Laserfiche WebLink
COVERED SERVICES NETWORK PROVIDERS NON-NETWORK <br /> PROVIDERS <br /> Organ Transplants 90%after deductible 70�Io after deductible <br /> Pregnancy <br /> Hos ital 90% after deductible 70% after deductible <br /> Ph sician 90%after deductible 80% after deductible <br /> Prescription Drugs 90%after deductible 90%after deductible <br /> Note: If treatment is not available within 30 miles of your primary residence,a Non-Network Provider within <br /> that range will be treated as a Network Provider. <br /> 14 <br />