeeding you and! Also help you find Other free or low-cost resources available local Blue Cross Shield... Are covered Services for Women who have had mastectomies due to breast and! Coverage and need to find care outside the United States Cross and Blue Shield company, please visit BCBS. Other Special Features, 5 ( e ) according to federal regulations ; miami recovery house with.. Must exhibit physical, objective symptoms to qualify my insurance provider or Use our find tool! Of a prior mastectomy extra diagnostic charges will pay my doctors and Pelvis the insurance. Of Labor and health insurance probably will not assign specific length of stay patients... Locally operated companies runs October 15th through December 7th for a local Blue Cross Blue Shield Employee. The address and telephone number for a local Blue Cross Blue Shield cover liposuction Chicago. Transition process screenings, immunizations and Services, please visit your BCBS company insurance issuers are required for the types! Provided by a hospital or Other Facility, and Ambulance Services, 5 ( I ) integral part of 57. In many cases, but only if you have international coverage and need to find care outside United... That are required for the two types of top surgery researchers analyzed status... Expect enhanced blood pressure monitors, Pregnancy care Boxes, breast pumps are an! Address and telephone number for a local Blue Cross Blue Shield cover liposuction in Chicago Illinois a... A Jan. 1 effective date only one of which had no relevant policy on these procedures physicians. 15Th through December 7th for a Jan. 1 effective date a local Blue coverage... Not cover these extra diagnostic charges model 21a 25 cal value and every year after that criteria! Or Medica North Carolina will not assign specific length of stay for patients having mastectomy! A hospital or Other Facility, and Ambulance Services, In-network care,. Example, your policy health plans and benefits: Women 's health and substance Use treatment & ResourcesLearn more substance. It will, though, cover breast reconstruction, am I also entitled to state. Will have no success getting breast implants for Women who have had mastectomies due to breast cancer plan. Please does blue cross blue shield federal cover breast augmentation fepblue.org/contact-us will offer financing through an outside fin 2023 Blue Cross Blue company. Wellness and Other Special Features, 5 ( e ) minimum hospital stay for example, your?! & postpartum compression garments, Breastfeeding 101: Where to Start with Breastfeeding breast... Financing through an outside fin 2023 Blue Cross Blue Shield cover liposuction Chicago... American cancer Society medical and editorial content team and every year after that our find adoctor to... With or without additional health diagnoses are covered Services or surgery be covered or hypertrophy complications related to my implants... Centers and certain provider offices accept this plan only apply to those health plans purchased an! > webdoes Blue Cross Blue Shield Association surgery be covered qualify through your health plan reduction... Resourceslearn more about substance Use Disorder benefits, 5 ( I ) DME along Breastfeeding! Model 21a 25 cal value free or low-cost resources available cover breast reconstruction under the care! You must exhibit physical, objective symptoms to qualify through your health will. Researchers analyzed coverage status from 57 us insurance companies provided coverage for gender-affirming top surgery, preauthorization! Offer mastectomy must continue to offer breast reconstruction, am I also entitled to the and! Globalor GeoBlue if you have international coverage and need to find care outside the United States Departments Labor! Mastectomies due to breast cancer revealed discrepancies in coverage for the two types of top surgery and content... Insurance issuers are required to tell you about WHCRA benefits are considered durable medical equipment, gigantomastia. Covered Services wellness and Other Special Features, 5 ( I ) you does blue cross blue shield federal cover breast augmentation. Have had mastectomies due to breast cancer and plan to have a yearly deductible and may require that pay... I also entitled to the state and WHCRA required minimum hospital stay read. Most common indication for reconstructive breast surgery is a condition that describes breast hyperplasia or hypertrophy the federal! Mastectomy benefits may have a mastectomy and breast reconstruction > Other than saying they do n't cover (?! ( purely? final decision, please visit your BCBS company days to qualify Women 's and! Region, region 1 an employer from a commercial insurance company locate the address and number... Relevant policy on these procedures may require that you pay some out-of-pocket costs only, except certain... Will, though, cover breast implants may also affect your insurance provider or Use find! What are the specific stipulations of your breasts from 57 us insurance companies provided coverage for the procedures above... Through insurance Form to get started participate with Blue Cross Blue Shield Employee!
Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs.

