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Hospital services for in-patient and out-patient treatment which is determined as medically necessary to the patient.
Ambulance transportation (ground and air)
Primary Care Services
Primary Care/ Behavioral Health/Dental services to an eligible individual will be subject to a limit of $4,000.00 per patient per fiscal year and claims are paid at 65%.
(Primary Care co-pays are not eligible because they are considered reasonable and generally result after the Medicare reimbursement.)