- 7,790
J.R., here is another alternative:
Special Care
This is an example of the benefits and services offered with Special Care coverage.
Hospital Expense CoverageChemotherapyCoveredInitial accident or medical
emergency careCoveredInpatient hospital room and board and ancillary services21 days per benefit periodMaternity and newborn careCoveredOral surgeryCoveredOutpatient diagnostic services
(in a hospital setting)$1,000 maximum per calendar yearRadiation therapyCoveredRoutine gynecological examOne per calendar yearRoutine mammogram screeningOne per calendar year for all females over 40 or when physician recommendedSurgical servicesCoveredMedical-Surgical Expense CoverageAnesthesia servicesCoveredAssistant surgeryCoveredConcurrent careCoveredConsultation servicesMaximum of one per consultantEmergency accident or medical careCovered within 24 hoursInpatient medical care21 days per benefit periodMaternity servicesCoveredOral surgeryCoveredOutpatient diagnostic services
(in a hospital setting)$1,000 maximum per calendar yearOutpatient medical visits$10 copayment; maximum 4 visits per calendar yearPreventive servicesCovered according to schedule in contractRoutine gynecological examOne per calendar yearRoutine mammogram screeningOne per calendar year for all females over 40 or when physician recommendedRoutine newborn careCoveredSecond surgical opinionCoveredSurgeryCoveredTherapy servicesCoveredTransplant servicesCovered*Precertification required.
Note: This is a brief description of the health care benefits available under this Plan. For complete information, consult your Blue Cross of Northeastern Pennsylvania and Highmark Blue Shield Subscriber Agreements.
This summary is an abridged overview of the benefits covered by the traditional plan. This summary highlights general features and is not intended to be a substitute for the terms, provisions, limitations, exclusions and conditions imposed by the controlling contract(s). Since benefits are reviewed annually and are often modified, if there is a condition that you are treated for on a regular basis, be sure to inquire about your specific coverage needs.
About Us | Careers | News Center | Notice of Privacy Practice | Privacy & Security Statement | Terms & Conditions
Special Care
This is an example of the benefits and services offered with Special Care coverage.
Hospital Expense CoverageChemotherapyCoveredInitial accident or medical
emergency careCoveredInpatient hospital room and board and ancillary services21 days per benefit periodMaternity and newborn careCoveredOral surgeryCoveredOutpatient diagnostic services
(in a hospital setting)$1,000 maximum per calendar yearRadiation therapyCoveredRoutine gynecological examOne per calendar yearRoutine mammogram screeningOne per calendar year for all females over 40 or when physician recommendedSurgical servicesCoveredMedical-Surgical Expense CoverageAnesthesia servicesCoveredAssistant surgeryCoveredConcurrent careCoveredConsultation servicesMaximum of one per consultantEmergency accident or medical careCovered within 24 hoursInpatient medical care21 days per benefit periodMaternity servicesCoveredOral surgeryCoveredOutpatient diagnostic services
(in a hospital setting)$1,000 maximum per calendar yearOutpatient medical visits$10 copayment; maximum 4 visits per calendar yearPreventive servicesCovered according to schedule in contractRoutine gynecological examOne per calendar yearRoutine mammogram screeningOne per calendar year for all females over 40 or when physician recommendedRoutine newborn careCoveredSecond surgical opinionCoveredSurgeryCoveredTherapy servicesCoveredTransplant servicesCovered*Precertification required.
Note: This is a brief description of the health care benefits available under this Plan. For complete information, consult your Blue Cross of Northeastern Pennsylvania and Highmark Blue Shield Subscriber Agreements.
This summary is an abridged overview of the benefits covered by the traditional plan. This summary highlights general features and is not intended to be a substitute for the terms, provisions, limitations, exclusions and conditions imposed by the controlling contract(s). Since benefits are reviewed annually and are often modified, if there is a condition that you are treated for on a regular basis, be sure to inquire about your specific coverage needs.
About Us | Careers | News Center | Notice of Privacy Practice | Privacy & Security Statement | Terms & Conditions
