Coverage Base Plan Traditional Plan High-Deductible Plan

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Health Care Plan Coverage Comparison
Coverage
Acupuncture
Allergy Injections, Serum & Testing
Ambulance (ground or air transport)
Ambulatory Surgical Center
Birth Control Devices, Injections or Surgery
Cardiac Rehabilitation
Chemotherapy/Radiation
Chiropractic Care
Diabetes
Diagnostics Lab & X-Ray
Durable Medical Equipment
Hearing Care
Home Health Care
Hospice Care
Base Plan
Traditional Plan
High-Deductible Plan
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Hospital Services (Inpatient, Emergency Room)
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Infertility (Diagnosis, Treatment)
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Learning Disabilities
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Massage Therapy
Medication Management
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Mental Health & Substance Abuse Treatment
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Occupational Therapy
Orthognathic Surgery
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Orthotics or Shoe Inserts
Outpatient Surgery Facility
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Physical Therapy
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Physician Services Office Visits
Preventive Care
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Refractive Eye Surgery
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Sexual Dysfunction
Second (and third) Surgical Opinion
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Skilled Nursing Facility/Rehabilitation Center
Sleep Disorders
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Speech Therapy
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TMJ/Jaw Joint Treatment
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Transplant-Related Expenses
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Urgent Care Freestanding Facility
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Vision (Orthoptic) Therapy
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Weight Control Surgery
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Note: This is not an exclusive list of benefits covered and is subject to change. For an exclusive list, please contact Human
Resources at (707) 965-6231.
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