Based on this context, answer the user query : 
context:
- ### **Chunk 1: Plan Overview, Service Area, and Eligibility**
- **Title and Introduction**:
   - **Plan Name**: Anthem MediBlue Dual Advantage (HMO D-SNP)
   - **Plan Year**: January 1 – December 31, 2020
   - **Plan Number**: 20VAH3447011
   - **Plan Sponsor**: Anthem HealthKeepers
   - **Service Area**: Includes select counties in Virginia, such as Albemarle, Arlington, Fairfax, Chesapeake, Virginia Beach, etc.
   - **Contact Information**:
     - Non-members: 1-855-558-1434 (TTY: 711)
     - Members: 1-855-363-0724 (TTY: 711)
     - Hours: 8 a.m. – 8 p.m., 7 days a week (October 1 – March 31); Monday to Friday (April 1 – September 30).
   - **Website**: [shop.anthem.com/medicare](https://shop.anthem.com/medicare)
   - **Evidence of Coverage (EOC)**: Available upon request.

- **Eligibility Requirements**:
   - Must be entitled to Medicare Part A and enrolled in Medicare Part B.
   - Must be enrolled in Virginia Medicaid.
   - **Dual Eligible Special Needs Plan (D-SNP)**: For those with both Medicare and full Virginia Medicaid coverage.

- **Medicaid Programs and Cost Sharing**:
   - **Full Benefit Dual Eligible (FBDE)**: Full Medicaid coverage and assistance with Medicare cost-sharing.
   - **Qualified Medicare Beneficiary Plus (QMB+)**: Medicaid pays for Medicare cost-sharing, and full Medicaid benefits are included.
   - **Specified Low-Income Medicare Beneficiary Plus (SLMB+)**: Medicaid pays for the Medicare Part B premium, and full Medicaid benefits are included.
   - **Cost Sharing for Services**: No cost-sharing for Medicare-covered services, as Medicaid covers these expenses. Members pay no or small copays for prescriptions covered under Medicare Part D.

---

### **Chunk 2: Medical Benefits – Hospital, Outpatient, and Doctor Visits**
- **Inpatient Hospital Care**:
   - **Copay**: $0 per stay.
   - **Coverage**: 90 days per hospital stay, plus 60 lifetime reserve days.
   - **Lifetime Reserve Days**: These extra 60 days can be used if the hospital stay exceeds 90 days, but once used up, coverage is limited to 90 days per stay.
   - **Prior Authorization**: Required for certain procedures or drugs.
   
- **Outpatient Hospital and Ambulatory Surgical Center**:
   - **Copay**: $0 for both outpatient hospital services and ambulatory surgical center services.
   - **Recommendation**: Talk to your PCP before getting care from a specialist to ensure the proper referral and avoid issues with coverage.

- **Doctor’s Office Visits**:
   - **Primary Care Physician (PCP)**: $0 copay per visit.
   - **Specialist Visits**: $0 copay per visit.
   - **Recommendation**: Consult with your PCP before visiting a specialist to ensure coordinated care and coverage.

- **Preventive Care and Screenings**:
   - **Copay**: $0 for all preventive care screenings and annual physical exams.
   - **Covered Preventive Services**:
     - Abdominal aortic aneurysm screening, annual wellness visits, bone mass measurement, breast cancer screening (mammograms), cardiovascular screenings, cervical and vaginal cancer screenings, colorectal cancer screenings (colonoscopy, fecal occult blood test, flexible sigmoidoscopy), depression screening, diabetes prevention program, diabetes screenings and monitoring, Hepatitis C screening, high-intensity behavioral counseling, HIV screening, lung cancer screenings, medical nutrition therapy, obesity screenings and counseling, prostate cancer screenings, STI screenings, tobacco use cessation counseling, vaccines (flu, hepatitis B, pneumococcal), and a "Welcome to Medicare" one-time visit.

---

### **Chunk 3: Emergency, Diagnostic, and Lab Services**
- **Emergency Care**:
   - **Copay**: $0
   - **Worldwide Emergency Coverage**: Up to $25,000 annually for emergencies while traveling outside the U.S. for less than 6 months.

