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    January 4, 2007      
2007
Benefit Topics:
Official Brochure
Benefits at a Glance
Medicare at a Glance
Physicians
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Catastrophic Protection
Other Benefits

 

 

2007 Catastrophic Protection
(your out-of-pocket maximum)

Refer to the 2007 NALC Health Benefit Plan brochure (RI 71-009) for complete details.
2006 Catastrophic Protection at a Glance and Previous brochures are also available.

Benefit:
PPO/Network Provider:
Non-PPO Provider:

Medical/Surgical

You pay nothing after coinsurance expenses total $4000 per person or family for services of PPO providers/facilities. Your coinsurance expenses for inpatient services by PPO hospital facilities will never exceed $2000. You pay nothing after coinsurance expenses total $6000 per person or family for services of PPO and non-PPO providers/facilities, combined.

Mental health and substance abuse benefits

You pay nothing after coinsurance expenses total $4000 per person or family for services of network mental health and substance abuse providers/facilities. Your coinsurance expenses for inpatient services by network hospitals or other facilities will never exceed $2000.
You pay nothing after coinsurance expenses total $8000 per person for out-of-network mental health and substance abuse inpatient hospital treatment (to a maximum of 50 days).

Note: Some costs do not count toward this catastrophic protection.