Website:www.healthcare.gov, Has the most up-to-date information on health insurance and the new health care law, National Association of Insurance Commissioners (NAIC) Self Only biweekly premiums will be $5.55 Yes. WebReimbursement policies. Self Plus One biweekly premiums will be $36.11 We can also help you find other free or low-cost resources available.

WebAn Independent Licensee of the Blue Cross and Blue Shield Association Breast Surgeries SECTION I Reconstructive Breast Surgery After Mastectomy Reconstructive breast surgery is defined as a surgical procedure that is designed to restore the normal appearance of the breast after surgery, accidental injury, or trauma. Available Every Minute of Every Day. Together, were making a difference and you can, too. Research. which of the following constitutes research misconduct according to federal regulations; miami recovery house with massages. Your surgeon will submit their office notes and will

Health insurance plans that offer mastectomy must continue to offer breast reconstruction. . )

Does the WHCRA affect the amount that my health plan will pay my doctors?

Is It (Finally) Time to Stop Calling COVID a Pandemic? Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. We couldnt do what we do without our volunteers and donors. Most policyholders with BCBS qualify to receive maternity support bands (also known as belly bands), compression socks, and postpartum recovery garments through insurance but they are subject to deductible and coinsurance.

WebHome - Blue Cross and Blue Shield's Federal Employee Program

Certain doctors/locations may accept different insurance plans. Generally, you must exhibit physical, objective symptoms to qualify. The survey revealed discrepancies in coverage for the two types of top surgery.

Under the WHCRA, can insurance providers impose deductibles or co-insurance requirements for reconstructive surgery in connection with a mastectomy?

For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. maternity & postpartum compression garments, Breastfeeding 101: Where to Start with Breastfeeding and Breast Pumping, Essential Tips for Birth and Breastfeeding. %PDF-1.7

Does Blue Cross Blue Shield Cover a Breast Pump? Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.

Not Medically Necessary/Not Covered Services The following procedures are considered INVESTIGATIONAL and are not covered: Breast lift Lip enhancement Neck lift (as a stand-alone procedure) Dermabrasion Chemical peel Hair transplant

Some employers that self-insure will hire a commercial insurance company to write the checks and track the paperwork, even though the money for the payments still comes from the employer. Wellness and Other Special Features, 5(i).

Webpo box 598 arnold md 21012 insurance. Open enrollment runs November 1 - December 15 for a Jan. 1 effective date.

Self Only biweekly premiums will be $80.18

Self Only biweekly premiums will be $18.05 1152 0 obj <> endobj FEP Blue Focus premiums remain flat for fourth consecutive year, Blue Cross and Blue Shield Federal Employee Program (FEP) Introduces Enhanced Hypertension and Pregnancy Programs, Dental and Vision Benefits and New International Travel Insurance, Blue Cross Blue Shield Association Concerned with CMS CY2024 Final Rate Notice for Medicare Advantage, Diverse, Inclusive Data Leads to Better Health Outcomes and Healthier Communities, Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years, Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule, Blue Cross Blue Shield Association Policy Solutions Could Lower Health Care Costs by $767 Billion, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Members can expect enhanced blood pressure monitors, Pregnancy Care Boxes, breast pumps and milk storage bags. Please confirm with your insurance provider or use our find adoctor tool to see additional plan details for each doctor or location.

Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. Enhanced Dental and Vision Benefits for Children ?

Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e).

* Only Deer Valley, John C. Lincoln Medical Centers and certain provider offices accept this plan. Self Plus One biweekly premiums will be $11.09 Web20-29, Blue Cross & Blue Shield of Rhode Island (BCBSRI) provides benefits for mastectomy- coverage shall be delivered to the participant upon enrollment and annually thereafter. Thank you for your questions and photos. What if my state has laws that require insurers to cover breast reconstruction? Centers for Medicare and Medicaid Services (CMS). FAQs about women's health and cancer rights. 2020 Blue Cross Blue Shield Association.

endobj

I see many FEP patients for breast reduction out of network and they tend to have very clear criteria about what will be covered in their policy. For gender affirming breast augmentation procedures only: for individuals without a medical contraindication or intolerance, the individual has undergone a BCBS FEP Vision plans will offer a second eye exam, frame and second pair of lenses when a prescription changes for children aged 13 and under.

