MEDICAL BENEFITS
Other medical services are also covered. Eligible members
and their covered dependents may access a participating panel
of physicians assembled by the Fund. These providers have
signed up directly with the Fund to provide covered services
and accept the Plan's schedule of payment. Additionally, Magnacare's participating
panel of Physicians, laboratories and other out-patient facilities
can also be still be utilized. Services rendered by 456 providers
and MagnaCare providers will not be subject to the Plan's
Annual deductible. Each time a participating doctor is used,
only a $10 co-pay will be required. Using a non-participating
provider will mean that the $200 annual deductible must be
met before any benefits are paid.
To protect against the cost of major illness, the Plan pays
100% of reasonable charges after a family member has had
$5,000 of expenses in a calendar year . The Plan's
lifetime maximum is currently $200,000 per family member
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