X hits on this document

55 views

0 shares

0 downloads

0 comments

6 / 19

State of Michigan

Comparison of Health Care Options

Organ and Tissue Transplants

State Health Plan PPO

HMO Benefits

In-network

Out-of-network

Bone marrow—specific criteria apply

Kidney, cornea, and skin

Covered 100% after deductible in designated facilities

Covered 90% after deductible

Covered 100% in designated facilities

Covered 100% subject to medical criteria

Covered 100% after

Covered 90% after

deductible

deductible

Other Services

Allergy testing and injections

State Health Plan PPO

In-network

Out-of-network

HMO Benefits

Office visits: $10 co-pay Injections: Covered 100%

Covered 100% after

Covered 90% after

deductible

deductible

Acupuncture

Rabies treatment after initial emergency room visit

Covered 90% after deductible if performed by or under the supervision of a M.D. or D.O.

Check with your HMO

Office visits: $10 co-pay Injections: Covered 100%

Covered 100%

Covered 90%

after $15 co-pay

after deductible

Up to 24 visits per

Up to 24 visits per

calendar year

calendar year

Chiropractic/spinal manipulation

5

5

MSEA employees are covered up to 36 visits per calendar year under the State Health Plan PPO.

Covered 80% after deductible

Durable medical equipment

Prosthetic and orthotic appliances

Covered 100%

Check with your HMO

Covered

6

Document info
Document views55
Page views55
Page last viewedFri Dec 09 12:32:04 UTC 2016
Pages19
Paragraphs2099
Words4748

Comments