Coverage Period: 01/01/2014 – 12/31/2014 Summary of Benefits and Coverage: What This Plan Covers & What it Costs Coverage for: Employee & Family Plan Type: PS1 Questions: Call 1-866-633-2446 or visit us at welcometouhc.com.
No.
The Common Medical Events chart describes any limits on what the plan will pay
for specific covered services, such as office visits.
You don't need a referral to see a
specialist.
For example, if a non-network hospital charges $1,500 for an overnight stay and the allowed amount is $1,000, you may
have to pay the $500 difference.
Allowed
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Finance 
