Wesley Medical Center is not a contracting facility and may be utilized only if services cannot be provided at a contracting facility or to treat an emergency condition. Covered unlimited general days subject to deductibles and coinsurance benefit maximums. Additional charges to the insured apply when using a non-contracting hospital. Newborns must be added to coverage within 31 days of birth. Well newborns are not subject to inpatient hospital copayment when the mother is covered by State of Kansas group health insurance.
Treatment is subject to deductible and coinsurance.
Home Health Care, Private Duty Nursing and Home Hospice Care. Covered subject to deductibles and coinsurance. Emergency Care Covered subject to deductibles and coinsurance. Vision Care One eye exam for refraction per covered person per year covered subject to deductible and coinsurance. Eyeglasses and contact lenses are not covered except after cataract removal.