If covered hospital services are received at a Tenet owned or affiliated facility, the co-payment will be waived. Additional eligible expenses are covered at a reduced rate. Pre-existing conditions are covered. With this option, you can receive services either in or out of the Personal Choice network. The level of reimbursement is higher for services received in the network.
Office visits to a network physician require a co-pay.
When you receive services out of the network, eligible expenses are covered at a reduced rate. Pre-existing conditions are covered . The Prescription Drug Program is an elective benefit provided by Paid Prescriptions L.L.C. Drug Card Program and Merck-Medco RX Services Mail Order Program. You can opt out of this benefit and have credits available to purchase other benefits or to take as taxable income . If you choose one of the Keystone Health Plans, you will have coverage for an eye examination.