- **Urgently Needed Services**:
   - **Copay**: $0

- **Diagnostic Radiology Services**:
   - **Copay**: $0 for services like MRIs, CT scans, etc.
   - **Recommendation**: It’s advised to talk to your PCP first before seeking specialist care.

- **Diagnostic Tests and Procedures**:
   - **Copay**: $0 for all diagnostic tests and procedures.

- **Lab Services**:
   - **Copay**: $0

- **Outpatient X-rays**:
   - **Copay**: $0

- **Therapeutic Radiology Services**:
   - **Copay**: $0 for treatments like radiation therapy for cancer.

- **Hearing Services**:
   - **Medicare-Covered Hearing Services**: $0 copay for exams to diagnose and treat hearing and balance issues.
   - **Routine Hearing Services**: 
     - 1 routine hearing exam and hearing aid fitting/evaluation per year.
     - **Hearing Aid Coverage**: $3,000 annual maximum for hearing aids, with a $0 copay for hearing aids up to this amount.

---

### **Chunk 4: Dental, Vision, and Mental Health Services**
- **Dental Services**:
   - **Medicare-Covered Dental Services**: $0 copay (excluding routine dental work like fillings, extractions, etc.).
   - **Preventive Dental Services**:
     - 2 oral exams, 2 cleanings, 1 dental X-ray, and 1 fluoride treatment annually, all covered with a $0 copay.
   - **Comprehensive Dental Services**:
     - $625 quarterly allowance for services like root canals, crowns, bridges, dentures, and dental implants.
     - Any unused allowance rolls over to the next quarter but expires at the end of the year.

- **Vision Services**:
   - **Medicare-Covered Vision Services**: $0 copay for exams to diagnose and treat diseases or conditions of the eye.
   - **Eyeglasses/Contact Lenses After Cataract Surgery**: $0 copay.
   - **Routine Vision Services**:
     - 1 routine vision exam per year, $0 copay.
     - **Eyewear**: $300 annual allowance for glasses or contact lenses.

- **Mental Health Care**:
   - **Inpatient Mental Health**: $0 copay, with a 190-day lifetime limit for psychiatric hospitals (this limit does not apply to general hospitals).
   - **Outpatient Mental Health**: $0 copay for individual and group therapy services.
   - **Skilled Nursing Facility (SNF)**:
     - $0 copay for up to 100 days per year in a SNF.
   - **Physical Therapy**: $0 copay for physical therapy services.

---

### **Chunk 5: Additional Benefits – Transportation, Prescriptions, and Essential Extras**
- **Ambulance Services**:
   - **Ground/Water Ambulance**: $0 copay per trip.
   - **Air Ambulance**: $0 copay per trip.

- **Transportation**:
   - **Routine Transportation**: $0 copay for 48 one-way trips per year (limited to 60 miles per trip).
   - Trips are restricted to plan-approved locations and require at least 48 hours’ notice.
   - Additional transportation benefits can be selected as part of the Essential Extras package.

- **Medicare Part B Drugs**:
   - **Other Part B Drugs**: $0 copay.
   - **Chemotherapy Drugs**: $0 copay.

- **Prescription Drug Coverage (Part D)**:
   - **Deductible**: No deductible because you get "Extra Help" from Medicare.
   - **Initial Coverage**: Up to $4,020 in total drug costs.
     - **Tier 1 (Preferred Generic), Tier 2 (Generic), and Tier 6 (Select Care Drugs)**: $0 copay.
     - **All Other Generic Drugs**: $0 - $3.60 copay (depending on the level of Extra Help).
     - **All Other Brand Drugs**: $0 - $8.95 copay (depending on the level of Extra Help).
   - **Coverage Gap**: You pay the LIS (low-income subsidy) cost-sharing levels. For drugs on Tier 1, 2, or 6, you pay $0.
   - **Catastrophic Coverage**: Once your out-of-pocket drug costs reach $6,350, the plan covers all Medicare-covered Part D drugs for the rest of the year.

