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In the pursuit of health' <br /> 77,7r- <br /> �rd� <br /> Medicare-covered stay in a network <br /> psychiatric hospital <br /> 190-day lifetime limit in a psychiatric hospital <br /> Out-of-Network CYID & 20% <br /> Skilled Nursing Facility In-Network <br /> (in a Medicare-certified skilled nursing facility) 0 $0 copay each day for days 1-20 per <br /> benefit period <br /> 0 $75 copay each day for days 21-100 <br /> per benefit period <br /> There is a limit of 100 days for each benefit <br /> period <br /> 3-day prior hospital stay is not required <br /> Out-of-Network CYID & 20% <br /> Hospice Member must receive care from a Medicare- <br /> certified hospice <br /> V <br /> Annual Screening Mammograms In-Network: <br /> (for women with Medicare age 40 and older) $0 copay for Medicare-covered <br /> Screening Mammogram <br /> Out-of-Network CYID & 20% <br /> Pap Smears and Pelvic Exams In-Network: <br /> (for women with Medicare) 0 $0 copay per Pap smear <br /> 0 $0 copay per pelvic exam <br /> Out-of-Network CYID & 20% <br /> Bone Mass Measurement In-Network: <br /> (for people with Medicare who are at risk) $0 copay for each Medicare-covered <br /> Bone Mass Measurement <br /> Out-of-Network CYID & 20% <br /> Colorectal Screening Exams In-Network: <br /> (for people with Medicare age 50 and older) $0 copay for Medicare-covered <br /> Colorectal screening exam <br /> Out-of-Network CYID & 20% <br /> Prostate Cancer Screening Exams In-Network. <br /> (for men with Medicare age 50 and older) $0 copay for Medicare-covered <br /> Prostate Cancer Screening exam <br /> Out-of-Network CYID & 20% <br /> Vaccines— Medicare covered In-Network/Out-of-Network <br /> 0 $0 copay for Influenza vaccine <br /> 0 $0 copay for Pneumococcal vaccine <br /> 0 $0 copay for Hepatitis B vaccine <br /> 'r <br /> w <br /> Fitness Free membership through SilverSneakers <br /> Y0011 31917 0913R2 EGWP C- 09/2013 4 <br />