Ambulance service - ground 300 miles/year; air $6,000/year
Cardiac rehabilitation (phase II)$1,000/lifetime
Chiropractic manipulation (covered under Elect Plus only)12 visits/year
Dietary/nutritional counseling for anorexia or bulimia5 visits/lifetime
Durable medical equipment$7,500/lifetime
Flu vaccine (covered under Elect Plus and FlexPerks only)$20/year
Hospice or respite care$10,000/lifetime
Mental health treatment (inpatient)$1,000/lifetime
Naturopathic and acupuncture care (covered under ElectPlus only)$1,000/year
combined
Physical therapy20 visits/year
Prescription drug expensedoes not accumulate toward out-of-pocket limit
on the Elect Plus and Elect Value
Pulmonary rehabilitation$1,000/lifetime
Routine physical exams(covered under Elect Plus and FlexPerks only)scheduled.
Speech therapy$1,000/year
Transplants$250,000/lifetime
Transplants, travel/housing for recipient$5,000/transplant
Transplants, nonparticipating providers$100,000
Well baby exams (covered under Elect Plus and FlexPerks only)9 exams in
the first 24 months of life, including a standard in-hospital exam at birth and
related laboratory tests.