Physician Office Visits Sample Clauses

Physician Office Visits. One copayment per day when you receive services from a Family Practice, Internal Medicine, OB/GYN, or Pediatrician. Surgeries, therapies and certain diagnostic procedures performed in a physician’s office may be subject to the deductible and/or coinsurance, including mental health and substance abuse services. $25 Copay 80% after deductible One copayment per day when you receive services from a specialist. Surgeries, therapies and certain diagnostic procedures performed in a physician’s office may be subject to the deductible and/or coinsurance. $50 Copay 80% after deductible Vision screenings and examinations for determining the refractive state of the eyes are covered. No materials are covered under this benefit. $40 Copay not covered Services that have a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (“USPSTF”). Includes benefits for routine physical examinations, well child care and routine diagnostic tests including, but not limited to: PSA, Pap Smear, Bone Density, and Colonoscopy. Health Education and Counseling services including, but not limited to: Smoking Cessation and Obesity. 100% 80% after deductible

Physician Office Visits. If you require health care services, you should make an appointment with the Premier Plan physician. Present your Plan Member Identification Card and proper identification at the time of the appointment to receive your applicable discount for the Office Visit. An Office Visit includes a consultation and/or examination for a medical condition or medical care. Laboratory or diagnostic services performed during and Office Visit are subject to a separate fee as described in the Diagnostic Fee Schedule.