Inpatient Services. General hospital or specialty hospital services* - Unlimited Days 0% - After deductible 40% - After deductible Rehabilitation facility services* - Limited to 45 days per plan year. 0% - After deductible 40% - After deductible Physician hospital visits 0% - After deductible 40% - After deductible Inpatient - see Mastectomy Services in Section 3 for details. 0% - After deductible 40% - After deductible Surgery services - includes mastectomy and reconstructive surgery. See Mastectomy Services in Section 3 for details. 0% - After deductible 40% - After deductible Mastectomy-related treatment - includes prostheses and treatment for physical complications. 0% - After deductible 40% - After deductible In a hospital or other health care facility 0% - After deductible 40% - After deductible
Appears in 15 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Inpatient Services. General hospital or specialty hospital services* - Unlimited Days unlimited days 0% - After deductible 40% - After deductible Rehabilitation facility services* - Limited limited to 45 days per plan year. 0% - After deductible 40% - After deductible Physician hospital visits 0% - After deductible 40% - After deductible Inpatient - see Mastectomy Services in Section 3 for details. 0% - After deductible 40% - After deductible Surgery services - includes mastectomy and reconstructive surgery. See Mastectomy Services in Section 3 for details. 0% - After deductible 40% - After deductible Mastectomy-related treatment - includes prostheses and treatment for physical complications, such as physical or occupational therapy. 0% - After deductible 40% - After deductible In a hospital or other health care facility facility. 0% - After deductible 40% - After deductible
Appears in 1 contract
Samples: Subscriber Agreement