Empire Plan Changes Effective January 1, 2007
|
Benefit
|
2006
Benefit Level |
2007
Benefit Level |
|
Network
Hospital (BC) |
|
|
|
Emergency Room |
$50 copay |
$60 copay |
|
Outpatient Physical
Therapy |
$15 copay |
$18 copay |
|
Par
Provider (UHC) |
|
|
|
Office Visit,
Surgical Procedures, Radiology and Diagnostic/Lab |
$15 copay |
$18 copay |
|
Managed
Physical Medicine (MPN) |
|
|
|
Physical/Occupational
Therapy and Chiropractic Care |
$15 copay |
$18 copay |
|
Managed
Mental Health (ValueOptions) |
|
|
|
Outpatient Mental
Health Visits |
$15 copay |
$18 copay |
|
Outpatient Substance
Abuse Visits |
$15 copay |
$18 copay |
|
Emergency Room |
$50 copay |
$60 copay |