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State of Michigan

Comparison of Health Care Options

Covered 100% after

Covered 90% after

deductible

deductible

Diagnostic Services

Laboratory and pathology tests

Diagnostic tests and x-rays

Radiation therapy

State Health Plan PPO

In-network

Out-of-network

HMO Benefits

Covered 100%

Maternity Services

Includes care by a certified nurse midwife (State Health Plan PPO only)

State Health Plan PPO

In-network

Out-of-network

Covered 100% after deductible

Covered 90% after deductible

Prenatal and postnatal care

Delivery and nursery care

3

3

Delivery and well-baby care in the hospital are covered 100% under the Catastrophic Health Plan.

HMO Benefits

Office Visit $10 co-pay

Covered 100%

Hospital Care

Semi-private room, inpatient physician care, general nursing care, hospital services and supplies

Inpatient consultations

Covered 100% after

Covered 90% after

Covered

deductible, unlimited

deductible,

100%

days

unlimited days

Unlimited days

Covered 100%

Covered 100% after

Covered 90% after

deductible

deductible

State Health Plan PPO

In-network

Out-of-network

HMO Benefits

Chemotherapy

4

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