What is the limit of coverage for a general sickness when seen as an outpatient?
Eligible expenses are covered at 100 percent of usual and customary charges up to $500 per sickness. This includes charges by a radiologist or for laboratory tests. There is no coverage for expenses from $500-$1,000. Then, if you incur medical expenses in excess of $1,000, payment will be made for 80 percent of all additional reasonable and necessary medical expenses up to $5,000 for any single covered sickness or injury. The plan may coordinate benefits with any other insurance plans you may be covered under once costs reach the $1,000 amount.
