Hospital Care — Outpatient
Covered benefits are paid at 70% of Eligible Expenses after the annual deductible has been met.
Covered outpatient hospital services include:
  • Outpatient surgical services. This includes Medically Necessary Covered Health Services rendered in a freestanding ambulatory surgical center, a short-stay surgical unit or an outpatient department of a hospital.
  • Emergency hospital outpatient services for the first visit for emergency care and treatment of a sudden and unforeseeable illness or injury which, if not immediately diagnosed and treated, could be life-threatening or cause serious harm to bodily function.
  • Medically Necessary Outpatient Covered Health Services for radiation therapy, chemotherapy and hemodialysis treatment.