A short description of whether care Out–of–Service obtained Area Coverage Varchar 15 No outside the Description service area is covered under the plan. A yes/no Y-Yes to indication of National whether a Network. National Network Varchar 2 No national N-No to network is National available Network. Maximum Maximum Individual out–of–pocket Varchar 15 No In–Network for (in–network) EHBs— for EHBs Maximum Maximum out–of–pocket Family In– Varchar 15 No (in–network) for EHBs for EHBs Individual In and maximum for Maximum EHBs Varchar 15 No Individual combined for for EHBs— in– and Family In and maximum for Maximum EHBs Varchar 15 No Family for combined for EHBs— in and
Out–of–Service Area Coverage Description A short description of whether care obtained outside the service area is covered under the plan. Varchar 15 No National Network A yes/no indication of whether a national network is available Varchar 2 No Y-Yes to National Network. N-No to National Network. Maximum Individual In–Network for EHBs— Maximum out–of–pocket (in–network) for EHBs Varchar 15 No Maximum Family for EHBs Maximum out–of–pocket (in–network) for EHBs Varchar 15 No In and Maximum Individual for EHBs— Individual maximum for EHBs combined for in– and Varchar 15 No In and Maximum Family for EHBs— Family maximum for EHBs combined for in and Varchar 15 No In–
TPA-Integration-Package07242013.docx