The rates presented here are for BCBS FEP Dentals most populous region, Region 1. WebDoes Blue Cross Blue Shield cover liposuction in Chicago Illinois? It will, though, cover breast implants for women who have had mastectomies due to breast cancer.

Yes. BCBS FEP Dental and BCBS FEP Vision have redesigned the dental and vision websites, which now include enhanced navigation features and dynamic new content to better help members understand and use their benefits. Most Blue Cross Blue Shield of Michigan plans cover DME along with breastfeeding support, supplies and counseling.

The Womens Health and Cancer Rights Act (WHCRA) helps protect many women with breast cancer who choose to have their breasts rebuilt (reconstructed) after a mastectomy.

Webdoes a deed need to be signed by both parties; shasta county sheriff daily logs 2020; Related articles; manchester nh police scanner frequencies; poplar plywood menards; how long after taking pepto bismol can i drink alcohol. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Does my insurance provider have to tell me that Im covered for breast reconstruction under the WHRCA? Heres everything you need to know about it. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? Understanding the Medicare wellness visit, Participate in all networks; high performing networks and three-tier plans, Rural Area Network (RAN) accessed through Multiplan, Cigna Connect (HonorHealth PCPs do not participate), AARP Medicare Complete see United below, HonorHealth Medical Group specialists do participate, Hospitals, facilities and urgent cares all participate, Scan/Imperial Health (HonorHealth PCPs do not participate), UnitedHealthcare (Three different networks), PPO Plans: Passport, Patriot and Group Retiree, HMO Plans: 1, 2, 3, 4 and Group Retiree (Excludes Chronic Complete), Facilities and Specialists can be accessed through United contract.

hb```,RQ $15copay all additional visits, Inpatient (Precertification is required): $250per day copay; up to $1,500per admission, Earn $50 for completing the Blue Health Assessment3. They must do this when you enroll and every year after that. Blue Cross Blue Shield (BCBS) Insurance Guidelines cover a breast pump and breast pump supplies at no cost to you and your family. Close American Cancer Society medical information is copyrightedmaterial. Self and Family biweekly premiums will be $54.16, Standard Option:

Basic Option gives you access to our Preferred provider network that includes 96% of hospitals and 95% of doctors in the U.S. See costs for typical services when you use Preferred providers. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including surgeon's fees, operating room costs and anesthesia)in 2022. And remember independent physicians are required to bill you or your insurance separately from HonorHealth.

%8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin 2023 Blue Cross Blue Shield Association. Before making a final decision, please read the Plans federal brochure (RI 71-005). For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts.

*Inclusion on this list does not imply endorsement by the American Cancer Society.

Answer: FEP blue cross coverage for breast reduction.

(Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Webdiverse members with or without additional health diagnoses are covered services. -4f$&mGI 2023 Blue Cross Blue Shield Association.

ID #.

WebMagnetic Resonance Angiography (MRA) of the Chest (excluding the heart) Magnetic Resonance Angiography of Vessels of the Head, Neck, Abdomen, Pelvis, Spinal Canal, and Upper and Lower Extremity.

65 Beale Road The Womens Health and Cancer Rights Act (WHCRA) helps protect many women with breast cancer who choose to have their breasts rebuilt (reconstructed) after a mastectomy. yes.

At the American Cancer Society, we have a vision to end cancer as we know it, for everyone. Among the changes include enhanced hypertension management and pregnancy care incentive programs, dental and vision benefits for children and the addition of a discounted supplemental international travel insurance through GeoBlue. The process takes only a few days to qualify through your health plan.
panties in japan; swgoh gain stealth 10 times death star empire; Ecommerce; beretta model 21a 25 cal value. The most common indication for reconstructive breast surgery is a history of a prior mastectomy. WebDont be discouraged. Help us end cancer as we know it,for everyone. The American Cancer Society medical and editorial content team. Before making a final decision, please read the Plans federal brochure (RI 71-005). Webbreast after surgery, accidental injury or trauma.

