Once you have met your deductible, BluePartner provides benefits for (subject to coinsurance if applicable):

• Medically necessary and appropriate services in a practitioner's office.
• Surgical procedures, including invasive diagnostic procedures such as colonoscopies and sigmoidoscopies.
• Injections.
• Covered prescripton drugs.
• Diagnostic services for illness or injury.
• Inpatient hospitalization including room and board in a semi-private room, general nursing care, medications, injections, diagnostics and special care units.
• Outpatient facility services, including outpatient surgery centers, hospital outpatient centers and outpatient diagnostic centers.
• Emergency care services.
• Skilled nursing and rehabilitation facilities (limited to 30 days per calendar year).
• Therapeutic services including physical therapy, speech therapy, occupational therapy and manipulative therapy (20-visit limit per calendar year, per therapy). Therapeutic services for cardiac and pulmonary rehabilitative services (36-visit limit per calendar year, per therapy).
• Durable medical equipment, prosthetics and orthotics.
• Home health services (40-visit limit per calendar year).
• Ambulance services.
• Hospice.
• Organ Transplants.

A 12-month waiting period, from the effective date of the policy, applies to coverage for any pre-existing condition.

Note: Benefits are only paid on medially necessary and appropriate covered services. See your policy for complete coverage details. Certain Services require prior authorization. Out-of-network benefits are reduced to 50 percent when prior authorization is not obtained. Plan Exclusions