Doctors’ office visits, emergency-room care, laboratory and ambulance fees.
Semiprivate room, unless a private room is medically necessary.
Immunizations, prenatal and infant checkups, cholesterol screening, physicals with increasing frequency as patient ages. Mammograms for women older than 50.
Nursing homes and rehabilitation centers are covered as an alternative to extended hospital stays. Maximum of 100 days in a calendar year.
Also as an alternative to hospital stays. Need for further care would be assessed every 60 days.
Routine eye and ear exams; children’s eyeglasses.
Occupational, physical or speech therapy to restore functions lost because of illness or injury. Need reassessed every 60 days.
Preventive care for children; adult care would be phased in starting in 2000.
$5 per prescription or a $250 yearly maximum depending on the plan you choose.
For terminally ill patients as an alternative to a hospital stay.
Initially, 30 days of inpatient care per episode of illness, up to 60 days in a year. Thirty outpatient visits to a psychotherapist. By the year 1998, 90 inpatient days; no limit on outpatient visits.
Similar to mental health.
Prostheses and braces that improve function or prevent deterioration.