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  1. Inpatient Psych/Substance Abuse benefits limited to 15 days per year.
  2. Benefit provision is effective 90 days after member effective date.
  3. Emergency Room/Urgent Care, Lab, X-ray and Imaging are available only if the patient is admitted.
  4. Plan Provisions are the rules or conditions regarding what can be done in a plan.
  5. In addition to Base Benefits, Enhanced Benefits include Outpatient Surgical (only) Services.
Back to: Inpatient and Outpatient Benefit Provisions