You will be responsible for the cost of your own medical care for a short period of time (up to thirty days). The medical care you need will be paid for by your insurance company. It may include routine care, emergency care, chiropractic care, or physical therapy. This plan does not have coverage for: Eye care.
Dental care
Optical surgery
Nursing
Hearing
Medical supplies (laboratory supplies only)
Maternity care (if offered)
Part or full-time vocational training
Psychological counseling or psychopharmacology
Mental health care services of a nature other than psychotherapy
Sick Leave A. — This plan doesn't have sick care benefits. Sick days and time off may be taken for a variety of reasons. For example, you may choose to take a sick leave for: a family member, including adoption, child or parent, death or divorce, a serious illness or injury, pregnancy, or a medical condition with serious physical or mental effects. There is no limit on how long you can be away from work for such a leave. For an example of the type of sick leave you might take, see “Explanation of Family Medical Leave Act”. C. — You're not required to return to work at the end of your sick leave. However, you must take care of yourself during your sick leave time. You will be asked to report to work within a prescribed “break time” that will be set and announced. It's your responsibility to notify your medical insurance company when you return from your medical leave. If you miss a meeting or another appointment or if you do not go to work, your contract or insurance coverage can be jeopardized. It is your decision whether you will return to work. If you elect to return to work, you have the right to a reasonable vacation time and the right to take one more day of paid leave than your contract allows if you have enough sick leave time to cover the time. You will be paid for any leave that you are required to take away. The following types of coverage are available to you under this plan: PPO (personal health and accident) — Coverage is provided to individuals for health and accident, including hospital or outpatient care. There are no deductibles or coinsurance for benefits. There is no cost sharing on out-patient services.
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Blue Shield of California Access+ 2002 http://www.mylifepath.com A Health Maintenance Organization Serving: Most of California Enrollment in this plan is limited. You must live or work in our geographic
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Com a health maintenance refers to a health maintenance organization (HMO) that provides medical services to its members in exchange for a fixed fee.
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Health maintenance organizations (HMOs) are required to file com a health maintenance.
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