Common use of Radiation Therapy, Chemotherapy, Electroshock Therapy and Hemodialysis Clause in Contracts

Radiation Therapy, Chemotherapy, Electroshock Therapy and Hemodialysis. The Company will implement a copay of $25 for each visit for radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a primary care physician’s office or in a specialist’s office on an in-network basis. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis performed at an outpatient facility will be covered after the deductible is met on an in- network basis at 90% of the NNF. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a physician’s office or at an outpatient facility will be covered on an out-of-network basis at 60% of the MAA after the deductible is met. (Amend the following sections of the FMEP: Sections 5.1.2, 5.1.3 and 8.20.)

Radiation Therapy, Chemotherapy, Electroshock Therapy and Hemodialysis. The Company will implement a copay of $25 30 for each visit for radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a primary care physician’s office or in a specialist’s office on an in-network basis. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis performed at an outpatient facility will be covered after the deductible is met on an in- in-network basis at 90% of the NNF. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a physician’s office or at an outpatient facility will be covered on an out-of-of- network basis at 60% of the MAA after the deductible is met. (Amend the following sections of the FMEPVMEP: Sections 5.1.2, 5.1.3 6.1.2 and 8.206.1.3.)

Radiation Therapy, Chemotherapy, Electroshock Therapy and Hemodialysis. The Company will implement a $20 copay of $25 for each visit for radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a primary care physician’s office or on an in-network basis. For an individual who is eligible for Medicare, the Company will implement a $10 copay for radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a specialistphysician’s office on an in-network basis. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis performed provided at an outpatient facility will be covered after the deductible is met on an in- in-network basis at 90% of the NNFNNF after the deductible is met. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a physician’s office or performed at an a hospital outpatient facility will be covered on an out-of-of- network basis at 6070% of the MAA after the deductible is met. (Amend the following sections of the FMEPVMEP: Sections 5.1.25.2.1, 5.1.3 5.2.2, 5.2.3 and 8.20.)

Radiation Therapy, Chemotherapy, Electroshock Therapy and Hemodialysis. The Company will implement a copay of $25 for each visit for radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a primary care physician’s office or in a specialist’s office on an in-network basis. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis performed provided at an outpatient facility will be covered after the deductible is met on an in- network basis at 90% of the NNF. Radiation therapy, chemotherapy, electroshock therapy and hemodialysis provided in a physician’s office or performed at an a hospital outpatient facility will be covered on an out-of-of- network basis at 60% of the MAA after the deductible is met. (Amend the following sections of the FMEP: Sections 5.1.25.2.1, 5.1.3 5.2.2, 5.2.3 and 8.20.)