MEDICAL PLAN HIGHLIGHTS 2013-2014 BENEFIT
IN-NETWORK
OUT-OF-NETWORK POS PLAN ONLY
Preventive Care
Covered In Full
Covered in full up to $300; 80% covered
Covered In Full
$500 deduct, 80% Covered
Group Health
$15
$15 co-pay, deductible and coinsurance apply
Kaiser
$30
No out-of-network allowed
$200 co-pay
$200 co-pay
Group Health
$0
$500 and services may not be covered depending on your plan
Kaiser
$0
Not allowed
Mammograms
NOTES
Routine mammograms
Urgent Care
Emergency Room
Waived if admitted
Out-of-Network Deductible
No out-of-network allowed
HEALTH BENEFITS BASICS
2013-2014 BENEFITS BOOK
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