Group Affordable Choice

AFFORDABLE CHOICE PLAN COMPARISON CONTINUED Surgical and Hospitalization Benefits PLAN 1 PLAN 2 PLAN 3 PLAN 4 PLAN 5 Outpatient Medical Benefits

Wellness Benefit: (1 day per calendar year)

$100

N/A

Surgical Pathology: $200 Preventative Pap:$250 Preventative PSA: $250 All other Labs: $50

Surgical Pathology: $300 Preventative Pap:$300 Preventative PSA: $300 All other Labs: $50

Surgical Pathology: $400 Preventative Pap:$350 Preventative PSA: $350 All other Labs: $50

Surgical Pathology: $500 Preventative Pap:$400 Preventative PSA: $400 All other Labs: $50

Surgical Pathology: $250 Preventative Pap:$250 Preventative PSA: $250 All other Labs: $100

Laboratory Test (Per day)

Therapy Services: (Per day for physical, occupational, speech)

$50

$75

$100

$125

$100

MRI: $300 PET Scan: $300 CT Scan: $300 Mammogram: $250/ Other: $200

MRI: $600 PET Scan: $600 CT Scan: $600 Mammogram: $300 Other: $250

MRI: $900 PET Scan: $900 CT Scan: $900 Mammogram: $350 Other: $300

MRI: $1,000 PET Scan: $1,000 CT Scan: $1,000 Mammogram: $400 Other: $350

MRI: $300 PET Scan: $300 CT Scan: $300 Mammogram: $300 Other: $300

Radiology Services: (per day: MRI/PET scan/ CT scan/mammogram/ other radiology tests)

Calendar year limit for all Outpatient Benefits

$4,000

Ground and Air Ambulance (Limit of 2 trips per calendar year for all ambulance transportation.)

Ground: $500 Air: $1,500

N/A

Allergy Shots and Immunization (child only) (per day allergy shots/ immunizations)

Allergy Shots: $10 Immunizations: $25 Calendar year Maximum: $100

Health Care Practitioner Visit during Confinement

$50/day ; 1 day per year

$50/day ; 2 days per year

$50/day ; 3 days per year

$50/day ; 4 days per year

$50/day ; 4 days per year

Lifetime Maximum

$5,000,000

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