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picture1_Spreadsheet Calculator 46212 | Attachment B   Standard Products, New 5 6 2013


picture2_Spreadsheet Calculator 46212 | Attachment B   Standard Products, New 5 6 2013 picture3_Spreadsheet Calculator 46212 | Attachment B   Standard Products, New 5 6 2013

 111x       Filetype XLS       File size 0.04 MB       Source: info.nystateofhealth.ny.gov


File: Spreadsheet Calculator 46212 | Attachment B Standard Products, New 5 6 2013
STANDARD BENEFIT DESIGN COST SHARING DESCRIPTION CHART (562013) NOTE The standard plan design descriptions are based on current understanding of HHS Regulations and the Actuarial Value Calculator (Feb 2013 final ...

icon picture XLS Filetype Excel XLS | Posted on 17 Aug 2022 | 2 years ago
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...Standard benefit design cost sharing description chart note the plan descriptions are based on current understanding of hhs regulations and actuarial value calculator feb final versions nys lawsregulations catastrophic was revised to reflect official oop maximum single for calendar year silver csr variation platinum gold fpl bronze less than or equal type service av deductible out pocket limit includes medical services inpatient facilitysnfhospice per admission outpatient facilitysurgery including freestanding surgicenters surgeon facility one such copay surgery applies only performed in a hospital setting not office see also maternity delivery post natal carephysicianmidwife under physician pcp specialist ptotst rehabilitative habilitative therapies er ambulance urgent care dmemedical supplies hearing aids eyewear observation stayobservation unit case is waived if direct transfer from an nonmaternity stay covers mother well newborn combined mental healthbehavorial health detoxificatio...
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