| |
Index
for the 2009 Health Benefit Plan Brochure |
|
| Topic |
Pages |
|
Topic |
Pages |
|
Topic |
Pages |
| Accidental injury |
46, 57 |
|
Eyeglasses |
29, 61
|
|
Out-of-pocket expenses |
15
|
| Acupuncture |
33
|
|
Family planning |
25
|
|
Outpatient facility care |
44
|
| Allergy tests |
27
|
|
Fecal occult blood test |
23
|
|
Overpayments |
16
|
| Allogeneic (donor) bone marrow
transplant |
38, 39,
40
|
|
Federal Employees Dental and
Vision Insurance Program (FEDVIP) |
79
|
|
Overseas claims |
63
|
| Alternative treatments |
33
|
|
Federal Flexible Spending
Account Program (FSAFEDS) |
79
|
|
Oxygen |
31, 43,
44
|
| Ambulance |
45, 46
|
|
Federal Long Term Care
Insurance Program (FLTCIP) |
80
|
|
Pap test |
23
|
| Ambulatory surgical center |
9, 44
|
|
Flexible benefits option |
59
|
|
Physical exam |
22
|
| Anesthesia |
41
|
|
Foot care |
29
|
|
Physical therapy |
28
|
| Autologous bone marrow
transplant |
38, 39
|
|
Formulary |
52
|
|
Physician |
22
|
| Biopsy |
34
|
|
Fraud |
3, 4
|
|
Plan allowance |
14, 74
|
| Birthing centers |
9
|
|
General Exclusions |
61
|
|
Precertification |
11, 12,
49, 51
|
| Blood and blood plasma |
43, 44
|
|
Hearing services |
28, 29
|
|
Preferred Provider
Organization (PPO) |
6
|
| Cancer screening |
23
|
|
Home nursing care |
32
|
|
Prescription drugs |
52
|
| Casts |
30, 43,
44
|
|
Hospice care |
44
|
|
Preventive care, adult |
23, 24
|
| CAT Scan |
23
|
|
Hospital |
9, 42
|
|
Preventive care, children |
24
|
| Catastrophic protection
out-of-pocket maximum |
15
|
|
Immunizations |
24
|
|
Prostate cancer screening |
23
|
| CHAMPVA |
70
|
|
Infertility |
26
|
|
Prosthetic devices |
30, 34
|
| Changes for 2009 |
7, 8
|
|
Inpatient hospital benefits |
42, 43
|
|
Psychologist |
9, 48,
50
|
| Chemotherapy |
27
|
|
Inhospital physician care |
22, 48,
51
|
|
Radiation therapy |
27
|
| Children's Equity Act |
76
|
|
Insulin |
55
|
|
Renal dialysis |
27
|
| Chiropractic |
32
|
|
Laboratory and pathological
services |
23
|
|
Room and board |
42, 48,
50
|
| Cholesterol tests |
24
|
|
Magnetic Resonance Imaging
(MRI) |
23
|
|
Second surgical opinion |
22
|
| Claims |
63
|
|
Mail order prescription drugs |
52, 55
|
|
Smoking cessation |
33
|
| Coinsurance |
13, 72
|
|
Mammograms |
23, 24
|
|
Social worker |
9, 48,
50
|
| Congenital anomalies |
34, 36,
72
|
|
Maternity care |
25
|
|
Speech therapy |
28
|
| Contraceptive devices and
drugs |
25, 34,
55
|
|
Medicaid |
70
|
|
Splints |
30, 43
|
| Coordination of benefits |
66
|
|
Medically necessary |
74
|
|
Sterilization procedures |
25, 34
|
| Copayment |
13, 72
|
|
Medically underserved areas |
9
|
|
Subrogation |
70
|
| Cosmetic surgery |
37, 72
|
|
Medicare |
18, 66, 67,
68, 69
|
|
Substance abuse |
47, 48,
49, 50,
51
|
| Covered providers |
9
|
|
Mental conditions/Substance
abuse benefits |
47, 48,
49, 50,
51
|
|
Surgery |
34, 35,
36
|
| Custodial care |
43, 72
|
|
Newborn care |
22, 25
|
|
- Assistant surgeon |
35
|
| Crutches |
30
|
|
Non-FEHB Benefits |
60
|
|
- Bariatric |
35
|
| Deductible |
13, 73
|
|
Nurse |
|
|
- Cosmetic |
37
|
| Definitions |
72
|
|
- Licensed Practical
Nurse |
32
|
|
- Multiple procedures |
35
|
| Dental care |
37, 57
|
|
- Nurse Midwife |
9
|
|
- Oral |
37
|
| Diagnostic services |
22
|
|
- Nurse Practitioner |
9
|
|
- Reconstructive |
36
|
| Disputed claims review |
64, 65
|
|
- Registered Nurse |
32
|
|
Syringes |
55
|
| Donor expenses (transplants) |
41
|
|
Nursery charges |
25
|
|
Temporary Continuation of
Coverage (TCC) |
78
|
| Dressings |
30, 43,
44
|
|
Obstetrical care |
25
|
|
Transplants |
38, 39,
40, 41
|
| Durable medical equipment |
31
|
|
Occupational therapy |
28
|
|
Treatment therapies |
27
|
| Educational classes and
programs |
33
|
|
Office visits |
22
|
|
TRICARE |
70
|
| Effective date of enrollment |
77
|
|
Oral and maxillofacial surgery |
37
|
|
Vision services |
29
|
| Emergency |
46
|
|
Orthopedic devices |
30
|
|
Well child care |
24
|
| Experimental or
investigational |
61, 73
|
|
|
|
|
Wheelchairs |
31
|
| |
|
|
|
|
|
Workers' Compensation |
70
|
| |
|
|
|
|
|
X-rays |
22, 43,
44
|
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