This is a general description of the plan changes. This page is not an official statement of benefits. For that, go to the Benefits descriptions in the Plan Brochure. Also, we edited and clarified language throughout the brochure; any language change not shown here is a clarification that does not change benefits.
- A new option, Open Access Deductible, has been added.
- MRI / CT scans - 80% coverage from 100% coverage previously. Member responsibility is 20% of charges.
- Outpatient hospital visit - you will pay a $15 copayment for services provided or renewed during an outpatient hospital visit.
- The number of days of confinement in a skilled nursing facility is limited to 120 days when necessary or appropriate. Previously the limit was 180 days.
- Disposable needles and syringes for the administration of covered medications is covered under Durable Medical Equipment.