MEDICAL EXPENSE (OPT/PROF) (32)    TYPE OF PLAN (355.1)

Name Value
NAME MEDICAL EXPENSE (OPT/PROF)
ABBREVIATION MED EXPS
MAJOR CATEGORY MAJOR MEDICAL
DESCRIPTION
A form of health insurance that provides benefits for medical care
on an outpatient basis.  The company may limit the amount it will
pay per call or the total amount for all calls.  It may also exclude
the first few calls made by the physician at the beginning of an
illness.
EFFECTIVE DATE
  • GROUP CODE:
    • Patient Responsibility
      REASON CODE:
      • 1
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
      • 2
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
      • 3
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
    • Contractual Obligations
      REASON CODE:
      • 45
        PART A PERCENTAGE:   0
        PART B PERCENTAGE:   100