Physician Services
Including Primary Care, Specialty Care and Consultations
- Office visits
- Follow-up treatments
- Specialist/consultants
- X-rays
- Outpatient laboratory services
Health Maintenance and Wellness Services
Preventive Care
- Routine physicals and examinations
- Vision and hearing examinations
- Allergy testing and treatment
- Immunizations
- Health education
Ambulance Services
- Ground or air ambulance transportation
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Outpatient Services
- Same –day outpatient surgery
- Outpatient diagnostic services
Emergency Care
- Emergency Room (Limit $1,000 per year)
Out-of-Area
- Physician and medical services
- Outpatient hospital services (no inpatient services)
Inpatient Services
NOT A COVERED BENEFIT |
