Page 51 - APPENDICES for Diane Falten
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MORE BENEFITS
Fitness bene t Some coverage
Transportation services for non-emergency Not covered
care: Any health-related locations
Transportation services for non-emergency Not covered
care: Plan-approved locations
Over the counter drug bene ts Some coverage
In-home support services Not covered
Home and bathroom safety devices Not covered
Meals for short duration Not covered
Annual physical exams Some coverage
Telehealth Some coverage
Worldwide emergency Some coverage
SPECIAL BENEFITS
You may get these bene ts if you have a qualifying chronic condition or other factors. Contact the plan to see
if you qualify before you enroll.
Reduced cost sharing for qualifying Some coverage
individuals
