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Important Notice Concerning HPOU-TPT Medical Supplement
Posted by Admin on Friday April 8, 2011

Effective May 1, 2011 the Contract Medical Supplement and Medical Supplement Plus will pay the same reimbursement for all plans of insurance. KelseyCare, Open Access, and Consumer-Driven will all be treated the same.

 

Contract

Plus

 

Hospital Admission

$250

$500

 

Emergency Room

$75

$150

 

Out Patient co-pay

$100

$200

 

Urgent Care

$30

$60

 

Office Visits

$20

$30

Up to $100 PPPY*

Ambulance

$50

$100

 

Prescriptions up to

$20

$45

Per Prescription

PPPY Prescription

$160

$300

 

Daily Hospital Benefit**

$50

$100

 

Contract Disability will remain the same. Medical Supplement Plus vision will remain the same.

*Per Person Per Year.

**Hospital benefit starts on the 4th day for up to 7 consecutive days.

This is not a contract for insurance. Limits and restrictions apply.


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