Contracting Provider - Providers with whom HMO Blue has contracted to provide health care services. Copayment - The amount the participant must pay for medical services or prescription drugs at the time they are provided. Covered Oral Surgery - Procedures related to the teeth and jaws that are covered by HealthSelect Plus. No other dental services are covered by HealthSelect Plus. Custodial Care - Care that is not part of a medical treatment but that helps a sick or injured individual with the activities of daily living, such as walking, bathing, eating, and taking medication.
Custodial care includes room, board, and institutional services and supplies.
Expenses for these services are not covered by HealthSelect Plus. This document is a summary of the Master Benefit Plan Document. It is intended to be consistent with the statutes and administrative rules governing HealthSelect Plus. In case of conflict between the provisions of this document and the plan document, statutes, or administrative rules, the appropriate document, statute, or rule will prevail. Although the ERS intends to continue our health care plan into the future, the agency reserves the right, at all times, to change, suspend, or end the plan.