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    July 28, 2010      
2005
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2005 Other Benefits

Refer to the 2005 NALC Health Benefit Plan brochure (RI 71-009) for complete details.

Benefit:
You pay at
PPO Provider:
You pay at
Non-PPO Provider:

Physical and occupational therapy (a combined total of 50 visits per calendar year)
  • 15% of the negotiated rate (1)
  • 30% of the Plan Allowance, and the difference, if any, between our allowance and the billed amount (2)

Speech therapy (up to 30 visits per calendar year)
  • 15% of the negotiated rate (1)
  • 30% of the Plan Allowance, and the difference, if any, between our allowance and the billed amount (2)
Skilled nursing care (90 days per year)
  • 20% and all charges over $75 per day maximum (no deductible)
  • 20% and all charges over $75 per day maximum (no deductible)
Pap smear (per test)
  • 15% of the negotiated rate (1)
  • 30% of the Plan Allowance, and the difference, if any, between our allowance and the billed amount (2)

(1) Subject to the $250 PPO calendar year deductible.
(2) Subject to the $300 Non-PPO calendar year deductible.