HOSPITAL, MEDICAL,
SURGICAL, ANESTHESIA, MATERNITY, LABORATORY, DIAGNOSTIC X-RAY, OUTPATIENT
EMERGENCY ACCIDENT & OUTPATIENT THERAPY EXPENSE
(FOR MEMBER AND DEPENDENTS)
BENEFITS
(Non-Occupational)
Coverage for these benefits
is set forth in the Personal Choice or Keystone HMO booklet appended to this
Summary Plan Description. Please refer to that Section for a description of
these coverages, their limitations and applicable patient deductible, copayment
and co-insurance obligations.
|
Health
& We
lfare
and Pension Funds