Inpatient care primarily for or solely for rehabilitation is not covered. Family Planning and 100% of allowed 80% of allowed Fertility Testing benefit benefit deductible 100% of allowed 80% of allowed Contraception and benefit benefit after Contraceptive deductible Counseling In-Vitro Fertilization 100% of allowed 80% of allowed (IVF) and Artificial benefit benefit after Insemination deductible Covered per Maryland state mandate, No deviations will be considered. Insurance article § 15-810. Hospice Care 100% of allowed 80% of allowed benefit benefit after deductible Home Healthcare 100% of allowed 80% of allowed benefit benefit after deductible Home Healthcare benefits are limited to No deviations will be considered. 120 days per plan year. Medical Supplies 100% of allowed 80% of allowed benefit benefit deductible Includes, but is not limited to: surgical dressings; casts; splints; syringes; dressings for cancer, burns or diabetic ulcers; catheters; colostomy bags; No deviations will be considered. oxygen; supplies for renal dialysis equipment and machines; and all diabetic supplies as mandated by Maryland law. Private Duty Nursing 100% of allowed 80% of allowed benefit benefit after deductible Blood Charges 100% of allowed 80% of allowed benefit benefit after deductible MENTAL HEALTH AND SUBSTANCE USE DISORDERS Inpatient Hospital Care 80% of allowed 100% of allowed benefit after benefit deductible Partial Hospitalization 80% of allowed 100% of allowed No deviations will be considered. Services benefit after benefit deductible Outpatient Services 80% of allowed 100% of allowed (Including Intensive benefit after benefit Outpatient Services) deductible
Inpatient care primarily for or solely for rehabilitation is not covered. Family Planning and Fertility Testing 100% of allowed benefit 80% of allowed benefit deductible Contraception and Contraceptive Counseling 100% of allowed benefit 80% of allowed benefit after deductible In-Vitro Fertilization (IVF) and Artificial Insemination 100% of allowed benefit 80% of allowed benefit after deductible Covered per Maryland state mandate, Insurance article § 15-810. No deviations will be considered. Hospice Care 100% of allowed benefit 80% of allowed benefit after deductible Home Healthcare 100% of allowed benefit 80% of allowed benefit after deductible Home Healthcare benefits are limited to 120 days per plan year. No deviations will be considered. Medical Supplies 100% of allowed benefit 80% of allowed benefit deductible Includes, but is not limited to: surgical dressings; casts; splints; syringes; dressings for cancer, burns or diabetic ulcers; catheters; colostomy bags; oxygen; supplies for renal dialysis equipment and machines; and all diabetic supplies as mandated by Maryland law. No deviations will be considered. Private Duty Nursing 100% of allowed benefit 80% of allowed benefit after deductible Blood Charges 100% of allowed benefit 80% of allowed benefit after deductible MENTAL HEALTH AND SUBSTANCE USE DISORDERS Inpatient Hospital Care 100% of allowed benefit 80% of allowed benefit after deductible No deviations will be considered. Partial Hospitalization Services 100% of allowed benefit 80% of allowed benefit after deductible Outpatient Services (Including Intensive Outpatient Services) 100% of allowed benefit 80% of allowed benefit after deductible