Agenda - Council - 11/22/1983 - Laserfiche WebLink

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~ ~ NOT A COMPLETE DE~2RIPTION OP BENElqT~. THE MAffrER CONTRACT ~ GOVERN TBX ADMINIBTRATION OF ALL CLAII~ COMPARISON OF BENEPITS IN GROUP HEALTH, PHYSICIANS HEALTH AND MEDCENTER8 HEALTH PLANS (Effective January 1, 1984) .GROUP HEALTH PHYSICIANS HEALTH MEDCENTERS HEALTH PLAN PLAN PLAN I~.. Routine physical E. Covered if provided E. ~overed if provided exams by GHP physician by PHP physician except for insurance except for iesuranee or employment or employment I purposes, purposes. , Outpatient F. Covered in full if pro- F, Covered if prescribed Physiotherapy vided in GHP facility or by PHP physician., non-GHP facility upon referral. G. Out-of-hospital nervous or mental I I-I. Out-of-hospital counseling for alcoholism and I. Hearing tests I' Allergy tests and treatment lC. Glasses, repair, replacement, and fitting I. Is preventive care covered? Covered, up to 20 visits per calendar year, ff provided' by GHP physician, at an .enrollee cost of $10 per visit. H. Covered ff referred by GHP physician. I. Covered, if provided or ordered by GHP physician. Covered, ff provided or ordered by GHP physician. Available at low member rates through GHP. L. Yes, includes #4D, E, I, and well- baby care. )eUp to 30 visits per alendar year ff pro- vided by PHP psychiatric designee, You pay $I0 per visit for individual therapy and $5 per visit for group therapy. PHP pays balance. H. Ineluded within above benefit. (#4G) I. Covered if provided by PHP physician. J. Covered if provided by PHP physician. Discounts for members available through several vision centers. For details phone PHP at 936-1200. L, Yes, includes #4D, E, I, and well-baby care. No co-payment for preventive health care visits: E. Covered ff provided or ordered by MCHP physician except for insurance or employ- ment purposes. Covered ff preseribed by MCHP physician. QUp to 30 visits per calendar year if ordered by MCHP physician. You pay $15 per visit for individual therapy, $5 per visit for group therapy and $20 per visit for family therapy; MCHP pays balance. H. Included within above benefit. (#40) I. Covered if provided or ordered by MCHP physician. J. Covered if provided or ordered by MCHP physician. Q:A$50 credit is applied toward eyeglasses or contacts obtained through Benson% by valid plan prescription and voucher. Members under age 14 may receive glasses or contacts free of eharge if seleetion is made from one of three special children's packages. Eye glass/ contact benefit may be used every two years or with a significant prescription change, whichever is longer. L. Yes, includes #4D, E, I, and well-baby care.