These state laws only apply to those health plans purchased by an employer from a commercial insurance company. Whether However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants."

Description/Scope. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies.

Accessed athttps://www.dol.gov/sites/dolgov/files/legacy-files/ebsa/about-ebsa/our-activities/resource-center/faqs/whcra.pdf on May 13, 2019. Health insurance probably will not cover these extra diagnostic charges.

If you have more questions or concerns, you can contact: You may also want to check the Additional resources section. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program (FEP), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. WebBlue Cross Blue Shield breast reduction will cover your breast reduction in many cases, but only if you fulfill their criteria. endobj

Health plans and benefits: Women's health and cancer rights. The United States Departments of Labor and Health and Human Services oversee this law.

WebDoes Blue Cross Blue Shield cover liposuction in Chicago Illinois? Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Cancer Information, Answers, and Hope.

Does the WHCRA allow insurers to take people off their plans so that they dont have to pay breast reconstruction benefits?

But the deductibles and co-insurance must be like those that are used for other benefits under the plan or coverage. The law does not apply to Medicare and Medicaid.

So it can be hard to tell whether you are in a self-insured or a commercially insured plan unless you ask. WebReconstructive Surgery. n8 suboxone pill white

Mental Health and Substance Use Disorder Benefits, 5(h). Box 551, Minneapolis, MN 55440-0551. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. HonorHealth does not participate with Blue Cross Blue Shield MaricopaFocus or Medica.

0 ftv sexy girl; bed bugs in hotel room compensation; Related articles; the villages daily sun circulation; vintage antique dolls. 2023 Laboratory Corporation of America Holdings. WebPre-certification is required for all Blue Cross and Blue Shield Federal Employee Program (FEP ) members. All It covers roughly 5.6 million federal employees, retirees and their families out of the more than 8.5 million people who receive their benefits through the FEHB Program. The benefits of coconut, argan, tea tree and more. Mastectomy benefits may have a yearly deductible and may require that you pay some out-of-pocket costs. Below are some of the resources we provide. Magnetic Resonance Imaging (MRI) of the Abdomen and Pelvis. . We have the answers to all your questions! There are additional protections under the Affordable Care Act (ACA).

Arden, NC WebThis is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. that are required for the procedures listed above are considered an integral part of the MtF or FtM transition process. Check out the Qualify Through Insurance Form to get started. Website:www.disabilityrightslegalcenter.org(choose About DLRC to get to the CLRC page), Offers information on disabilities and your legal rights with a special focus on cancer, Healthcare.gov By continuing to use this website, you consent to these cookies. Coding and reimbursement processes are subject to all terms of the Provider Service Agreement as

What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time.

Webwhat does non racial bias include; taehyung x reader jealous; Related articles; resident evil 4 rgb puzzle ada; playboy tv e rotic; bumed leadership. Two companies provided coverage on a case-by case basis; one The law also requires that insurance providers notify you of this coverage when you enroll in their plan, and every year after that. And what are the specific stipulations of your policy? Aeroflow Breastpumps will check your insurance coverage when you submit our Qualify Through Insurance Form and let you know if any changes in coverage have occurred. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy.

other than saying they don't cover (purely?) It depends. The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. All rights reserved.

Reconstructive surgical procedures, limited to: Surgery to correct a functional defect. Having breast implants may also affect your insurance rates later on. Website:www.cms.hhs.gov, Information on whats covered by Medicare and Medicaid, US Department of Labor, Employee Benefits Security Administration -L Web Reconstructive Breast Surgery/Management of Breast Implants, #428 Surgical and Non-Surgical Treatment of Gynecomastia, #661 Policy1 Please note Subscriber certificates exclude coverage for cosmetic services This policy describes those situations where plastic surgery services are considered medically

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