Common use of Prevention Care Services and Early Detection Services Clause in Contracts

Prevention Care Services and Early Detection Services. See Prevention and Early Detection Services section for details. 0% Not Covered Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible Not Covered

Prevention Care Services and Early Detection Services. See Prevention and Early Detection Services section for details. 0% Not Covered Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible Not Covered Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible Not CoveredPay

Prevention Care Services and Early Detection Services. See Prevention and Early Detection Services section for details. 0% Not Covered Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this serviceservice or for certain services in the benefit category. Please see Preauthorization in Section 5 for more information. You Pay You Pay Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible Not Covered

Prevention Care Services and Early Detection Services. See Prevention and Early Detection Services section for details. 0% Not Covered Private Duty Nursing Services* Must be performed by a certified home health care agency. 20% - After deductible Not Covered Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible Not CoveredPay

Prevention Care Services and Early Detection Services. See Prevention and Early Detection Services section for details. 0% Not Covered Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Private Duty Nursing Services* Must be performed by a certified home health care agency. 020% - After deductible Not Covered

Prevention Care Services and Early Detection Services. See Prevention and Early Detection Services section for details. 0% Not Covered 20% - After deductible Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible Not Covered20% - After deductible

Prevention Care Services and Early Detection Services. See Prevention and Early Detection Services section for details. 0% Not Covered 40% - After deductible Private Duty Nursing Services* Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible Not Covered40% - After deductible