Surgery and Anesthesia. Inpatient surgery will be covered after the deductible is met on an in- network basis at 90% of the NNF; and, after the deductible is met on an out-of-network basis at 60% of the MAA. (Amend the following section of the FMEP: Section 5.1.3.) - The Company will implement a copay of $25 for each outpatient surgery performed in a primary care physician’s office and a copay of $30 for each outpatient surgery performed in a specialist’s office on an in-network basis. Outpatient surgery performed in a facility will be covered after the deductible is met on an in-network basis at 90% of the NNF; and, after the deductible is met in a physician’s office or in a facility on an out-of-network basis at 60% of the MAA. (Amend the following sections of the FMEP: Sections 5.1.2, 5.1.3 and 7.6.1.) - Anesthesia will be covered after the deductible is met on an in- network basis at 90% of the NNF; and, after the deductible is met on an out-of-network basis at 60% of the MAA. (Amend the following section of the FMEP: Section 5.1.3.) - The Company will implement a copay of $25 for each second opinion provided by a primary care physician and a copay of $30 for each second opinion provided by a specialist on an in-network basis. (Amend the following sections of the FMEP: Sections 5.1.2, 5.1.3 and 7.5.1.)
Surgery and Anesthesia. Inpatient surgery will be covered on an in-network basis at 90% of the NNF; and, on an out-of-network basis at 70% of the MAA after the deductible is met. (Amend the following section of the VMEP: Section 5.1.3.) - The Company will implement a $20 copay for each outpatient surgery performed in a primary care physician’s office or a $25 copay for each outpatient surgery performed in a specialist’s office on an in-network basis. The copay for an individual who is eligible for Medicare will be $10 for each outpatient surgery performed in a primary care physician’s office or a $15 copay for each outpatient surgery performed in a specialist’s office on an in-network basis. Outpatient surgery performed in a facility will be covered on an in-network basis at 90% of the NNF; and, in a physician’s office or in a facility on an out-of-network basis at 70% of the MAA after the deductible is met. (Amend the following sections of the VMEP: Sections 5.1.2, 5.1.3 and 7.6.1.) - Anesthesia will be covered on an in-network basis at 90% of the NNF; and, on an out-of-network basis at 70% of the MAA after the deductible is met. (Amend the following section of the VMEP: Section 5.1.3.) - The Company will implement a $20 copay for each second opinion provided by a primary care physician or a $25 copay for each second opinion provided by a specialist on an in-network basis. The copay for an individual who is eligible for Medicare will be $10 for each second opinion provided by a primary care physician or $15 for each second opinion provided by a specialist. (Amend the following sections of the VMEP: Sections 5.1.2, 5.1.3 and 7.5.1.)
Surgery and Anesthesia. Inpatient surgery will be covered after the deductible is met on an in- network basis at 90% of the NNF; and, after the deductible is met on an out-of-network basis at 60% of the MAA. (Amend the following section of the VMEP: Section 6.1.3.) - The Company will implement a copay of $30 for each outpatient surgery performed in a specialist’s office on an in-network basis. Outpatient surgery performed in a facility will be covered after the deductible is met on an in-network basis at 90% of the NNF; and, after the deductible is met in a physician’s office or in a facility on an out- of-network basis at 60% of the MAA. (Amend the following sections of the VMEP: Sections 6.1.2, 6.1.3 and 8.5.) - Anesthesia will be covered after the deductible is met on an in- network basis at 90% of the NNF; and, after the deductible is met on an out-of-network basis at 60% of the MAA. (Amend the following section of the VMEP: Section 6.1.3.) - The Company will implement a copay of $30 for each second opinion provided by a specialist on an in-network basis. (Amend the following section of the VMEP: Section 6.1.2.)
Surgery and Anesthesia. Inpatient surgery will be covered after the deductible is met on an in- network basis at 90% of the NNF and on an out-of-network basis at 60% of the MAA. (Amend the following section of the VMEP: Section 6.2.2.) - The Company will implement a copay of $25 for each outpatient surgery performed in a specialist’s office on an in-network basis. Outpatient surgery performed in a facility will be covered after the deductible is met on an in-network basis at 90% of the NNF. Outpatient surgery performed in a physician’s office or a 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 VMEP: Sections 6.2.2, 6.2.4 and 8.5.) - Anesthesia will be covered after the deductible is met on an in- network basis at 90% of the NNF and on an out-of-network basis at 60% of the MAA. (Amend the following sections of the VMEP: Sections 6.2.2 and 8.5.) - The Company will implement a copay of $25 for each second opinion provided by a specialist on an in-network basis. Second opinions 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 VMEP: Sections 6.2, 6.2.2, 6.2.4, and 8.4.)
