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What Your Plan Will Cover

  • Hospitalization: inpatient care
  • Ambulatory services: outpatient care
  • Emergency services
  • Maternity and newborn care before and after your baby is born
  • Prescription drugs
  • Preventive and wellness services and chronic disease management
  • Laboratory services
  • Mental health and substance use disorder services, including behavioral health treatment
  • Rehabilitative and habilitative services and devices to help you recover from an injury, disability or chronic condition
  • Primary care: general medical services
  • Kid's vision services for children to the end of the year in which they turn 19 years old
  • Kid's dental coverage for children to the end of the year in which they turn 19 years old
  • Outpatient physical therapy
  • Spinal manipulations
  • Diabetes screening and education services

Ask us about additional covered services we provide for our members. A complete list, including any limitations, can be found in the Benefit Booklet. Some services are not covered by our plans like: acupuncture, alternative medicine, artificial conception, cosmetic surgery, cardiac rehabilitation, diagnostic admissions, educational programs, experimental or investigative procedures, hair loss, hypnosis, adult routine hearing exams, and temporomandibular joint dysfunction (TMJ). A complete list of services that have limits or are excluded from coverage can be found in the Benefit Booklet. Please ask us for a copy.









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