- **Essential Extras**:
   - Choose one of the following:
     - **Transportation**: 60 one-way trips per year.
     - **Personal Home Helper**: 31 visits per year (up to 4 hours per visit).
     - **Assistive Devices**: $500 allowance per year for devices like handrails or shower stools.
     - **Healthy Food Deliveries**: Up to 16 meals per month (4 times per year).
     - **Alternative Medicine**: 24 acupuncture or therapeutic massage visits per year.
     - **Service Dog Support**: $500 allowance per year for service dog care.
     - **Fitness Tracker**: Access to a fitness tracking device and online health programs.
     - **Pest Control**: Quarterly pest control services.
     - **Nutritional Counseling**: 8 nutritional counseling sessions per year.

- **Over-the-Counter Items**:
   - Coverage for approved OTC items, up to $425 per quarter. Unused amounts roll over to the next quarter but expire at the end of the calendar year.

- **Meals Benefit**:
   - **Post-Hospitalization Meals**: 2 meals per day for 7 days after discharge.
   - **Chronic Condition Meals**: 3 meals per day for 14 days to support chronic conditions.

- **SilverSneakers® Fitness Program**:
   - Included at no cost, access to 16,000+ fitness locations and online classes.
'''

# Ground Truth Answer
ground_truth_answer = """
**Plan Details for Anthem MediBlue Dual Advantage (HMO D-SNP)**

---

### **Coverage Levels**

- **Inpatient Hospital Care**: $0 copay per stay for up to 90 days per hospital stay, plus 60 lifetime reserve days.
- **Outpatient Hospital and Ambulatory Surgical Center**: $0 copay.
- **Doctor’s Office Visits**:
  - **Primary Care Physician (PCP)**: $0 copay per visit.
  - **Specialist Visits**: $0 copay per visit.
- **Preventive Care and Screenings**: $0 copay for all preventive services and annual physical exams.
- **Emergency Care**: $0 copay, including worldwide coverage up to $25,000 annually.
- **Urgently Needed Services**: $0 copay.
- **Diagnostic Services**: $0 copay for radiology, tests, procedures, lab services, and X-rays.
- **Therapeutic Radiology Services**: $0 copay.
- **Hearing Services**:
  - **Medicare-Covered**: $0 copay for exams related to hearing and balance issues.
  - **Routine Hearing**: $0 copay for 1 exam and hearing aid fitting per year.
  - **Hearing Aids**: $0 copay up to a $3,000 annual maximum.
- **Dental Services**:
  - **Medicare-Covered**: $0 copay (excluding routine work like fillings or extractions).
  - **Preventive Dental**: $0 copay for 2 exams, 2 cleanings, 1 X-ray, and 1 fluoride treatment annually.
  - **Comprehensive Dental**: Coverage up to $625 quarterly for services like root canals, crowns, dentures, and implants.
- **Vision Services**:
  - **Medicare-Covered**: $0 copay for eye exams related to diseases or conditions.
  - **Routine Vision**: $0 copay for 1 exam per year.
  - **Eyewear**: $0 copay up to a $300 annual allowance for glasses or contact lenses.
- **Mental Health Care**:
  - **Inpatient**: $0 copay with a 190-day lifetime limit at psychiatric hospitals.
  - **Outpatient**: $0 copay for therapy services.
- **Skilled Nursing Facility (SNF)**: $0 copay for up to 100 days per year.
- **Physical Therapy**: $0 copay.
- **Ambulance Services**:
  - **Ground/Water**: $0 copay per trip.
  - **Air**: $0 copay per trip.
- **Medicare Part B Drugs**:
  - **Chemotherapy and Other Drugs**: $0 copay.

### **Deductibles**

- **Medical Services**: No deductible mentioned.
- **Prescription Drug Coverage (Part D)**: No deductible due to "Extra Help" from Medicare.

### **Copayments**

- **All Covered Services**: $0 copay unless specified otherwise.
- **Prescription Drugs**:
  - **Tiers 1, 2, and 6**: $0 copay.
  - **Other Generic Drugs**: $0 - $3.60 copay (based on level of Extra Help).
  - **Brand Drugs**: $0 - $8.95 copay (based on level of Extra Help).

### **Out-of-Pocket Maximums**

- **Medical Services**: No out-of-pocket maximum specified.
- **Prescription Drugs**:
  - **Catastrophic Coverage Threshold**: Once you reach $6,350 in out-of-pocket drug costs, the plan covers all Medicare-covered Part D drugs for the rest of the year.

