Single Program
Couples Program
Family Program
Chiropractic Care
CT Scan*
Dr. Visits
ER Visits**
Hospital Inpatient*
Maternity**
Out Patient Care
Physical Therapy*
Routine Labs*
Skin Biopsies
Ultrasound*
Routine Labs*
Wellness & Flu Vacc.
See Guidelines for the complete list, IUA and MSA still applies!
* requires a Prenotification, and limitations may apply.
** Requires a prenotification & must report asap or within 48 hrs.
