Part 1: Overview

HOSPITAL CHOICE COST SHARING
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Services Affected

Hospital Choice Cost Sharing only applies
to services in six categories.

Category
Service Examples
Labs Blood tests, strep tests
X-Rays & Imaging Ultrasounds, non-routine mammograms
High-Tech Radiology CT scans, MRIs, PET scans, nuclear cardiac imaging
Inpatient Care Maternity care, joint replacement
Outpatient Surgery Arthroscopic knee surgery, hernia repair
Physical, Occupational & Speech Therapy N/A

Emergency Room (ER) Visits
Hospital Choice Cost Sharing
does not apply to ER visits.

If you have a medical emergency,
go to the nearest hospital or call 911.

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