### **Network Restrictions**

- **Plan Type**: HMO D-SNP; you must use network providers except in emergencies.
- **Referrals**: Recommended to consult with your PCP before seeing specialists to ensure coverage.
- **Transportation Services**: Limited to plan-approved locations within 60 miles; 48 hours' notice required.

### **Premium Costs**

- **Monthly Premium**: Not specified in the provided text.
- **Medicaid Assistance**: As a Dual Eligible Special Needs Plan (D-SNP), premiums may be covered by Medicaid.

### **Exclusions and Limitations**

- **Inpatient Hospital Care**: Limited to 90 days per stay, plus 60 lifetime reserve days.
- **Inpatient Mental Health**: 190-day lifetime limit at psychiatric hospitals (does not apply to general hospitals).
- **Dental Services**: Routine dental work like fillings and extractions not covered under Medicare-covered services.
- **Comprehensive Dental Allowance**: $625 quarterly; unused amounts roll over quarterly but expire at year-end.
- **Hearing Aid Coverage**: Up to $3,000 annually.
- **Vision Eyewear Allowance**: Up to $300 annually.
- **Transportation**: 48 one-way trips per year; limited to 60 miles per trip.
- **Over-the-Counter Items**: Up to $425 per quarter; unused amounts roll over quarterly but expire at year-end.
- **Meals Benefit**:
  - **Post-Hospitalization**: 2 meals per day for 7 days after discharge.
  - **Chronic Condition Support**: 3 meals per day for 14 days.
- **Essential Extras**: Members can choose one additional benefit from options like extra transportation, personal home helper visits, assistive devices, healthy food deliveries, alternative medicine, service dog support, fitness tracker, pest control, or nutritional counseling.

---

**Additional Benefits**

- **Over-the-Counter Items**: Coverage for approved items up to $425 per quarter.
- **SilverSneakers® Fitness Program**: Included at no cost, offering access to fitness locations and online classes.
- **Meals Benefit**: Support with meals after hospitalization or for chronic conditions.
- **Essential Extras**: Choice of one additional benefit from a list of options to suit individual needs.

---

**Note**: This plan is designed for individuals who are eligible for both Medicare and full Virginia Medicaid coverage. Costs and coverage are based on receiving "Extra Help" from Medicare, and Medicaid may assist with premiums and cost-sharing.
"""

# Model 1 Response
model1_answer = """
Based on the plan document, here are the specific plan details:

**Covered Benefits:**

- Inpatient Hospital: $0 copay
- Outpatient Hospital: $0 copay
- Ambulatory Surgical Center: $0 copay
- Doctor's Office Visits:
  - Primary Care Physician (PCP): $0 copay
  - Specialist: $0 copay
  - Preventive Care: $0 copay
  - Covered Preventive Services:
    - Abdominal aortic aneurysm screening
    - Annual wellness visits
    - Bone mass measurement
    - Breast cancer screenings (mammograms)
    - Cardiovascular screenings
    - Cervical and vaginal cancer screenings
    - Colorectal cancer screenings (colonoscopy, fecal occult blood test, flexible sigmoidoscopy)
    - Depression screenings
    - Diabetes prevention program
    - Diabetes screenings and monitoring
    - Hepatitis C screenings
    - High-intensity behavioral counseling
    - HIV screenings
    - Lung cancer screenings
    - Medical nutrition therapy
    - Obesity screenings and counseling
    - Psychiatric hospitals (inpatient mental health): $0 copay
    - Skilled Nursing Facilities (SNFs): $0 copay
    - Physical Therapy: $0 copay
- Diagnostic Radiology: $0 copay
- Laboratory Services: $0 copay
- Transportation:
  - Ambulance Services: $0 copay
  - Ground/Water Ambulance: $0 copay
  - Air Ambulance: $0 copay
- Prescription Drugs:
  - Drugs with Tier 1 (preferred generic), Tier 2 (generic), and Tier 6 (Select Care Drugs): $0 copay
  - Drugs with Tier 1, 2, or 6: $0 copay
  - Coverage Gap: $0 copay (up to $3,060 for drugs on Tier 1, 2, or 6, and up to $4,020 for drugs on Tier 6)
"""
query : 
What is the copay for outpatient hospital services under the Anthem MediBlue Dual Advantage (HMO D-SNP) plan?