| |
Included |
Employer Options |
| Covered Expenses |
|
|
| Preventive/Routine Services |
 |
|
| Physician Services |
 |
|
| Hospital and Other Facility Charges |
 |
|
| Psychiatric Care/Substance Abuse |
 |
|
| Employee Assistance Program (EAP) |
 |
|
| Home Health Care |
 |
|
| Life-Threatening Emergency Services |
 |
|
| Skilled Nursing Care |
 |
|
| Ambulance Services |
 |
|
Prescription
Drug/Mail Order |
 |
|
| Transplants |
 |
|
| Hospice Care |
 |
|
| Manipulative Therapy |
 |
|
| Mammograms & Pap Smears |
 |
|
| Prostate-Specific Antigen Test |
 |
|
| Child Wellness Coverage |
 |
|
| Temporomandibular Joint Dysfunction |
 |
|
| Newborn & Adoption Coverage |
 |
|
| Diabetes Management |
 |
|
| Osteoporosis Prevention/Treatment |
 |
|
| Children's Cancer Coverage |
 |
|
| Miscellaneous Supplies & Services |
 |
|
Additional Coverage |
|
|
| Required Group Term Life and AD&D Insurance |
 |
|
Maternity Coverage |
|
|
| Groups of 15 or more Complications of Pregnancy |
 |
|
| Normal Pregnancy |
 |
|
Groups of 2-14
Complications of Pregnancy |
 |
|
| Normal Pregnancy |
|
 |
Value Added Services |
|
|
| Nurse Healthline, Inc. |
 |
|
| SPECS Discount Vision Program |
 |
|
| Cherished Moments |
 |
|
Optional Group Benefits |
|
|
| Group Dental |
|
 |
| Supplemental Accident Benefit |
|
 |
| Short Term Disability (Weekly Income) |
|
 |
| On-the-Job Protection |
|
 |
| Dependent Group Term Life |
|
 |
Voluntary Benefits |
|
|
| Group Dental |
|
 |
| Group Term Life and AD&D |
|
 |
Other Services |
|
|
| Section 125 Premium Only Plan |
|
 |
| Section 125 Cafeteria Plan |
|
 |
| Lifestyle Choices |
|
 |
| COBRACare (For 20+ Groups) |
|
 |