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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 have outpatient surgery If you need immediate medical attention If you have a hospital stay  S...
Common Medical Event  If your child needs dental or eye care  Core Network Provider  You will pay the least   What You Wil...
Does this plan meet Minimum Value Standards  Yes. If your plan doesn   t meet the Minimum Value Standards, you may be elig...
About these Coverage Examples  This is not a cost estimator. Treatments shown are just examples of how this plan might cov...