| Document Date: 2014-08-29 17:38:37
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Company Supplies Office Visits / PET / coinsurance Limited / Procedures Education Laboratory / Anesthesia Laboratory / / Country United States / / Currency USD / / Facility Counseling Center / Hall Health / clinic If / Campus Gold / / IndustryTerm health outpatient services / term in-network / use disorder inpatient services / state insurance department / medical transportation / inpatient services / outpatient imaging tests / certain outpatient services / room services / durable medical equipment / co-insurance amounts / excluded services / health insurance coverage / covered services / health inpatient services / / MedicalCondition use disorder outpatient services Substance use disorder / diabetes / injury / Bariatric surgery Cosmetic surgery Infertility / illness / / MedicalTreatment Cosmetic surgery / Acupuncture / surgery / Bariatric surgery / / Organization U.S. Department of Health and Human Services / Counseling Center / / / Position Physician /surgeon / illness Specialist / cost estimator / / Technology x-ray / / URL www.cciio.cms.gov / /
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LifeWise AC: UW ISHIP Seattle Campus Gold + Vision/Dental Summary of Coverage: What this Plan Covers & What it Costs Coverage Period: – Coverage for: Individual or Family | Plan Type: PPO