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Summary of Benefits and Coverage  What this Plan Covers   What You Pay For Covered Services Pratt Regional Medical Center ...
Do you need a referral to see a specialist   No.  You can see the specialist you choose without a referral.  All coinsuran...
Common Medical Event  If you need immediate medical attention If you have a hospital stay  Services You May Need Physician...
Common Medical Event or eye care  Services You May Need Children   s dental checkup  Core Network Provider  You will pay t...
About these Coverage Examples  This is not a cost estimator. Treatments shown are just examples of how this plan might cov...