Benefits
Deductibles
Coverage
100
What is the chiropractic benefits for TPA plans
$25 max, no auth for the first 20 visits
100
Which SJHA plan has zero deductible?
Plan C
200
What is the Neonatal coverage for Plan C
There is none.
200
What is the deductible for Premier and Premier 2 plans?
$125 Per Person, $250 Per Family
300
What is the preventative benefits for Select and Premier plan?
Doesn't cover preventative services
300
What is the deductible for Medi-cal Plans?
No deductible
300
What is the plan year for retiree plans?
05/01-04/30
400
What services do not require authorization for HPSJ?
Mammograms, sensitive services
400
What is the deductible for Select or Select 2 plans?
$250 Per Person $500 Per Family
500
What is the baby coverage for HPSJ members?
remainder of birth month plus month after
500
What is the deductible for all Retiree plans?
Retiree in area: No deductible Retiree out of area: $100 individual $300 family
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