5/23/1979 - Laserfiche WebLink

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• 0 COMPARISON OF BENEFITS BLUE SHIELD TYPE K SURGERY $333 maximum on surgical procedures. MATERNITY •$ 83 Normal delivery $167 Cesarean IN-HOSPITAL MEDICAL $12 payment on first day $5 per day on subsequent days, up to 31. INTENSIVE MEDICAL CARE $50 maximum covering 36 conditions. ANESTHESIA (IN-PATIENT) $200 maximum per confine- ment. Payment according to a Fee Schedule. ANESTHESIA (CUT-PATIENdr) Payment according to a Fee Schedule. X-RAY (IN-PATIEST) $70 maximum payment accord- ing to a Fee Schedule. X-RAY (OUT-PATIENT) $70 maximum payment accord- ing.to a Fee Schedule within 72 hours of accident. X-RAY (THERAPY) $333 maximum. Payment of $10 per treatment. PATHOLOGY $30 maximum. Payment accord- ing to Fee Schedule. (in- patient,hospital out-patient minor surgery). PHYSICAL THERAPY $5 per day, up to 31 days. (in-patient) ELECTROSHOCK THERAPY $200 maximum per contract year MAXIMUM (COMBINATION OF CARE) $800 per confinement. WAITING PERIODS: PRE-EXISTING None MATERNITY None MAY 2 31979 TYPE B $750 maximum on surgical procedures. $100 Normal delivery $250 Cesarean $18 payment on first day $6 per day on subsequent days, up to 31. $75 maximum covering 36 conditions. $300 maximum per confine- ment. Payment according to a Fee Schedule. Payment according to a Fee Schedule. $105 maximum payment accord- ing to a Fee Schedule. $105 maximum payment accord- ing to a Fee Schedule -within 72 hours of accident. $500 maximum. Payment of $10 per treatment. $25 maximum. Payment accord- ing to Fee Schedule. (in- patient,hospital out-patient minor surgery). $6 per day, 31 days per con- finement. (in-patient) $30 treatment, $300 contract year. $1,800 per confinement. None None Boa 40 PAGE 298